Effect of Snoezelen Room on Birth Process

Condition(s) studied

Investigational drug(s) / intervention(s)

Snoezelen room: 'Snoezelen room' is a meaning a room designed to stimulate people's senses. The history of the Snoezelen room dates back to people with mild or severe disabilities. It provides muscle relaxation for people with severe pain. This has become part of complementary medicine that promotes effective comfort and relaxation, which causes the release of endorphins and alleviates a person's capacity to cope with pain. The Snoezelen environment can be used to distract from pain by focusing on various senses, including visual and auditory. Describing multi-sensory therapeutic activity in a special room filled with stimuli that aim to stimulate all senses provides participants with feelings of relaxation and self-control (Nielsen, Overgaard, 2020; Jamshidi Manesh et. al., 2015; Anderson et. al.2011). In the study, the Snoezelen room was designed and the pregnant women in the intervention group will complete their labor in this room, while the control group will complete their labor in the

Study summary

Aromatherapy, visual and auditory stimuli are used together in the Snoezelen room. Aromatherapy increases the production of endorphins, reduces the intensity of pain and distracts the attention from the pain. Music also blocks the transmission of nerve impulses to the spinal cord.Considering these effects, the study emerges as a new technology for the midwifery field in our country. Although the use of snoezelen rooms in the delivery environment is becoming increasingly widespread abroad, it has not been used in delivery services in any hospital in our country. The primary purpose of this study is to convert a room in the delivery room of the hospital into a Snoezelen room and have women complete their delivery process in this room, and the secondary purpose is to determine the effect of the Snoezelen room on the delivery process.

The primiparous pregnant women selected for the intervention and control groups will be informed about the purpose of the study and the applications by the research midwife or gynecologist following the birth and will be administered the "Pregnant Information Form", "Visual Analog Scale (VAS)", "Fear of Childbirth Scale", "Birth Comfort Scale", and after birth, the "Birth Information Form", "Birth Satisfaction Scale". The Beta Endorphin Level Recording Form will be filled out.

Eligibility

Primary outcome measure(s)

• Fear of Childbirth Scale: — One hour
  The fear of childbirth scale was developed by K. Wijma, S. Alehagen and B. Wijma (2002) to measure fear experienced during labor. The scale consists of ten items and expectant mothers score each item between 1 and 10 (1= I completely disagree, 10= I completely agree). The minimum score that can be obtained from the scale is 10, and the maximum score is 100. A high score indicates high fear. It is a very practical scale in terms of application. 5 items (1, 3, 5, 7, 10) are positive and 5 items (2, 4, 6, 8, 9) are negative. The 5 items with positive meanings are reverse scored. Since childbirth is a process in which women are both psychologically and physically intense, the scale can be answered in 30-60 seconds, during each phase of labor. The Cronbach alpha value of the original scale was found to be 0.88. The Turkish adaptation was made by Gökçe İşbir, Serçekuş and İnci (2017) and the Cronbach alpha value was determined as 0.90.
• Childbirth Comfort Scale — Eight hour
  Originally named "Childbirth Comfort Questionnaire", it was developed by Kerri Durnell Schuiling in 2003, inspired by Kolcaba's comfort theory. Schuiling, Sampslelle and Kolcaba's study (2011) applied the scale to 64 pregnant women in the latent phase in the delivery room. The Cronbach alpha of the scale was 0.71, and as a result of the factor analysis, 4 factors were found in its structure, namely physical, environmental, psychospiritual and sociocultural. The lowest score that can be obtained from the scale is 14, the highest is 70. As a result of the Turkish validity and reliability study of the Childbirth Comfort Questionnaire by Potur Coşkuner et al. (2015), it was determined that the form with a 3-factor structure was reduced to 9 items and could be used to evaluate the comfort level of women during birth, and that it was a valid and reliable scale for our country. Cronbach alpha was found to be 0.75. In the Turkish version, the lowest possible
• VAS: — One hour
  Visual Analog Scale (VAS) was developed by Dr. Akbay A. to convert some values that cannot be measured numerically into numerical values. The two extreme definitions of the parameter to be evaluated are written on both ends of a line divided into ten 100 mm segments, and the patient is asked to indicate where his/her own situation fits on this line by drawing a line, putting a dot, or pointing. One end of the line indicates no pain, while the other end indicates very severe pain. The patient is asked to indicate the state of his/her pain in the situation he/she is in on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain. The test has an important advantage that it does not have a language and is easy to apply (Sakorntanun et al. 2012). Will be used to describe the pregnant woman's pain during labor.

Trial sites (1)

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