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Perception of Traumatic BirthNCT07189767

Effects of Psychoeducation on Pregnant Women With Traumatic Birth Perception

A study testing psychoeducation in people with Perception of Traumatic Birth, run by Burcu Firat at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to evaluate the effects of a prenatal psychoeducation program applied to pregnant women with a traumatic perception of birth on the perception of traumatic birth, maternal attachment, breastfeeding and postpartum depression. Read more about this study

Who is it for?
Ages 18 to 35 years, women only
Conditions the study is for
Perception of Traumatic Birth
What is being tested?
psychoeducation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTurkey (Türkiye)
Study dates
6 Apr 2023to 7 Oct 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 35 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Primigravida
  • Between 22 and 32 weeks gestation
  • Experiencing a healthy pregnancy
  • Spontaneously pregnant
  • No psychiatric illness
  • Scored 79 or higher on the Traumatic Birth Perception Scale were included in the study.

Who cannot join

  • High-risk pregnant women
  • Without a smartphone, tablet, computer or internet access

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Umraniye Education and Research Hospital

    Istanbul, Umraniye

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of a Psychoeducation Program Applied to Pregnant Women With Traumatic Birth Perception on Maternal Attachment, Breastfeeding, and Postpartum Depression Levels

The aim of this study is to evaluate the effects of a prenatal psychoeducation program applied to pregnant women with a traumatic perception of birth on the perception of traumatic birth, maternal attachment, breastfeeding and postpartum depression.

Read the detailed description

Pregnancy and birth are one of the most important experiences in a woman's life. This experience has many physical, hormonal and psychosocial effects on women. The perception of birth varies depending on the culture in which women live. In most societies, birth and motherhood are perceived positively. While some women perceive the experience of giving birth as a positive life experience that strengthens them and helps them grow, some women perceive it as trauma.

The perception of traumatic birth negatively affects the health of mother and baby during pregnancy, birth and the postpartum period. The perception of trauma towards birth causes stress and anxiety disorders, fear of birth, weakening of the bond between mother and baby and the relationship between spouses during pregnancy. During the birth process, it paves the way for increased medical interventions, prolonged labor, decreased success of labor management, and an increased desire for cesarean section. Postpartum problems include failure to participate in infant care, inadequate breastfeeding, decreased breast milk supply, poor mother-infant bonding, postpartum depression, deterioration in family relationships, reluctance to consider future pregnancy, and a tendency toward cesarean section in subsequent pregnancies Removing the perception of birth as traumatic and establishing a positive perception of it is crucial for maternal and infant health. Support should be provided to women who perceive birth as traumatic with practices that have been successful in preventing negative birth experiences. This support allows for the elimination of potential problems resulting from birth trauma . Psychoeducation is one of the most successful practices that will eliminate the perception of traumatic birth. Psychoeducation is one of the most effective evidence-based practices emerging in both clinical research and community settings. It is an educational intervention that includes disease-specific information as well as techniques for managing the current situation. Its flexibility allows it to be used across a wide range of illnesses and life challenges. Studies show that psychoeducation intervention reduces pain levels during labor, increases vaginal birth rates, shortens labor duration, positively affects mother-baby bonding and breastfeeding, and reduces postpartum depression rates.

Being tested
psychoeducation
Keywords
traumatic birth, psychoeducation, perception of birth
Medical subject headings
Birth Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • psychoeducationBehavioural

    The nurse/midwife-led psychoeducation intervention aims to encourage pregnant women to express their feelings about childbirth. It also provides a counseling framework to help women identify and overcome the distressing elements of childbirth. Psychoeducation allows pregnant women to obtain complete, evidence-based information about labor and to discuss their feelings and thoughts about the method of delivery and birth. Providing evidence-based information by nurses/midwives during psychoeducation helps pregnant women make informed decisions about their birth preferences. In addition to evidence-based information, the psychoeducation intervention includes discussing myths and misconceptions, increasing social support, reinforcing positive coping strategies, and focusing on problem solutions. Nurses/midwives encourage pregnant women to develop a positive birth plan through psychoeducation.

