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Effect of Labor Dance and Music on Labor Pain and Fear of Childbirth

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ClinicalTrials.gov Identifier: NCT03648099
Recruitment Status : Completed
First Posted : August 27, 2018
Last Update Posted : August 27, 2018
Sponsor:
Information provided by (Responsible Party):
İlknur Münevver Gönenç, Ankara University

Brief Summary:
The study was conducted to investigate the effect of labor dance and music used during the active phase of labor on labor pain and fear of childbirth. The study was designed as a single-blind randomized controlled intervention trial. The participants included in sample are taken into 3 groups (totally 93 participants). A total of 93 individuals, 31 of whom were in the dance group (D), 30 in the music group (M), and 32 in the control group (C), were included in the survey. Data were collected between 15 February 2018 and 15 June 2018 by means of a Personal Information Form, the Labor Monitoring Form, the Visual Analogue Scale (VAS), and version A of the Wijma Delivery Expectancy Questionnaire (W-DEQA).

Condition or disease Intervention/treatment Phase
Labor Pain Fear of Childbirth Behavioral: Labor dance Behavioral: Music Not Applicable

Detailed Description:

The study was designed as a single-blind randomized controlled trial with one control and two intervention groups. The aim of the study was to investigate the effect of labor dance and music used in the active phase of labor on perceived labor pain and fear of childbirth.

The hypotheses of our study are as follows:

H1: The labor dance used in the active phase of labor has an effect on reducing the perceived labor pain.

H2: The music used in the active phase of labor has an effect on reducing the perceived labor pain.

H3: The labor dance used in the active phase of labor has an effect on reducing the fear of childbirth.

H4: The music used in the active phase of labor has an effect on reducing the fear of childbirth.

H5: The labor dance is a more effective method in reducing the labor pain perceived in the active phase of labor compared to music.

H6: The labor dance is a more effective method in reducing the fear of childbirth in the active phase of labor compared to music.

There were three groups in the study: the dance group (D) which involved pregnant women who performed the labor dance; the music group (M) involving pregnant women who were exposed to music; the control group (C) which included pregnant women who were administered routine hospital practices. The sampling included pregnant women who met the inclusion criteria and agreed to participate in the study. D; The pregnant women performed labor dance when the cervical dilatation reached 4-5 cm. The dance was performed in the company of music played through headphones. The labor dance lasted 30 minutes. M; The pregnant women listened to music for 30 minutes when the cervical dilatation reached 4-5 cm. They took any position they wanted while listening to music. C; No intervention was made to relieve the labor pain and reduce the fear of childbirth in the control group of the study. They were administered routine hospital applications.The study data were collected using a Personal Information Form, the Labor Monitoring Form, the Visual Analogue Scale (VAS), and version A of the Wijma Delivery Expectancy Questionnaire (W-DEQA). After the pregnant women were randomly assigned to groups, the personal information form was filled in. The perceived pain and fear of the pregnant women in group D and group M were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm). A 30-minute long intervention was administered in groups D and M. The pain and fear measurements were repeated soon after the intervention, 30 minutes and 60 minutes after the intervention. On the other hand, the pain and fear assessments in the control group were made when the cervical dilatation reached 4-5 cm. The assessment of the perceived pain and fear in controls who were administered routine hospital practices were repeated 30 minutes after the first measurement, after 60 minutes, and after 90 minutes .

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 99 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: a single-blind randomized controlled intervention trial
Masking: Single (Care Provider)
Masking Description: In order to avoid bias in assessing pain and fear, three midwives who were not involved in the study team, who worked in the hospital where the study was carried out and who did not know the groups of the participants administered the scales. The midwives who were involved in data collection during the study were trained by the researchers on the use of data collection tools.
Primary Purpose: Supportive Care
Official Title: Effect of Labor Dance and Music on Labor Pain and Fear of Childbirth
Actual Study Start Date : February 15, 2018
Actual Primary Completion Date : June 15, 2018
Actual Study Completion Date : June 15, 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Childbirth

Arm Intervention/treatment
Experimental: Labor Dance and music groups
  1. Labor Dance; The pregnant women performed labor dance when the cervical dilatation reached 4-5 cm. The dance was performed in the company of music played through headphones.
  2. The pregnant women listened to music for 30 minutes when the cervical dilatation reached 4-5 cm. They took any position they wanted while listening to music.
Behavioral: Labor dance
The dance group which involved pregnant women who performed the labor dance

Behavioral: Music
The music group involving pregnant women who were exposed to music.

