UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059597
Receipt number R000068169
Scientific Title The Effect of Mirror Use During the Second Stage of Labor on Labor Duration, Women's Pain Levels, Perceptions of Respectful Maternity Care, Birth Experience, and Postpartum Comfort: A Randomized Controlled Trial
Date of disclosure of the study information 2025/11/20
Last modified on 2025/11/03 02:28:55

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Basic information

Public title

The Effect of Mirror Use During the Second Stage of Labor on Labor Duration, Women's Pain Levels, Perceptions of Respectful Maternity Care, Birth Experience, and Postpartum Comfort: A Randomized Controlled Trial

Acronym

The Effect of Mirror Use During The Second Stage of Labor on The Women's Labor Process And Experience

Scientific Title

The Effect of Mirror Use During the Second Stage of Labor on Labor Duration, Women's Pain Levels, Perceptions of Respectful Maternity Care, Birth Experience, and Postpartum Comfort: A Randomized Controlled Trial

Scientific Title:Acronym

The Effect of Mirror Use During The Second Stage of Labor on The Women's Labor Process And Experience

Region

Asia(except Japan)


Condition

Condition

Supportive practices for childbirth and women during the intrapartum period

Classification by specialty

Obstetrics and Gynecology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study was designed to determine the effect of mirror use during the second stage of labor on the duration of labor, the woman's pain levels, perception of respectful maternity care, birth experience, and postpartum comfort.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Pain level and duration of labor
Description: Pain was measured twice using the Visual Analog Scale (1-10; 10 = highest pain) at the time of admission and immediately after the placenta was delivered. The duration of the second stage of labor was recorded from complete cervical dilation to delivery. All assessments were performed face-to-face by the researchers.
Time Frame: During the second stage of labor, from full cervical dilation until delivery of the baby (120 minutes)

Key secondary outcomes

Womens perception of respectful maternity care, birth experience, and postpartum comfort
Description: Respectful Maternal Care Perception Scale (19-95), Postpartum Comfort Scale (34-170), and Birth Experience Scale were measured face-to-face. Higher scores indicate higher perceptions of respectful care, comfort, and positive birth experience.
Time Frame: Within 2 hours after delivery


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

Interventional Group :Mirror Group

During the second stage of labor, a mirror will be held so that the woman can observe the birth of her baby until delivery. The mirror was placed opposite the delivery table so that the woman could see her perineum.Standard care was also continued.

Interventions/Control_2

Control Group: Standard Care
During the second stage of labor, women received only standard care.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

39 years-old >

Gender

Female

Key inclusion criteria

Inclusion Criteria:
Volunteers willing to participate in the study,
Literate,
Knowing Turkish,
Admitted to the delivery room,
Primipar,
Without a high-risk pregnancy,
With a singleton pregnancy,
Aged 18-39,
Pregnant women with a gestational age of 37-41 weeks,
Women without psychological issues that would prevent them from participating in the study will be included in the study.

Key exclusion criteria

Exclusion Criteria:
Women with chronic illnesses,
Women with vision problems,
Women experiencing high-risk pregnancies,
Women unable to understand the questionnaires,
Women with psychiatric illnesses (diagnosed and undergoing treatment) will not be included in the study.

Target sample size

102


Research contact person

Name of lead principal investigator

1st name Bilgesu
Middle name
Last name CELIK

Organization

Cankiri Karatekin University, Faculty of Health Sciences, Department of Midwifery

Division name

Midwifery

Zip code

18100

Address

Cankiri Karatekin University Uluyazi Campus

TEL

05078506039

Email

sugebil97@gmail.com


Public contact

Name of contact person

1st name Bilgesu
Middle name
Last name CELIK

Organization

Cankiri Karatekin University, Faculty of Health Sciences, Department of Midwifery

Division name

Midwifery

Zip code

18100

Address

Cankiri Karatekin University Uluyazi Campus

TEL

+90-507-850-6039

Homepage URL


Email

sugebil97@gmail.com


Sponsor or person

Institute

Cankiri Karatekin University, Faculty of Health Sciences, Department of Midwifery

