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

NCT ID: NCT03648099

Last Updated: 2018-08-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-15

Study Completion Date

2018-06-15

Brief Summary

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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).

Detailed Description

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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 .

Conditions

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Labor Pain Fear of Childbirth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

a single-blind randomized controlled intervention trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Caregivers
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.

Study Groups

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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.

Group Type EXPERIMENTAL

Labor dance

Intervention Type BEHAVIORAL

The dance group which involved pregnant women who performed the labor dance

Music

Intervention Type BEHAVIORAL

The music group involving pregnant women who were exposed to music.

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.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Labor dance

The dance group which involved pregnant women who performed the labor dance

Intervention Type BEHAVIORAL

Music

The music group involving pregnant women who were exposed to music.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Ankara University

OTHER

Sponsor Role lead

Responsible Party

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İlknur Münevver Gönenç

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ankara University

Altındağ, Ankara, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Abdul-Sattar Khudhur Ali S, Mirkhan Ahmed H. Effect of Change in Position and Back Massage on Pain Perception during First Stage of Labor. Pain Manag Nurs. 2018 Jun;19(3):288-294. doi: 10.1016/j.pmn.2018.01.006. Epub 2018 Apr 19.

Reference Type BACKGROUND
PMID: 29680213 (View on PubMed)

Whitburn LY, Jones LE, Davey MA, Small R. Women's experiences of labour pain and the role of the mind: an exploratory study. Midwifery. 2014 Sep;30(9):1029-35. doi: 10.1016/j.midw.2014.04.005. Epub 2014 Apr 30.

Reference Type RESULT
PMID: 24820004 (View on PubMed)

Simavli S, Kaygusuz I, Gumus I, Usluogullari B, Yildirim M, Kafali H. Effect of music therapy during vaginal delivery on postpartum pain relief and mental health. J Affect Disord. 2014 Mar;156:194-9. doi: 10.1016/j.jad.2013.12.027. Epub 2013 Dec 28.

Reference Type RESULT
PMID: 24411681 (View on PubMed)

Masoudi Z, Akbarzadeh M, Vaziri F, Zare N, Ramzi M. The effects of decreasing maternal anxiety on fetal oxygenation and nucleated red blood cells count in the cord blood. Iran J Pediatr. 2014 Jun;24(3):285-92.

Reference Type RESULT
PMID: 25562022 (View on PubMed)

Gokyildiz Surucu S, Ozturk M, Avcibay Vurgec B, Alan S, Akbas M. The effect of music on pain and anxiety of women during labour on first time pregnancy: A study from Turkey. Complement Ther Clin Pract. 2018 Feb;30:96-102. doi: 10.1016/j.ctcp.2017.12.015. Epub 2017 Dec 19.

Reference Type RESULT
PMID: 29389487 (View on PubMed)

Abdolahian S, Ghavi F, Abdollahifard S, Sheikhan F. Effect of dance labor on the management of active phase labor pain & clients' satisfaction: a randomized controlled trial study. Glob J Health Sci. 2014 Mar 30;6(3):219-26. doi: 10.5539/gjhs.v6n3p219.

Reference Type RESULT
PMID: 24762366 (View on PubMed)

O'Connell MA, Khashan AS, Leahy-Warren P, Stewart F, O'Neill SM. Interventions for fear of childbirth including tocophobia. Cochrane Database Syst Rev. 2021 Jul 7;7(7):CD013321. doi: 10.1002/14651858.CD013321.pub2.

Reference Type DERIVED
PMID: 34231203 (View on PubMed)

Other Identifiers

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Study of Labor Dance and Music

Identifier Type: -

Identifier Source: org_study_id

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