Effects of Psychoeducation on Pregnant Women With Traumatic Birth Perception
NCT ID: NCT07189767
Last Updated: 2025-09-24
Study Results
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Basic Information
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COMPLETED
NA
80 participants
INTERVENTIONAL
2023-04-06
2024-10-07
Brief Summary
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Detailed Description
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The perception of traumatic birth negatively affects the health of mother and baby during pregnancy, birth and the postpartum period. The perception of trauma towards birth causes stress and anxiety disorders, fear of birth, weakening of the bond between mother and baby and the relationship between spouses during pregnancy. During the birth process, it paves the way for increased medical interventions, prolonged labor, decreased success of labor management, and an increased desire for cesarean section. Postpartum problems include failure to participate in infant care, inadequate breastfeeding, decreased breast milk supply, poor mother-infant bonding, postpartum depression, deterioration in family relationships, reluctance to consider future pregnancy, and a tendency toward cesarean section in subsequent pregnancies Removing the perception of birth as traumatic and establishing a positive perception of it is crucial for maternal and infant health. Support should be provided to women who perceive birth as traumatic with practices that have been successful in preventing negative birth experiences. This support allows for the elimination of potential problems resulting from birth trauma . Psychoeducation is one of the most successful practices that will eliminate the perception of traumatic birth. Psychoeducation is one of the most effective evidence-based practices emerging in both clinical research and community settings. It is an educational intervention that includes disease-specific information as well as techniques for managing the current situation. Its flexibility allows it to be used across a wide range of illnesses and life challenges. Studies show that psychoeducation intervention reduces pain levels during labor, increases vaginal birth rates, shortens labor duration, positively affects mother-baby bonding and breastfeeding, and reduces postpartum depression rates.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Psychoeducation
Pregnant women with a traumatic perception of birth who received psychoeducational intervention formed the experimental group.
psychoeducation
The nurse/midwife-led psychoeducation intervention aims to encourage pregnant women to express their feelings about childbirth. It also provides a counseling framework to help women identify and overcome the distressing elements of childbirth. Psychoeducation allows pregnant women to obtain complete, evidence-based information about labor and to discuss their feelings and thoughts about the method of delivery and birth. Providing evidence-based information by nurses/midwives during psychoeducation helps pregnant women make informed decisions about their birth preferences. In addition to evidence-based information, the psychoeducation intervention includes discussing myths and misconceptions, increasing social support, reinforcing positive coping strategies, and focusing on problem solutions. Nurses/midwives encourage pregnant women to develop a positive birth plan through psychoeducation.
Control
Pregnant women with a traumatic birth perception who did not receive psychoeducation intervention and underwent routine prenatal follow-up constituted the control group.
No interventions assigned to this group
Interventions
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psychoeducation
The nurse/midwife-led psychoeducation intervention aims to encourage pregnant women to express their feelings about childbirth. It also provides a counseling framework to help women identify and overcome the distressing elements of childbirth. Psychoeducation allows pregnant women to obtain complete, evidence-based information about labor and to discuss their feelings and thoughts about the method of delivery and birth. Providing evidence-based information by nurses/midwives during psychoeducation helps pregnant women make informed decisions about their birth preferences. In addition to evidence-based information, the psychoeducation intervention includes discussing myths and misconceptions, increasing social support, reinforcing positive coping strategies, and focusing on problem solutions. Nurses/midwives encourage pregnant women to develop a positive birth plan through psychoeducation.
Eligibility Criteria
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Inclusion Criteria
* Between 22 and 32 weeks gestation
* Experiencing a healthy pregnancy
* Spontaneously pregnant
* No psychiatric illness
* Scored 79 or higher on the Traumatic Birth Perception Scale were included in the study.
