Midwife-guided Birth Affirmation Cards for Primigravidas

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial evaluates a non-pharmacological intervention using birth affirmation cards guided by a midwife during labor in primigravidas. Participants are assigned to receive midwife-supported affirmation cards or standard care, with outcomes including labor duration, pain, fear of childbirth, perceived control, and perceived support. The approach emphasizes low-cost, feasible psychological and behavioral support to enhance the childbirth experience. The intervention content focuses on adaptation to labor, relaxation, and coping strategies. The study is conducted at Mut Devlet Hastanesi in Turkey with specific eligibility criteria for gestational age, age, and labor status.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Having a singleton pregnancy between 37-42 weeks of gestation
* Being between 18-40 years of age
* Being a primigravida
* Having a cephalic presentation with vertex position
* Being in the active phase of labor (cervical dilatation ≥4 cm)
* Accepting non-invasive interventions
* Having no mental or physical disability
* Being able to understand and speak Turkish
* Willingness to participate in the study

Exclusion Criteria:

* High-risk pregnancies
* Pregnant women at risk of intrapartum complications (e.g., oligohydramnios, polyhydramnios, intrauterine fetal demise, placenta previa, placental abruption, acute fetal distress, preeclampsia, fetal dystocia, macrosomia, etc.)
* Pregnant women with a history of medical or obstetric complications
* Women who have attended antenatal education classes (pregnancy school)
* Women using epidural analgesia or other pharmacological pain management methods
* Women experiencing communication difficulties
* Women who are unwilling to participate in the study Exclusion Criteria from the Study
* Experiencing dizziness, shortness of breath, or other discomfort,
* Difficult and prolonged labor, instrumental delivery, placental retention, postpartum hemorrhage, need for neonatal intensive care,
* Situations requiring emergency cesarean section during labor,
* The woman will be excluded from the study if she ceases to cooperate during labor.

Where it's running

• Mut Devlet Hastanesi
  Mut, Mersi̇n, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Fatma B Dr. Öğretim Üyesi
• Email: fatma.bay@karatay.edu.tr
• Phone: +904441251

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.