[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100634646":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":23,"locations":34,"responsibleParty":51,"collaborators":18,"id":53,"slug":54,"hasResults":55,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":18,"eligibilityCriteria":59,"healthyVolunteers":60,"sex":61,"minAge":62,"maxAge":63,"enrollmentInfo":64,"targetDuration":18,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":77,"overallStatus":37,"whyStopped":18,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"KTO Karatay University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Midwife-Guided Birth Affirmation Cards","EXPERIMENTAL","Intervention Group: Participants will receive midwife-guided birth affirmation card support throughout labor in addition to standard care. The midwife will use structured affirmation cards containing positive, empowering statements tailored to the stage of labor and the participant's clinical condition, providing continuous verbal and emotional support.",[13],"Other: Midwife-Guided Birth Affirmation Cards",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group","NO_INTERVENTION","Participants will receive routine institutional intrapartum care without the use of birth affirmation cards or additional structured supportive intervention.",null,[20],{"type":6,"name":9,"description":21,"armGroupLabels":22,"otherNames":18},"The intervention consists of the application of structured affirmation (positive statement) cards integrated into standard midwifery care during the active phase of labor. A standardized set of 24 culturally appropriate affirmation cards, developed based on literature and expert opinion, will be used. Each participant in the intervention group will be invited to select or be guided to use a subset of these cards (e.g., 4-6 cards) according to personal preference.\n\nDuring uterine contractions, participants will be encouraged to focus on the selected affirmation statements and repeat them silently or aloud in synchronization with breathing techniques. The midwife will support the process by presenting the cards in a visible area, reading them aloud when needed, and providing verbal encouragement. The intervention will be applied in short cycles (approximately 10-15 minutes) depending on the participant's tolerance and can be repeated throughout the active phase of labor.",[9],[24,30],{"name":25,"role":26,"phone":27,"phoneExt":28,"email":29},"Fatma B Dr. Öğretim Üyesi","CONTACT","+904441251","7767","fatma.bay@karatay.edu.tr",{"name":31,"role":26,"phone":32,"phoneExt":18,"email":33},"Esma G EBE","+905530833048","angelesma18@hotmail.com",[35],{"facility":36,"status":37,"city":38,"state":39,"zip":40,"country":41,"countryCode":18,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Mut Devlet Hastanesi","RECRUITING","Mut","Mersi̇n","33600","Turkey (Türkiye)",{"type":43,"coordinates":44},"Point",[45,46],33.43885,36.64389,{"lat":46,"lon":45},[49],{"name":50,"role":26,"phone":32,"phoneExt":18,"email":33},"ESMA G MIDWIFE, 2\u002F1",{"type":52,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR","100634646","effects-of-midwife-guided-birth-affirmation-cards-on-labor-process-and-experience-n-primigravidas-100634646",false,"NCT07542392","Effects of Midwife-guided biırth Affirmation Cards on Labor Process and Experience ın Primigravidas","Effect of Midwife-Guided Birth Affirmation Cards on Labor Duration, Pain, Fear, Control and Perceived Support in Primigravidas: A Randomized Controlled Study","Inclusion Criteria:\n\n* Having a singleton pregnancy between 37-42 weeks of gestation\n* Being between 18-40 years of age\n* Being a primigravida\n* Having a cephalic presentation with vertex position\n* Being in the active phase of labor (cervical dilatation ≥4 cm)\n* Accepting non-invasive interventions\n* Having no mental or physical disability\n* Being able to understand and speak Turkish\n* Willingness to participate in the study\n\nExclusion Criteria:\n\n* High-risk pregnancies\n* 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.)\n* Pregnant women with a history of medical or obstetric complications\n* Women who have attended antenatal education classes (pregnancy school)\n* Women using epidural analgesia or other pharmacological pain management methods\n* Women experiencing communication difficulties\n* Women who are unwilling to participate in the study Exclusion Criteria from the Study\n* Experiencing dizziness, shortness of breath, or other discomfort,\n* Difficult and prolonged labor, instrumental delivery, placental retention, postpartum hemorrhage, need for neonatal intensive care,\n* Situations requiring emergency cesarean section during labor,\n* The woman will be excluded from the study if she ceases to cooperate during labor.",true,"FEMALE","18 Years","40 Years",{"count":65,"type":66},60,"ESTIMATED","INTERVENTIONAL",[69],"NA","The aim of this study is to evaluate the effects of midwife-guided birth affirmation cards on labor duration, pain level, fear of childbirth, perceived control, and perceived support in primigravidas. The study seeks to determine whether this non-pharmacological approach used during labor improves the childbirth experience. Accordingly, the research aims to answer the question: \"Do midwife-guided birth affirmation cards affect labor duration and the childbirth experience, including pain, fear, perceived control, and perceived support, in primigravidas?\"",[72,73,74,75,76],"Duration of Labor","Labor Pain","Fear of Childbirth","Control (Internet Only)","Support",[78,79,80,81,82,83,84,85],"Affirmation cards","labor pain","fear of childbirth","perceived control","perceived support","midwifery care","primigravida","non-pharmacological methods","2026-05-18",{"date":88,"type":89},"2026-05-19","ACTUAL",{"date":91,"type":89},"2026-03-27",{"date":93,"type":66},"2026-08-31",{"name":5,"class":6},1]