| CTRI Number |
CTRI/2026/03/105406 [Registered on: 05/03/2026] Trial Registered Prospectively |
| Last Modified On: |
04/03/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Other (Specify) [Deep Breathing, Progressive Muscle Relaxation Techniques] |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Effect of deep breathing and muscle relaxation techniques on labour pain and childbirth experience among first-time pregnant mothers visiting labour room in IMS & SUM Hospital of Bhubaneswar Odisha. |
|
Scientific Title of Study
|
The effect of psychoeducation on pain perception and labour experience among mothers visiting labour room in IMS & SUM Hospital of Bhubaneswar, Odisha. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Ayushi De |
| Designation |
M.Sc. Nursing |
| Affiliation |
SUM Nursing College |
| Address |
SUM Nursing College,
Department of Obstetrics and Gynaecological Nursing,
Siksha O Anusandhan University,
Kalinga Nagar, Bhubaneswar
Khordha ORISSA 751003 India |
| Phone |
9734574407 |
| Fax |
|
| Email |
ayushide09@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Prof. (Dr.) Pravati Tripathy |
| Designation |
Director |
| Affiliation |
SUM Nursing College |
| Address |
SUM Nursing College,
Department of Obstetrics and Gynaecological Nursing,
Siksha O Anusandhan University,
Kalinga Nagar, Bhubaneswar
Khordha ORISSA 751003 India |
| Phone |
9437035927 |
| Fax |
|
| Email |
pravatitripathy@soa.ac.in |
|
Details of Contact Person Public Query
|
| Name |
Ayushi De |
| Designation |
M.Sc. Nursing |
| Affiliation |
SUM Nursing College |
| Address |
SUM Nursing College,
Department of Obstetrics and Gynaecological Nursing,
Siksha O Anusandhan University,
Kalinga Nagar, Bhubaneswar
Khordha ORISSA 751003 India |
| Phone |
9734574407 |
| Fax |
|
| Email |
ayushide09@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Ayushi De |
| Address |
SUM Nursing College,
Department of Obstetrics and Gynaecological Nursing,
Siksha O Anusandhan University,
Kalinga Nagar, Bhubaneswar |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Ayushi De |
IMS & SUM Hospital |
Department of Obstetrics and Gynaecology
Labour Room
IMS & SUM Hospital
Siksha O Anusandhan University
Kalinga Nagar
Bhubaneswar Khordha ORISSA |
9734574407
ayushide09@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE INSTITUTE OF MEDICAL SCIENCES (IMS) AND SUM HOSPITAL |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Pregnant Mothers |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Deep Breathing, Progressive Muscle Relaxation Techniques |
The intervention consists of two structured psychoeducation sessions during late pregnancy and a short booster at admission. In Week 1, mothers receive an introduction that includes consent, baseline assessment, explanation of labour stages and pain, coping methods, partner roles, and training in deep breathing and progressive muscle relaxation (PMR). In Week 2, the focus shifts to addressing fears, coping statements, guided imagery, partner support skills such as massage and encouragement, and demonstrations of labour positions, followed by combined relaxation practice. On admission to the labour room (38–40 weeks), mothers are given a quick revision of breathing, PMR, and coping techniques, along with reassurance, to reinforce confidence and preparedness for labour. The total duration of the intervention is 2 weeks during late pregnancy, with one introductory session in week 1 and one reinforcement session in week 2, followed by a brief booster guidance during the early stage of labour. |
| Comparator Agent |
Routine Antenatal Care |
Participants in the control group will receive routine standard care provided in the hospital, including monitoring of labour progress, supportive nursing care, and standard obstetric management without any additional psychoeducation intervention. Participants in the control group will receive routine antenatal care provided in the hospital without any additional intervention.
The total duration of the routine antenatal care is 2 weeks during late pregnancy. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Female |
| Details |
1. Pregnant women who are hospitalised for induction of labour or ruptured membranes without onset of contractions.
2. Women who can understand and communicate in the local language (Odia) as applicable.
3. Women who are willing to participate, provide written informed consent, and are ready to attend at least 2 sessions.
4. Women who are decide to delivery in this hospital, available for follow-up until the postpartum data collection period.
|
|
| ExclusionCriteria |
| Details |
1. Pregnant women who delivered by instrumental vaginal delivery (e.g. vacuum forcep) or caesarean section after pain scoring was performed.
2. Women with high-risk pregnancies (e.g., severe pre-eclampsia, placenta previa with bleeding, severe cardiac disease) that may affect safe participation.
|
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change in pain perception and labour experience scores among primi mothers following psychoeducation intervention, assessed using a standardized Pain Perception Scale during labour and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ Version A and B) for labour experience, in both experimental and control groups |
Change in pain perception and labour experience scores among parturient mothers following psychoeducation intervention, assessed using a standardized Pain Perception Scale during labour and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ Version A and B) for labour experience, in both experimental and control groups. Baseline assessment will be done during late pregnancy before intervention and outcome assessment will be done within 24 hours of delivery |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="84" Sample Size from India="84"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
02/04/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This randomized controlled trial aims to evaluate the effect of structured psychoeducation on pain perception and childbirth-related expectancy and experience among parturient mothers admitted to the labour room of IMS and SUM Hospital, Bhubaneswar, Odisha. A total of 84 participants will be recruited and randomly allocated into experimental (n = 42) and control (n = 42) groups. The experimental group will receive structured psychoeducation, including information on labour process, coping strategies, breathing and relaxation techniques, while the control group will receive routine standard care. Pain perception will be assessed using a standardized Pain Perception Scale at baseline before intervention and and within 24 hours after delivery, and childbirth expectancy and experience will be assessed using Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ Version A and B). Data will be collected at baseline, and within 24 hours after delivery. The findings of the study are expected to provide evidence on the effectiveness of psychoeducation in improving maternal labour outcomes |