The Effects of Warm Showers Application in Birth on Birth Pain, Birth Satisfaction and Birth Results

NCT ID: NCT05335681

Last Updated: 2026-01-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 78 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-01-01
• Study Completion Date: 2023-01-15

Brief Summary

The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones.

In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.

Conditions

Labor; Pregnancy; First Stage of Labor

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Warm Showers Application

In the experimental group, a 20-minute warm shower (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The hot shower will be applied to the sacral area, lower abdomen, and groin regions.

Group Type: EXPERIMENTAL

Warm Showers Application

Intervention Type: BEHAVIORAL

In the experimental group, a 20-minute warm showers (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The warm showers will be applied to the sacral area, lower abdomen, and groin regions.

Throughout the intervention, the researcher will accompany the pregnant women to ensure safety and proper implementation of the procedure.

Pain will be assessed using the VAS scale before the intervention and at 10 and 20 minutes after the intervention. The Birth Satisfaction Scale will be administered prior to discharge

Standard Intrapartum Care

No intervention will be provided to the control group. At the stages when cervical dilation reaches 4 cm and 7 cm, pain will be evaluated using the VAS at baseline, 10 and 20 minutes.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Warm Showers Application

In the experimental group, a 20-minute warm showers (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The warm showers will be applied to the sacral area, lower abdomen, and groin regions.

Throughout the intervention, the researcher will accompany the pregnant women to ensure safety and proper implementation of the procedure.

Pain will be assessed using the VAS scale before the intervention and at 10 and 20 minutes after the intervention. The Birth Satisfaction Scale will be administered prior to discharge

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Between the ages of 18 and 35,
• Having a singleton fetus between 37-42 weeks of gestation,
• Planning a a spontaneous vaginal birth,
• Having a cervical dilatation <5 cm.
• Having a fetus weighing between 2500-4000 grams,

Exclusion Criteria

• Being short (<145cm),
• Being obese (BMI >30),
• Receiving pharmacological or non-pharmacological intervention for labor pain,
• Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia,
• Undergoing operative vaginal delivery (forceps, vacuum),
• Making an emergency cesarean decision,
• Experiencing abnormal changes in fetal heart rates.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Gulhane School of Medicine

OTHER

Sponsor Role: lead

Responsible Party

Öznur Hayat Öktem

Midwife, principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Öznur Hayat Öktem

Karabük, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

PhD midwifery

Identifier Type: REGISTRY

Identifier Source: secondary_id

Hayat01

Identifier Type: -

Identifier Source: org_study_id