NCT07446699

The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 128 (estimated)
• Sponsor: Cumhuriyet University · Academic / Other
• Sex: Female
• Age: 19 Years – 35 Years
• Healthy volunteers: Accepted

Summary

The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels

Detailed description

This study will be conducted with women who have given birth. The research is designed as a randomized controlled experimental study. The sample will consist of women who apply to the maternity ward of a hospital in Turkey for normal delivery. A total of 128 women are planned to be included in the study, divided into two groups: 64 in the spontaneous pushing group and 64 in the Valsalva pushing group. Data will be collected using a Personal Information Form, a Visual Analog Scale, and a Visual Analog Scale for Fatigue. The pushing methods used during childbirth will be taught to the women by the researcher, and then they will be asked to practice them. The forms will be administered during the latent phase and the fourth stage of labor.

Conditions

• Childbirth
• Duration of Labor
• Labor Pains
• Pushing During Childbirth
• Fatigue During Childbirth

Interventions

Type	Name	Description
BEHAVIORAL	Spontaneous straining	In this pushing method, pregnant women remain in a squatting position during the second stage of labor. The researcher provides the women with information about spontaneous pushing. The women will be supported in spontaneous pushing, and their urge to push will be taken into consideration. In spontaneous pushing: Regular breathing until the urge to push is felt when contractions begin, inhaling and contracting the core muscles, pushing slowly, exhaling smoothly while contracting during pushing, pushing for 5-6 seconds while exhaling, pushing smoothly and regularly for 5-6 seconds while inhaling and exhaling, and regular breathing when contractions slow down.
BEHAVIORAL	Valsalva type pushing	* When contractions begin, take two regular breaths, * Then take a deep breath and hold it, * Tighten your diaphragm and abdominal muscles, * Push as hard and for as long as possible (10-15 seconds), * Continue holding your breath while pushing (glottis closed), * Exhale, take a deep breath, continue holding your breath, * Push hard again for 10-15 seconds, * Stop pushing when contractions ease, * Relax and try to rest until the next contraction.

Timeline

• Start date: 2026-03-01
• Primary completion: 2026-07-30
• Completion: 2026-07-30
• First posted: 2026-03-03
• Last updated: 2026-04-08

Locations

1 site across 1 country: Turkey (Türkiye)