An interventional study of Mental Toughness in Pregnancy, Labor Delivery and Breath Exercise, sponsored by Istanbul University - Cerrahpasa. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-20.
Sponsored by Istanbul University - Cerrahpasa · Not applicable, Interventional, and Health services research
Among 30 studies in Pelvic Floor Disorders with a site in Turkey — 5 open to participants now, 6 under way, 1 of them phase 3. Pelvic Floor Disorders · Turkey.
Among the 30 studies in Pelvic Floor Disorders with a site in Turkey, this one is the 6th largest by enrollment of the 21 interventional ones that give a count, is one of 2 that started in 2026, is one of 20 with no phase, and was the 21st registered.
212 studies on the registry are indexed under Pelvic Floor Disorders; 46 are open to participants now.
Browse Pelvic Floor Disorders studies →5 of the 30 studies in Pelvic Floor Disorders with a site in Turkey are open now. Recruiting first, the newest first:
Izmir Democracy University · Sites in Turkey
Ages 18–35 · Women only
University of Gaziantep · Sites in Turkey
Ages 18+ · Women only
Hacettepe University · Sites in Turkey
Ages 20–50 · Women only · Healthy volunteers
Akdeniz University · Sites in Turkey
Ages 18–30 · Women only · Healthy volunteers
Izmir Bakircay University · Sites in Turkey
Ages 18–55 · Women only
A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →
Of the 27 Pelvic Floor Disorders studies recruiting now, 17 (63%) set no upper age limit and 10 (37%) stop at 75 or younger; none take children under 18; 9 take healthy volunteers.
This study: 18 Years and older · female · healthy volunteers too.
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30 studies; the count open now beside each. This study's row is marked.
First in 2013; this study’s year is marked. 2 started in 2026.
This study's enrollment of 62 is close to the median of 64 across 148 interventional studies indexed under Pelvic Floor Disorders.
Median enrollment 40 across the 21 interventional studies, 94 across the 9 observational. Of the 20 that completed or were terminated, 0 (0%) have results posted.
This tab as a report to print or save as PDF → With an account.
None of the 30 has an industry lead sponsor. The 10 most frequent:
Istanbul University - Cerrahpasa is the lead sponsor of 701 studies on the registry; 211 are open to participants now.
Istanbul University - Cerrahpasa has 3 studies filed under Pelvic Floor Disorders — fewer than ten, so there is no comparison to draw.
None of the studies under way reaches primary completion within a year.
Among the 30 studies in Pelvic Floor Disorders with a site in Turkey, from their registry updates:
This tab as a report to print or save as PDF → With an account.
This randomized controlled study aimed to determine the effect of mental toughness interventions initiated during the third trimester of pregnancy and applied during childbirth on pelvic floor-related distress in the postpartum period. The mental toughness interventions consisted of breathing exercises, relaxation exercises, focusing/concentration, and imagery. Pregnant women were randomly assigned to an intervention group or a control group. Participants in the intervention group were taught the mental toughness interventions during the third trimester and received follow-up training sessions at 32-34 and 36-38 weeks of gestation. During labor, the interventions were applied at cervical dilations of 5-7 cm and 8-9 cm. The control group received routine care. Mind-body index was assessed using the HeartMath device in both groups during labor. Pelvic floor-related distress was assessed using the Pelvic Floor Distress Inventory-20 at baseline and at 6 weeks postpartum.
This randomized controlled study was conducted to evaluate the effect of mental toughness interventions initiated during the third trimester of pregnancy and continued during childbirth on pelvic floor-related distress in the postpartum period. The mental toughness intervention consisted of breathing exercises, relaxation exercises, focusing/concentration, and imagery techniques.
During the third trimester of pregnancy, participants were randomly assigned to an intervention group or a control group using Randomizer.org. Participants in the intervention group received training on the mental toughness interventions. Two face-to-face follow-up sessions were conducted at 32-34 and 36-38 weeks of gestation. During these sessions, participants' understanding and ability to perform the interventions were assessed, their questions were answered, and additional practice training was provided when necessary. Participants in the control group did not receive the mental toughness interventions and continued to receive routine care until childbirth.
During labor, the mental toughness interventions were applied to participants in the intervention group at cervical dilations of 5-7 cm and 8-9 cm, for a total of two applications. Following each intervention, the mind-body index was assessed using the HeartMath device to objectively evaluate the participants' mind-body state during labor. Participants in the control group received routine intrapartum care, and their mind-body index was assessed using the HeartMath device at the same cervical dilation stages of 5-7 cm and 8-9 cm.
The interventions were designed to promote relaxation and reduce mental and physical tension during labor. The study examined whether relaxation and improved mind-body regulation during childbirth could contribute to reducing the additional physical and muscular load on the pelvic floor and consequently affect pelvic floor-related outcomes in the postpartum period.
Following randomization, baseline assessments included the Descriptive Information Form and the Pelvic Floor Distress Inventory-20 (PFDI-20). Within 48 hours after childbirth, the Birth and Postpartum Information Form was administered to participants in both groups. At 6 weeks postpartum, the PFDI-20 was administered again to assess pelvic floor-related distress.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Study Discontinuation Criteria:
The group that will apply the mental resilience interventions taught during the last trimester of pregnancy (breathing exercises, relaxation techniques, focusing/concentration practices, and imagery) during the childbirth process."
Behavioral: Mental Toughness
Routine care will be given
breathing exercises, relaxation techniques, focusing/concentration practices, and imagery
Pelvic Floor Distress Inventory- 20
Assesses the presence and severity of pelvic floor distress symptoms, including urinary, colorectal-anal, and pelvic organ prolapse-related symptoms, using the Pelvic Floor Distress Inventory-20 (PFDI-20).
Time frame: At baseline (third trimester of pregnancy) and at 6 weeks postpartum.
Mind-Body Index during Labor
The Mind-Body Index was assessed using the HeartMath device to evaluate changes in mind-body coherence during labor. Measurements were obtained at two time points during active labor and compared between the intervention and control groups.
Time frame: At 5-7 cm and 8-9 cm cervical dilation during active labor.
Plan to share: Undecided
No publications or documents are linked to this record.
Ran from Jan 2026 to primary completion in Jun 2026, 5 months.
Of 101 non-industry interventional studies with no phase under Pelvic Floor Disorders, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 31. This study's 5 months is below that.
Counting every sponsor, half of 107 studies reached it within 17 months; a quarter within 7 and three quarters within 31.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Istanbul University - Cerrahpasa →