No Intervention: Control group
The control group: No intervention was made to relieve the labor pain and reduce the fear of childbirth in the control group of the study. They were administered routine hospital applications.



Primary Outcome Measures :
  1. Visual Analogue Scale Score, [ Time Frame: Baseline ]

    The perceived pain pregnant women in groups were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm).

    Assessed the labor pain level with Visual Analogue Scale score. This is a 10 cm scale which is labeled "no pain" at one end and "severe pain" at the other end. (0=no pain; 10= pain as bad as can be). Increasing scores indicate women's labor pain.



Secondary Outcome Measures :
  1. Version A of the Wijma Delivery Expectancy Questionnaire Score [ Time Frame: Baseline ]
    The fear pregnant women in groups were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm). Assessed childbirth of fear with version A of the Wijma Delivery Expectancy. Questionnaire score. The minimum and maximum scores that can be obtained from the scale range between 0 and 165. Increasing scores indicate women's fear of childbirth.

  2. Recurrence of Fear of Childbirth [ Time Frame: 30 minutes, 60 minutes and 90 minutes ]
    A 30-minute long intervention was administered in groups Dance and Music. The fear measurements were repeated soon after the intervention, 30 minutes and 60 minutes after the intervention. Assessed childbirth of fear with version A of the Wijma Delivery Expectancy. Questionnaire score. The minimum and maximum scores that can be obtained from the scale range between 0 and 165. Increasing scores indicate women's fear of childbirth.

  3. Recurrence of perceived pain [ Time Frame: 30 minutes, 60 minutes and 90 minutes ]

    Measurements were repeated 30 minutes after the first measurement, after 60 minutes, and after 90 minutes.

    Assessed the labor pain level with Visual Analogue Scale score. This is a 10 cm scale which is labeled "no pain" at one end and "severe pain" at the other end. (0=no pain; 10= pain as bad as can be). Increasing scores indicate women's labor pain.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. An indication for vaginal delivery
  2. Primipara
  3. Cervical dilatation of 3 cm or over
  4. Full-term pregnancy (38-42 gestational weeks)
  5. Single healthy fetus in vertex position
  6. No complication that can cause dystocia in labor (such as contraction anomalies, birth object, birth canal associated dystocia, maternal psychology associated dystocia)
  7. Not using analgesia and anesthesia during the first phase of the labor
  8. Having no physical disability to dance
  9. Having no difficulty to take upright position and move
  10. Having no communication problem.

Exclusion Criteria:

  1. Giving up participating in the study
  2. Abnormal changes in fetal heartbeat
  3. Emergence of an unexpected complication in the pregnant woman or the fetus 4) Taking analgesics and anesthesia

5) Incomplete intervention and follow-up due to rapid labor 6) Being taken to C/S before the completion of the intervention and follow-up.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03648099


Locations
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Turkey
Ankara University
Altındağ, Ankara, Turkey, 06340
Sponsors and Collaborators
Ankara University

Publications of Results:
Other Publications:
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Responsible Party: İlknur Münevver Gönenç, Principal Investigator, Ankara University
ClinicalTrials.gov Identifier: NCT03648099    
Other Study ID Numbers: Study of Labor Dance and Music
First Posted: August 27, 2018    Key Record Dates
Last Update Posted: August 27, 2018
Last Verified: August 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by İlknur Münevver Gönenç, Ankara University:
Labor Pain
Labor dance
Music
Fear of childbirth
Additional relevant MeSH terms:
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Labor Pain
Pain
Neurologic Manifestations
Signs and Symptoms