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The Effect of Guided Imagery on the Third Stage of Labor

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00826735
First Posted: January 22, 2009
Last Update Posted: January 22, 2009
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
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
  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

Secondary Outcome Measures:
  • Length of third stage of labor

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

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 34 Years   (Adult)
Sexes 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
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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

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
First Submitted: January 20, 2009
First Posted: January 22, 2009
Last Update Posted: January 22, 2009
Last Verified: January 2009

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

Additional relevant MeSH terms:
Hemorrhage
Pathologic Processes