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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Sacral Massage
BehavioralA 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
BehavioralLavender essential oil diffused for 20 minutes during each stage of labor (three times total) to promote calmness and reduce pain intensity.
Turkish Makam Music
BehavioralRehavi 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
BehavioralContinuous presentation of an aquarium scene video during the active phase of labor to provide visual distraction and relaxation.
Treatment groups
Trial outcomes
Primary outcomes
Labor Pain Level
Pain intensity measured using a 10-cm VAS at three points in active labor.
Secondary outcomes
Comfort Level (Comfort Scale)
Maternal comfort during labor will be measured using the Comfort Scale developed by Kolcaba.
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.
Labor Duration
Total duration of labor (minutes) will be calculated as the time from 3 cm cervical dilation to delivery.
Sponsors and contacts
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