Effect of Multi-Sensory Interventions on Labor Pain, Comfort, and Birth Satisfaction

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-40
SponsorAtaturk University

About this trial

The goal of this clinical trial is to learn whether different multi-sensory methods can help lower labor pain and improve comfort and birth satisfaction among pregnant women giving birth vaginally.

The main questions this study aims to answer are:

Do supportive methods such as massage, lavender aromatherapy, Turkish makam music, or aquarium visual stimulation help women feel less labor pain compared to standard care?

Do these methods increase women's comfort and satisfaction during labor?

Participants will be randomly assigned to one of five groups:

Sacral massage group - will receive 10-minute sacral massages three times during labor.

Lavender aromatherapy group - will inhale lavender essential oil through a diffuser for 20 minutes, three times during labor.

Music therapy group - will listen to Turkish makam music (Rehavi or Nihavend) for 20 minutes, three times during labor.

Visual stimulation group - will watch a live aquarium image continuously during active labor.

Control group - will receive standard maternity care only.

All participants will give informed consent and receive care in the obstetrics unit of Kütahya City Hospital, Türkiye.

Researchers will measure:

Labor pain intensity at 4-5 cm, 6-7 cm, and 8-10 cm cervical dilatation using a Visual Analogue Scale (VAS).

Comfort level at 8-9 cm using the Comfort Characteristics Questionnaire (CCQ).

Birth satisfaction about 2 hours after delivery using the Birth Satisfaction Scale (BSS).

Labor duration will also be recorded.

This study will help determine which sensory methods are most effective and comfortable for pregnant women, and may guide supportive care practices during childbirth.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pregnant women aged 18 to 40 years

Gestational age ≥ 37 weeks (term pregnancy)

Singleton pregnancy with cephalic presentation

Expected vaginal delivery

Disqualifiers

Diagnosed high-risk pregnancy (e.g., preeclampsia, placenta previa, fetal distress)

History of cesarean section or uterine surgery

Use of epidural, spinal anesthesia, or opioid analgesics during labor

Visual, auditory, or olfactory impairments that may affect perception of the interventions

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sacral Massage

    Behavioral

    A 10-minute sacral massage applied by a trained midwife during each stage of labor (three sessions in total). The massage involves circular hand motions to relieve pain and promote relaxation.

  • Lavender Aromatherapy

    Behavioral

    Lavender essential oil diffused for 20 minutes during each stage of labor (three times total) to promote calmness and reduce pain intensity.

  • Turkish Makam Music

    Behavioral

    Rehavi and Nihavend Turkish makam music (45-65 dB) played through headphones for 20 minutes during each stage of labor (three times total).

  • Aquarium Visual Stimulus

    Behavioral

    Continuous presentation of an aquarium scene video during the active phase of labor to provide visual distraction and relaxation.

Treatment groups

200 Participants
are divided into 5 treatment groups
Group A: Sacral MassageExperimental treatment 1 intervention
Group B: Lavender AromatherapyExperimental treatment 1 intervention
Group C: Turkish Makam MusicExperimental treatment 1 intervention
Group D: Aquarium Visual StimulusExperimental treatment 1 intervention
Group E: Standard CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Labor Pain Level

Pain intensity measured using a 10-cm VAS at three points in active labor.

Time frame
Assessed at 4-5 cm, 6-7 cm, and 8-10 cm cervical dilation during active labor.

Secondary outcomes

1

Comfort Level (Comfort Scale)

Maternal comfort during labor will be measured using the Comfort Scale developed by Kolcaba.

Time frame
At 8-9 cm cervical dilation during active labor
2

Birth Satisfaction (Birth Satisfaction Scale)

Maternal satisfaction with the childbirth experience will be evaluated using the Birth Satisfaction Scale (BSS) approximately 2 hours after delivery. Higher scores indicate greater satisfaction.

Time frame
Up to 2 hours postpartum.
3

Labor Duration

Total duration of labor (minutes) will be calculated as the time from 3 cm cervical dilation to delivery.

Time frame
From 3 cm cervical dilation until delivery (up to approximately 12-18 hours).

Other outcomes

Sponsors and contacts

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