Study groups in NCT07189767
Study groupRoleWhat they receive
PsychoeducationExperimentalPregnant women with a traumatic perception of birth who received psychoeducational intervention formed the experimental group.
Receives: Behavioral: psychoeducation
ControlNo interventionPregnant women with a traumatic birth perception who did not receive psychoeducation intervention and underwent routine prenatal follow-up constituted the control group.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Traumatic Birth Perception Scale (TBPS)

    The TBPS was developed in 2016 by Yalnız et al. to determine the level of perception of labor as trauma. The TPAS is used to determine the perceptions of birth among women aged 15-49, receiving preconception counseling, and attending delivery rooms, obstetrics, or postpartum services during pregnancy. The TPAS has a total of 13 items. Each item is rated from 0 (zero) to 10 (ten). The lowest score on the TPAS is 0 (zero), and the highest is 130. As the score on the scale increases, the extent to which women perceive birth as trauma increases. Women who score "0-26" on the scale have a very low perception of birth as traumatic, those who score "27-52" have a low perception, those who score "53-78" have a moderate perception, those who score "79-109" have a high perception, and those who score "105-130" have a very high perception of birth as traumatic. The Cronbach alpha coefficient of the original form of the scale is 0.895.

    Measured: 4 months

Secondary outcomes (3)
  1. Mother-to-Infant Bonding Scale (MIBS)

    Developed by Taylor and colleagues (2005) to assess mother-infant attachment from the first days after birth to the 12th week, the PBI allows mothers to express their feelings toward their babies in single words after birth. The PBI is a four-point Likert-type scale consisting of 8 items. Each item is scored between 0 and 3. The items cover both positive and negative emotions. Items 1, 4, and 6 examine positive emotions. These items are scored as 0, 1, 2, or 3. Items 2, 3, 5, 7, and 8 examine negative emotions. They are reverse-scored as 3, 2, or 1, or 0. The lowest possible score on the scale is 0, and the highest is 24. A higher score indicates a problem in the mother-infant bond.

    Measured: 4 months

  2. Breastfeeding Self-Efficacy Scale Short Form (BSES-SF)

    Developed by Dennis and Faux, this scale consists of 14 items on a 5-point Likert-type scale. The lowest possible score is 14, and the highest is 70. A higher score indicates higher breastfeeding self-efficacy. The Turkish validity and reliability of the scale were conducted by Aluş-Tokat and Okumuş (2010).

    Measured: 4 months

  3. Edinburgh Postnatal Depression Scale (EPDS)

    It was developed by Cox et al. (1987) to determine the risk of depression in mothers during the postpartum period. It consists of 10 items on a 4-point Likert-type scale. The lowest possible score is 0, and the highest is 30. The cut-off point is 12-13. Women who score 13 or higher are at increased risk of postpartum depression. The validity and reliability of the scale in Turkish was conducted by Engindeniz et al. (1996).

    Measured: 4 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Sep 2025
  2. Study start6 Apr 2023
  3. Primary completion26 Apr 2024
  4. Study completion7 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
psychoeducation and control
Masking
Single blind
Who is masked
Participant
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07189767
Sponsor's protocol ID
IUC-FNHF-BF-01
Status last verified
Aug 2026
First submitted
14 Aug 2025
Last updated
24 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: because there is no release yet

Publications

  • Pandey Bista A, Shrama C, Shrestha U, Timalsina P, Devkota K, Piya K, Neupane B. Effect of Group Psycho-Educational Interventions on Child birth fear and Child birth Self-efficacy among Primiparous women. J Nepal Health Res Counc. 2023 Jul 20;20(4):846-851. doi: 10.33314/jnhrc.v20i4.4028.

    PubMed 37489666
  • Fenwick J, Toohill J, Gamble J, Creedy DK, Buist A, Turkstra E, Sneddon A, Scuffham PA, Ryding EL. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth. 2015 Oct 30;15:284. doi: 10.1186/s12884-015-0721-y.

