The Effect of Rosary Use at Birth on Labor Pain, Anxiety, and Comfort: A Randomized Controlled Study


DOI:
https://doi.org/10.5281/zenodo.14994244Keywords:
Anxiety, Midwife, Pain, Rosary, ComfortAbstract
Purpose: This study was aimed to determine the effects of rosary use on labor pain, anxiety and comfort.
Method: The study, conducted between April 30 and December 30, 2022, was designed as a randomized controlled trial. Power analysis was used in the sample calculation and the sample of the study consisted of a total of 152 pregnant women (76 pregnant women for each group). Pregnant women in the experimental group were given personalized rosaries/dhikrs prepared as intervention material, and it was ensured that they were applied in the active and transitional phase of labor. No intervention was applied to the control group other than routine labor care. Data were collected using the Pregnant Identification Form, Numerical Evaluation Scale, State-Trait Anxiety Inventory, and Childbirth Comfort Questionnaire.
Results: When the total mean scores of the State-Trait Anxiety Inventory and Childbirth Comfort Questionnaire were compared after the use of prayer rosary/dhikr by the pregnant women, it was determined that the difference between the groups was significant (within-group and between-groups) (p<0.05). The difference between the mean scores of the Numerical Evaluation Scale was determined to be statistically significant in the third and fourth measurements (p<0.05).
Conclusion: It was determined that the use of prayer rosary/dhikr was effective in reducing both state anxiety and pain levels and increasing comfort levels in pregnant women.
References
Akin, B., Yurteri Türkmen, H., Yalnız Dilcen, H., Sert, E. (2022). The effect of labor dance on traumatic childbirth perception and comfort: A randomized controlled study. Clinical Nursing Research, 31(5), 909-917. doi:10.1177/10547738211030745
Avcıbay Vurgeç, B., Alan, S. Gökyıldız Sürücü, Ş. (2018). The Effects of Relaxation Technics on Anxiety Levels of Pregnants Who Are in Labor. Mersin university school of medicine Lokman Hekim Journal of Medical History and Folk Medicine, 8 (3), 282-291. doi: 10.31020/mutftd.437601
Breivik, H., Borchgrevink, P. C., Allen, S. M., Rosseland, L. A., Romundstad, L. (2008). Assessment of pain. British Journal of Anaesthesia, 101(1), 17-24. doi:10.1093/bja/aen103.
Brooks, A. W., Schroeder, J., Risen, J. L., Gino, F., Galinsky, A. D., Norton, M. I., Schweitzer, M. E. (2016). Don’t stop believing: Rituals improve performance by decreasing anxiety. Organizational Behavior and Human Decision Processes, 137, 71-85.
Callister, L. C., Khalaf, I. (2010). Spirituality in childbearing women. The Journal of Perinatal Education, 19(2), 16-24.
Çetin Avcı, S., Işık, G., Egelioğlu Cetişli, N. (2023). Birth experiences of the mothers who have fear of birth: a phenomenological study. Journal of Nursology, 26(1), 34-42. doi:10.5152/JANHS.2023.138236
Dolatian, M., Mahmoodi, Z., Dilgony, T., Shams, J., Zaeri, F. (2017). The structural model of spirituality and psychological well-being for pregnancy-specific stress. Journal of Religion and Health, 56, 2267-2275. doi:10.1007/s10943-017-0395-z
Garlock, A. E., Arthurs, J. B., Bass, R. J. (2017). Effects of comfort education on maternal comfort and labor pain. The Journal of Perinatal Education, 26(2), 96-105. doi:10.1891/1058-1243.26.2.96
Haghighat, M., Mirghafourvand, M., Mohammad-Alizadeh-Charandabi, S., Malakouti, J., Erfani, M. (2018). The effect of spiritual counseling on stress and anxiety in pregnancy: A randomized controlled clinical trial. Iranian Red Crescent Medical Journal, 20(4), e64094. doi:e64094. 10.5812/ircmj.64094.
