The Effect of Guided Imagery on the Third Stage of Labor

This study has been completed.
Sponsor:
Collaborators:
Sigma Theta Tau International, Iota chapter
Sigma Theta Tau International, Delta Psi chapter
American College of Nurse-Midwive - ACNM Foundation
Information provided by:
Vanderbilt University
ClinicalTrials.gov Identifier:
NCT00826735
First received: January 20, 2009
Last updated: January 21, 2009
Last verified: January 2009
  Purpose

The purpose of this study was to evaluate the effect of guided imagery on the third stage of labor. Blood loss from hemorrhage during childbirth, most commonly due to uterine atony, is one of the leading causes of maternal mortality in the United States and the leading cause of maternal death worldwide. The hypothesis was that the use of physiologic guided imagery would reduce the amount of bleeding during the third stage of labor.


Condition Intervention
Third Stage of Labor
Bleeding
Guided Imagery
Childbirth
Behavioral: Guided imagery

Study Type: Interventional
Study Design: Primary Purpose: Prevention
Official Title: The Effect of Guided Imagery on the Third Stage of Labor

Resource links provided by NLM:


Further study details as provided by Vanderbilt University:

Primary Outcome Measures:
  • Blood Loss [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Length of third stage of labor [ Designated as safety issue: No ]

Study Start Date: January 2007
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Guided imagery
The experimental group received a relaxation focused guided imagery intervention to use through the remainder of pregnancy plus a physiologic guided imagery intervention during the third stage of labor. These interventions were scripted and prerecorded on CDs.
Behavioral: Guided imagery
A relaxation focused guided imagery intervention was used through the remainder of pregnancy plus a physiologic guided imagery intervention was used during the third stage of labor.

  Eligibility

Ages Eligible for Study:   18 Years to 34 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 18 years of age or older but less than 35 years
  • English as her primary language
  • fetus in a cephalic presentation
  • singleton pregnancy
  • 36 to 38 estimated gestational weeks
  • no contraindications to vaginal delivery
  • maternal weight less than 200 pounds prior to pregnancy

Exclusion Criteria:

  • more than four previous children
  • a history of postpartum hemorrhage
  • bleeding disorder
  • seizure disorder
  • polyhydramnios
  • diabetes (including gestational)
  • hypertension
  • cardiac disease
  • uterine fibroids
  • anemia (hematocrit less than 30)
  • intrauterine fetal demise or tobacco use
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00826735

Locations
United States, Tennessee
Vanderbilt University Medical Center
Nashville, Tennessee, United States, 37240
Sponsors and Collaborators
Vanderbilt University
Sigma Theta Tau International, Iota chapter
Sigma Theta Tau International, Delta Psi chapter
American College of Nurse-Midwive - ACNM Foundation
Investigators
Principal Investigator: Mavis N Schorn, PhD Vanderbilt University School of Nursing
  More Information

No publications provided

Responsible Party: Mavis N. Schorn RN, CNM, PhD, Vanderbilt University School of Nursing
ClinicalTrials.gov Identifier: NCT00826735     History of Changes
Other Study ID Numbers: 070035
Study First Received: January 20, 2009
Last Updated: January 21, 2009
Health Authority: United States: Institutional Review Board

Keywords provided by Vanderbilt University:
third stage of labor
bleeding
guided imagery
childbirth

ClinicalTrials.gov processed this record on October 20, 2014