    PubMed 26518597
  • Akgun M, Boz I, Ozer Z. The effect of psychoeducation on fear of childbirth and birth type: systematic review and meta-analysis. J Psychosom Obstet Gynaecol. 2020 Dec;41(4):253-265. doi: 10.1080/0167482X.2019.1689950. Epub 2019 Nov 13.

    PubMed 31718369
  • Boz I, Akgun M, Duman F. A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth. J Psychosom Obstet Gynaecol. 2021 Dec;42(4):300-312. doi: 10.1080/0167482X.2020.1752173. Epub 2020 Apr 22.

    PubMed 32319341
  • Gultekin, N. (2018). Does Psychoeducation Encourage Pregnant Women and Positively Influence the Relation between Mother and Baby: a Case-Control Study. Int J Gynecol Clin Pract, 5(143), 2

  • Jiao N, Zhu L, Chong YS, Chan WS, Luo N, Wang W, Hu R, Chan YH, He HG. Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled trial. Int J Nurs Stud. 2019 Nov;99:103385. doi: 10.1016/j.ijnurstu.2019.07.002. Epub 2019 Jul 21.

    PubMed 31442783
  • Kordi, M., Bakhshi, M., Masoudi, S., & Esmaily, H. (2017). Effect of a childbirth psychoeducation program on the level of fear of childbirth in primigravid women. Evidence Based Care, 7(3), 26-34.

  • Lawrence CG, Breau G, Yang L, Hellerstein OS, Hippman C, Kennedy AL, Ryan D, Shulman B, Brotto LA. Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia. Arch Womens Ment Health. 2024 Dec;27(6):995-1010. doi: 10.1007/s00737-024-01468-8. Epub 2024 May 6.

    PubMed 38709329
  • Maharani Dewi, U., Windarti, Y., & Hayani, H. (2023). The Effect of Lactation Psychoeducation Using a Video-Based Comprehensive Model on the Level of Anxiety of Mothers in Breastfeeding. Health Education and Health Promotion, 11(3), 1001-1013.

  • Hollander MH, van Hastenberg E, van Dillen J, van Pampus MG, de Miranda E, Stramrood CAI. Preventing traumatic childbirth experiences: 2192 women's perceptions and views. Arch Womens Ment Health. 2017 Aug;20(4):515-523. doi: 10.1007/s00737-017-0729-6. Epub 2017 May 29.

    PubMed 28553692
  • Firouzan L, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy Childbirth. 2020 Sep 9;20(1):522. doi: 10.1186/s12884-020-03230-1.

    PubMed 32907547
  • Fenwick J, Toohill J, Slavin V, Creedy DK, Gamble J. Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project. Women Birth. 2018 Feb;31(1):1-9. doi: 10.1016/j.wombi.2017.06.004. Epub 2017 Jul 3.

    PubMed 28684046
  • Kuipers YJ, Thomson G, Goberna-Tricas J, Zurera A, Hresanova E, Temesgenova N, Waldner I, Leinweber J. The social conception of space of birth narrated by women with negative and traumatic birth experiences. Women Birth. 2023 Feb;36(1):e78-e85. doi: 10.1016/j.wombi.2022.04.013. Epub 2022 May 2.

    PubMed 35514007
  • Nagle U, Naughton S, Ayers S, Cooley S, Duffy RM, Dikmen-Yildiz P. A survey of perceived traumatic birth experiences in an Irish maternity sample - prevalence, risk factors and follow up. Midwifery. 2022 Oct;113:103419. doi: 10.1016/j.midw.2022.103419. Epub 2022 Jul 9.

    PubMed 35930929

Questions about this trial

What is this clinical trial studying?

A study testing psychoeducation in people with Perception of Traumatic Birth, run by Burcu Firat at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Traumatic Birth Perception Scale (TBPS) (time frame: 4 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07189767, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2026.

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