Khouj, M. A., Albasri, S., Albishri, A. A., Softa, S. M., Almaslamani, A. S., Ahmad, H. M., ... & Almaslamani, A. (2022). Prevalence of stress, anxiety, and depression among pregnant women in Jeddah. Cureus, 14(7). doi:10.7759/cureus.27174
Kılıç, D., Göcen, G. (2019). A qualitative research on religious/spiritual life during pregnancy. Master Thesis İstanbul University, İstanbul, Türkiye
Kirca, A. S., Gul, D. K. (2022). Effects of acupressure and shower applied in the delivery on the intensity of labor pain and postpartum comfort. European Journal Of Obstetrics & Gynecology And Reproductive Biology, 273, 98-104. doi:10.1016/j.ejogrb.2022.04.018
Kocak, M. Y., Göçen, N. N., Akin, B. (2022). The effect of listening to the recitation of the Surah Al-Inshirah on labor pain, anxiety and comfort in Muslim women: A randomized controlled study. Journal of Religion and Health, 1-15. doi:10.1007/s10943-021-01356-w
Kongsuwan, W., Chatchawet, W. (2019). Effect of nursing intervention integrating an Islamic praying program on labor pain and pain behaviors in primiparous Muslim women. Iranian Journal of Nursing and Midwifery Research, 24(3), 220-226. doi:10.4103/ijnmr.IJNMR_36_18
Lamba, N., Jadva, V., Kadam, K., Golombok, S. (2018). The psychological well-being and prenatal bonding of gestational surrogates. Human Reproduction, 33(4), 646-653. doi:10.1093/humrep/dey048
Lucero, S. M., Pargament, K. I., Mahoney, A., DeMaris, A. (2013). Links between religious and spiritual coping and adjustment among fathers and mothers during first pregnancy. Journal of Reproductive and Infant Psychology, 31(3), 309-322. doi:10.1080/02646838.2013.798864
Luhrmann, T. M., Weisman, K., Aulino, F., Brahinsky, J. D., Dulin, J. C., Dzokoto, V. A., ... & Smith, R. E. (2021). Sensing the presence of gods and spirits across cultures and faiths. Proceedings of the National Academy of Sciences, 118(5), e2016649118. doi:10.1073/pnas.2016649118
Ngum Chi Watts, M. C., Liamputtong, P., Mcmichael, C. (2015). Early motherhood: a qualitative study exploring the experiences of African Australian teenage mothers in greater Melbourne, Australia. BMC Public Health, 15(1), 1-11. doi:10.1186/s12889-015-2215-2
Öner, N. and Le Compte, A. (1983) Durumluk Surekli Kaygi Envanteri El Kitabi. Bogazici Universitesi Yayinlari, Istanbul, 1-26.
Öztürk Altinayak, S., Özkan, H. (2020) The effect of different acupressure treatments applied to hand in labor on endorphin levels and perception of labor pain. Doctoral Thesis, Atatürk University, Erzurum, Türkiye
Pakzad, M., Dolatian, M., Jahangiri, Y., Nasiri, M., Dargah, F. A. (2018). The correlation between Islamic lifestyle and pregnancy-specific stress: a cross-sectional, correlational study. Open Access Macedonian Journal of Medical Sciences, 6(6), 1163. doi:10.3889/oamjms.2018.104.
Potur, D. C., Merih, Y. D., Külek, H., Gürkan, Ö. C. (2015). The Validity and Reliability of the Turkish Version of the Childbirth Comfort Questionnaire. Journal Of Anatolia Nursing And Health Sciences,18: 252-258. doi:10.17049/ahsbd.44758
Ria, G., Maya, A., Jamalluddin, S. B. (2020). Murotal Al-Quran therapy on decreasing labor pain and anxiety in maternity mothers first phase. Enfermeria Clinica, 30, 110-114. doi:10.1016/j.enfcli.2019.11.034
Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010 Mar 23;340:c332. doi: 10.1136/bmj.c332. PMID: 20332509; PMCID: PMC2844940.
Sharifnia, M., Hasanzadeh, M. H., Asadi Kakhaki, S. M., Mazlom, S. R., Karbandi, S. (2016). The impact of praying on stress and anxiety in mothers with premature infants admitted to NICU. Iranian Journal of Neonatology, 7(4), 15-22. doi:10.1016/j.obhdp.2016.07.004
Taşkın, A., Ergin, A. (2022). Effect of hot shower application on pain anxiety and comfort in the first stage of labor: A randomized controlled study. Health Care for Women International, 43(5), 431-447. doi10.1080/07399332.2021.1925282
Türkmen, H., Çetinkaya, S., Kiliç, H., Apay, E., Karamüftüoğlu, D., Yörük, S., Özkırım, E. (2021). Effect of focusing on Maryam’s flower during the first stage of the labor on the labor pain, labor duration, and levels of comfort and satisfaction. Clinical Nursing Research, 30(6), 780-789. doi:10.1177/1054773820984911
Türkmen, H., Oran, N. T. (2021). Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study. Explore, 17(5), 438-445. doi:10.1016/j.explore.2020.08.002
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.