<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT2017080535506N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2017-11-19</date_registration>
      <primary_sponsor>Investigator</primary_sponsor>
      <public_title>The effect of education on choosing the type of delivery in health sector evolution plan</public_title>
      <acronym></acronym>
      <scientific_title>Study of the effect of pregnancy training classes on knowledge and the choice of delivery method after implementation of health sector evolution plan</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2017-03-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size></target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/26803</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Health service research.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Choosing a delivery method.</hc_freetext>
      <i_freetext>Intervention group:&#13;
This kind of study is a semi-experimental before and after research that recorded data at two periods of before the start and after the end of the training classes are compared together.&#13;
The content of the training:&#13;
Classes begin from the second half of the pregnancy (20th week) to each pregnant woman and continue for 8 sessions. Teaching method is provided in addition to delivering books and CDs to pregnant women at the first session and training content is shown through in power point video projector. In the second to eighth sessions, along with the video projector, by using the mattress and birth ball as training tools, practical exercises involving tensile, respiratory and tone exercises are also added.&#13;
Session one:&#13;
Week 20-23, Introduction of objectives and methods presented in the class, how to hold the class, mothers’ introduction, Anatomical and physiological changes, common complaints - tensile, respiratory and tranquil exercises.&#13;
Session two:&#13;
Week 24-27, Review of common complaints, anatomical and physiological changes, importance of prenatal care, risk symptoms, personal hygiene, tensile, respiratory and tone exercises.&#13;
Session three&#13;
Week 28-29, Training about Mental health, nutrition during pregnancy, embryo development (Spouses training), tensile, respiratory and tranquil exercises.&#13;
Session four:&#13;
Week 30-31, nutrition during pregnancy, labor pain, familiarity with different methods of reducing labor pain, showing videos of pain relief methods, tensile, respiratory and tone exercises.&#13;
Session five:&#13;
Week 32-33, Familiarity with the stages of labor and various delivery situations, Important interventions during labor, Tensile, respiratory and tone exercises, visitation centers. (if possible) &#13;
Session six: &#13;
Week 34-35, Importance of Natural Delivery and A Review of Pain Reduction and Delivery Processes, Role Playing, Planning for Labor, Screening for Natural Birth, Tensile, Respiratory and Attractive Exercises.&#13;
Session seven: &#13;
Week 36, Importance of Natural Delivery and A Review of Pain Reduction and Delivery Processes, Role Playing, Planning for Labor, Screening for Natural Birth, Tensile, Respiratory and Attractive Exercises.&#13;
Session eight:&#13;
Week 37, Review the scheduled delivery, family planning, preparedness of other family members, baby care and newborn danger signs, stretching, breathing and relaxation..</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>AliReza Bagheri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Treatment vice Chancellery, Bushehr University of Medical Sciences, Moallem St, Bushehr, Iran</address>
        <city>Bushehr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7514633341</zip>
        <telephone>+98 77 3332 3999</telephone>
        <email>bagheri54@yahoo.coma.bagheri@bpums.ac.ir</email>
        <affiliation>Bushehr Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Nahid Zarif Sanayei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sadra and Sina Complex (Second Floor), Continuing Education Office, Neshat Street, Shiraz</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 71323529422215</telephone>
        <email>nzarifsanaee@gmail.com</email>
        <affiliation>Shiraz university of medical sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria:&#13;
The research population is all prenatal mothers or pregnant mothers without cesarean section experience whom referred to university hospitals by health centers to attend pregnancy classes from their 20th pregnancy week.&#13;
Exclusion criteria:&#13;
Having a history of cesarean section, unwillingness to participate in the study or not attending the training classes during the study.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>-</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:&#13;
This kind of study is a semi-experimental before and after research that recorded data at two periods of before the start and after the end of the training classes are compared together.&#13;
The content of the training:&#13;
Classes begin from the second half of the pregnancy (20th week) to each pregnant woman and continue for 8 sessions. Teaching method is provided in addition to delivering books and CDs to pregnant women at the first session and training content is shown through in power point video projector. In the second to eighth sessions, along with the video projector, by using the mattress and birth ball as training tools, practical exercises involving tensile, respiratory and tone exercises are also added.&#13;
Session one:&#13;
Week 20-23, Introduction of objectives and methods presented in the class, how to hold the class, mothers’ introduction, Anatomical and physiological changes, common complaints - tensile, respiratory and tranquil exercises.&#13;
Session two:&#13;
Week 24-27, Review of common complaints, anatomical and physiological changes, importance of prenatal care, risk symptoms, personal hygiene, tensile, respiratory and tone exercises.&#13;
Session three&#13;
Week 28-29, Training about Mental health, nutrition during pregnancy, embryo development (Spouses training), tensile, respiratory and tranquil exercises.&#13;
Session four:&#13;
Week 30-31, nutrition during pregnancy, labor pain, familiarity with different methods of reducing labor pain, showing videos of pain relief methods, tensile, respiratory and tone exercises.&#13;
Session five:&#13;
Week 32-33, Familiarity with the stages of labor and various delivery situations, Important interventions during labor, Tensile, respiratory and tone exercises, visitation centers. (if possible) &#13;
Session six: &#13;
Week 34-35, Importance of Natural Delivery and A Review of Pain Reduction and Delivery Processes, Role Playing, Planning for Labor, Screening for Natural Birth, Tensile, Respiratory and Attractive Exercises.&#13;
Session seven: &#13;
Week 36, Importance of Natural Delivery and A Review of Pain Reduction and Delivery Processes, Role Playing, Planning for Labor, Screening for Natural Birth, Tensile, Respiratory and Attractive Exercises.&#13;
Session eight:&#13;
Week 37, Review the scheduled delivery, family planning, preparedness of other family members, baby care and newborn danger signs, stretching, breathing and relaxation.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Knowledge. Timepoint: 4 months. Method of measurement: questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Choice of delivery method. Timepoint: 4 months. Method of measurement: questionnaire.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Investigator</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-06-11</approval_date>
        <contact_name>Shiraz university of medical sciences</contact_name>
        <contact_address>Shiraz - Neshat Street - Sadra and Sina Complex - Third Floor - Faculty of Electronic Education SHIRAZ  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