Exclusion Criteria
* Without a smartphone, tablet, computer or internet access
18 Years
35 Years
FEMALE
No
Sponsors
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Burcu Firat
OTHER
Responsible Party
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Burcu Firat
Assistant Professor
Locations
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Umraniye Education and Research Hospital
Istanbul, Umraniye, Turkey (Türkiye)
Countries
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References
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Pandey Bista A, Shrama C, Shrestha U, Timalsina P, Devkota K, Piya K, Neupane B. Effect of Group Psycho-Educational Interventions on Child birth fear and Child birth Self-efficacy among Primiparous women. J Nepal Health Res Counc. 2023 Jul 20;20(4):846-851. doi: 10.33314/jnhrc.v20i4.4028.
Fenwick J, Toohill J, Gamble J, Creedy DK, Buist A, Turkstra E, Sneddon A, Scuffham PA, Ryding EL. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth. 2015 Oct 30;15:284. doi: 10.1186/s12884-015-0721-y.
Akgun M, Boz I, Ozer Z. The effect of psychoeducation on fear of childbirth and birth type: systematic review and meta-analysis. J Psychosom Obstet Gynaecol. 2020 Dec;41(4):253-265. doi: 10.1080/0167482X.2019.1689950. Epub 2019 Nov 13.
Boz I, Akgun M, Duman F. A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth. J Psychosom Obstet Gynaecol. 2021 Dec;42(4):300-312. doi: 10.1080/0167482X.2020.1752173. Epub 2020 Apr 22.
Gultekin, N. (2018). Does Psychoeducation Encourage Pregnant Women and Positively Influence the Relation between Mother and Baby: a Case-Control Study. Int J Gynecol Clin Pract, 5(143), 2
Jiao N, Zhu L, Chong YS, Chan WS, Luo N, Wang W, Hu R, Chan YH, He HG. Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled trial. Int J Nurs Stud. 2019 Nov;99:103385. doi: 10.1016/j.ijnurstu.2019.07.002. Epub 2019 Jul 21.
Kordi, M., Bakhshi, M., Masoudi, S., & Esmaily, H. (2017). Effect of a childbirth psychoeducation program on the level of fear of childbirth in primigravid women. Evidence Based Care, 7(3), 26-34.
Lawrence CG, Breau G, Yang L, Hellerstein OS, Hippman C, Kennedy AL, Ryan D, Shulman B, Brotto LA. Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia. Arch Womens Ment Health. 2024 Dec;27(6):995-1010. doi: 10.1007/s00737-024-01468-8. Epub 2024 May 6.
Maharani Dewi, U., Windarti, Y., & Hayani, H. (2023). The Effect of Lactation Psychoeducation Using a Video-Based Comprehensive Model on the Level of Anxiety of Mothers in Breastfeeding. Health Education and Health Promotion, 11(3), 1001-1013.
Hollander MH, van Hastenberg E, van Dillen J, van Pampus MG, de Miranda E, Stramrood CAI. Preventing traumatic childbirth experiences: 2192 women's perceptions and views. Arch Womens Ment Health. 2017 Aug;20(4):515-523. doi: 10.1007/s00737-017-0729-6. Epub 2017 May 29.
Firouzan L, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy Childbirth. 2020 Sep 9;20(1):522. doi: 10.1186/s12884-020-03230-1.
Fenwick J, Toohill J, Slavin V, Creedy DK, Gamble J. Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project. Women Birth. 2018 Feb;31(1):1-9. doi: 10.1016/j.wombi.2017.06.004. Epub 2017 Jul 3.
Kuipers YJ, Thomson G, Goberna-Tricas J, Zurera A, Hresanova E, Temesgenova N, Waldner I, Leinweber J. The social conception of space of birth narrated by women with negative and traumatic birth experiences. Women Birth. 2023 Feb;36(1):e78-e85. doi: 10.1016/j.wombi.2022.04.013. Epub 2022 May 2.
Nagle U, Naughton S, Ayers S, Cooley S, Duffy RM, Dikmen-Yildiz P. A survey of perceived traumatic birth experiences in an Irish maternity sample - prevalence, risk factors and follow up. Midwifery. 2022 Oct;113:103419. doi: 10.1016/j.midw.2022.103419. Epub 2022 Jul 9.
Other Identifiers
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IUC-FNHF-BF-01
Identifier Type: -
Identifier Source: org_study_id
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