Institute

Department

Personal name



Funding Source

Organization

Self-funded

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Selcuk University Faculty of Health Sciences Ethics Committee for Non-Interventional Clinical Investigations

Address

Selcuk University Faculty of Health Sciences Aladdin Keykubat Campus 299/1 42250 Selcuklu/KONYA

Tel

03322416211

Email

etikkurulusbf@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Private Konya Metropolitan Hospital (Konya)


Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 20 Day


Related information

URL releasing protocol

Not applicable

Publication of results

Unpublished


Result

URL related to results and publications

Not applicable

Number of participants that the trial has enrolled

102

Results

The study was not registered as a clinical trial. After planning the study, participants were randomly assigned to groups. The intervention group received mirror therapy during the second stage of labor, while the control group received only standard care. A total of 102 participants completed the study, with 51 in the intervention (mirror) group and 51 in the control group.

Results date posted

2025 Year 10 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 12 Month 31 Day

Baseline Characteristics

Study Type:Randomized Controlled Trial
Number and Characteristics of Participants: 102 primiparous women meeting the inclusion criteria
Intervention Type:he intervention group received mirror therapy during the second stage of labor, while the control group received standard care only.
Duration:The mirror intervention was applied throughout the second stage of labor (approximately 30-120 minutes).
Measurements:Pain levels were assessed using the Visual Analog Scale (VAS) immediately upon admission to the delivery room and immediately after the placenta was delivered.The duration of the second stage of labor was recorded in minutes. Within the first two hours after delivery, the Womens Perceived Respectful Maternity Care Scale, the Birth Experience Scale, and the Postpartum Comfort Scale were administered and evaluated.

Participant flow

Applicant Participants: 200
Excluded: Does not meet inclusion criteria:96
Participants Included:114
Randomization
Intervention Group:57
Intervention Team: 4 people Emergency cesarean
Intervention Group: 53 people
Mirror intervention during the second stage of labor
Intervention Group: 2 people
Decided not to intervene.
Intervention Group: 51 people

Control Group:57
Control Group: 5 people declined to participate in the study.
Control Group: 52 Received standard care.
Control Group: 1 person Underwent emergency cesarean section
Control Group: 51 people


Adverse events

none

Outcome measures

Visual Analog Scale:Pain was measured using the Visual Analog Scale (VAS) immediately upon admission to the delivery room and immediately after the placenta was delivered.
Intrapartum Period:The second stage of labor was measured in minutes, from full cervical dilation to delivery.
Respectful Maternal Care Scale, Birth Experience Scale:It was applied within the first two hours after birth.
Postpartum Comfort Scale:It was applied within the first two hours after birth.
Birth Experience:It was applied within the first two hours after birth.

A sample size of 102 participants was selected, which is 10% larger than the target sample size of 90 participants. This was done to ensure the reliability of the results.

Plan to share IPD

IPD will not be shared.

IPD sharing Plan description

No individual participant data will be shared due to confidentiality and privacy concerns.


Progress

Recruitment status

Completed

Date of protocol fixation

2025 Year 03 Month 05 Day

Date of IRB

2025 Year 03 Month 05 Day

Anticipated trial start date

2025 Year 04 Month 20 Day

Last follow-up date

2025 Year 09 Month 30 Day

Date of closure to data entry

2025 Year 09 Month 30 Day

Date trial data considered complete

2025 Year 09 Month 30 Day

Date analysis concluded

2025 Year 10 Month 31 Day


Other

Other related information

The study was conducted at a private hospital in Konya province. Data Analysis. The Chi-square test was applied to compare categorical data. For scale score comparisons, the Mann Whitney U test and Kruskal Wallis test were used since the data were non-parametrically distributed.
The study had no sponsor or funder.


Management information

Registered date

2025 Year 10 Month 30 Day

Last modified on

2025 Year 11 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068169

Research Plan
Registered date File name
2025/11/03 STUDY ABOUT.pdf
Research case data specifications
Registered date File name
2025/11/03 STUDY ABOUT.xlsx
Research case data
Registered date File name
2025/11/03 STUDY ABOUT.xlsx

Single case data URL

Value
https://center6.umin.ac.jp/ice/68169