The Impact of a Customized Informative Video Prior to Induction of Labor on Anxiety Relieve.

NCT ID: NCT06375746

Last Updated: 2024-07-30

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

RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-01

Study Completion Date

2024-08-31

Brief Summary

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To determine whether watching a personalized video prior to medically indicated labor induction among term parturients reduces anxiety levels according to the STAI questionnaire, compared to a standard counselling.

Detailed Description

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The prevalence of induction of labor (IOL) has increased over the last decade, reaching between 15 to 30% of all deliveries in developed countries. IOL is commonly carried out using an extra-amniotic balloon (mechanical induction) or prostaglandins (pharmacological induction). Medical indications for IOL include maternal and fetal indications, where inducing labor results in improved maternal and neonatal outcomes compared with conservative management.

The process of labor induction can be associated with anxiety, especially in women undergoing IOL for the first time. Previous studies have focused on IOL success, examining the vaginal delivery rate or the time to delivery. Only a few studies have addressed the discomfort and anxiety that might accompany the procedures of IOL. A previous study from Australia found that women undergoing IOL wished to be presented with choice options, and receive more information about the process and its possible risks. A Swedish study found that the birth experience of women who underwent labor induction was less positive than that of women who gave birth spontaneously, with the former expressing greater concern for the baby's health.

Personalized video technology allows for the creation of a customized instructional videos, that may help reduce anxiety and decrease the element of uncertainty regarding IOL process and the expected fetal health. A possible advantage of this technology is that it may better engage patients and explain the medial intervention in a simple and clear manner. Many studies have examined the effect of presenting video clips, whether standardized or personalized, before medical procedures. These studies have shown significant effectiveness in improving adherence and strengthening the individual's commitment to the procedure, as well as creating a deeper understanding of the future events when using this technology. This technology is a simple method that does not involve pharmacological or invasive medical interventions to alleviate pain and anxiety.

The aim of this study is to examine whether using a personalized video reduces patients level of anxiety during induction of labor.

Conditions

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Induction of Labor Affected Fetus / Newborn

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Personalized video group

In the video group patients will watch a personalized video prior to initiation of IOL in addition to standard counseling.

Group Type EXPERIMENTAL

Personalized video

Intervention Type OTHER

After enrollment and assignment to the intervention group, patients will receive a link to a personalized video describing the different induction methods by a text message.

Control group

Patients will receive only standard counselling prior to initiation of IOL.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Personalized video

After enrollment and assignment to the intervention group, patients will receive a link to a personalized video describing the different induction methods by a text message.

Intervention Type OTHER

Other Intervention Names

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Video group

Eligibility Criteria

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Inclusion Criteria

* Pregnant women, aged 18-45, undergoing medical IOL at term.
* Unfavorable cervix (BISHOP score \<6).
* Cervical ripening with either prostaglandin E2 (PGE2) tablets or extra-amniotic balloon (EAB).
* Provided consent to participate in the study.
* No language barrier preventing completion of the questionnaire.

Exclusion Criteria

* Sensitivity to PGE2.
* Preterm labor.
* Premature rupture of membranes.
* Stillbirth.
* Elective pregnancy termination.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Wolfson Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Wolfson Medical Center

Holon, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Matan Friedman, MD

Role: CONTACT

+972544210360

Facility Contacts

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Matan Friedman

Role: primary

References

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Goffinet F, Dreyfus M, Carbonne B, Magnin G, Cabrol D. [Survey of the practice of cervical ripening and labor induction in France]. J Gynecol Obstet Biol Reprod (Paris). 2003 Nov;32(7):638-46. French.

Reference Type BACKGROUND
PMID: 14699333 (View on PubMed)

Mackenzie IZ. Induction of labour at the start of the new millennium. Reproduction. 2006 Jun;131(6):989-98. doi: 10.1530/rep.1.00709.

Reference Type BACKGROUND
PMID: 16735538 (View on PubMed)

Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of the Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in partnership with Lamaze International. J Perinat Educ. 2007 Fall;16(4):15-7. doi: 10.1624/105812407X244778.

Reference Type BACKGROUND
PMID: 18769522 (View on PubMed)

National Collaborating Centre for Women and Children'sHealth. Induction of labour. London: NICE, 2008

Reference Type BACKGROUND

Public Health Agency of Canada. Canadian Perinatal Health Report, 2008 edn. Ottawa: Public Health Agency of Canada, 2008

Reference Type BACKGROUND

Mozurkewich EL, Chilimigras JL, Berman DR, Perni UC, Romero VC, King VJ, Keeton KL. Methods of induction of labour: a systematic review. BMC Pregnancy Childbirth. 2011 Oct 27;11:84. doi: 10.1186/1471-2393-11-84.

Reference Type BACKGROUND
PMID: 22032440 (View on PubMed)

Nuutila M, Halmesmaki E, Hiilesmaa V, Ylikorkala O. Women's anticipations of and experiences with induction of labor. Acta Obstet Gynecol Scand. 1999 Sep;78(8):704-9.

Reference Type BACKGROUND
PMID: 10468063 (View on PubMed)

Kleiner I, Mor L, Friedman M, Abeid AA, Shoshan NB, Toledano E, Bar J, Weiner E, Barda G. The use of virtual reality during extra-amniotic balloon insertion for pain and anxiety relief-a randomized controlled trial. Am J Obstet Gynecol MFM. 2024 Jan;6(1):101222. doi: 10.1016/j.ajogmf.2023.101222. Epub 2023 Nov 10.

Reference Type BACKGROUND
PMID: 37951577 (View on PubMed)

Other Identifiers

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0091-22-WOMC

Identifier Type: -

Identifier Source: org_study_id

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