ClinicalTrials.gg
CompletedNCT07801196TEMFCGPADAPLUpdated Sep 3, 2026

Effects of Mint-Flavored Chewing Gum on Childbirth

An interventional study of Routine midwifery care and Mint Chewing Gum During Labor in Labor Pain and Anxiety, sponsored by Uskudar University. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Uskudar University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Oct 2025, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 119 studies in Labor Pain with a site in Turkey — 22 open to participants now, 30 under way, none of them phase 3. Labor Pain · Turkey.

Enrollment
43rd of 112
106 · median 94
Started
2025
with 14 others
No phase
111 of 119
20 open now
Registered
113th of 119
by date

Among the 119 studies in Labor Pain with a site in Turkey, this one is the 43rd largest by enrollment of the 112 interventional ones that give a count, is one of 15 that started in 2025, is one of 111 with no phase, and was the 113th registered.

Labor Pain

423 studies on the registry are indexed under Labor Pain; 74 are open to participants now.

Browse Labor Pain studies →

Open to participants now

22 of the 119 studies in Labor Pain with a site in Turkey are open now. Recruiting first, the newest first:

17 more — sign in →

All 22 open studies →

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 →

Who these studies take

Of the 30 Labor Pain studies recruiting now, 8 (27%) set no upper age limit and 22 (73%) stop at 75 or younger; 3 take children under 18; 20 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 119 studies in Labor Pain with a site in Turkey, or all of them as a file.
02

Study summary

This study aims to examine the effect of chewing mint-flavored gum during childbirth on labor pain and anxiety levels. Chewing mint-flavored gum is a non-pharmacological method used during childbirth, and it is believed that it can help women cope with pain and anxiety during childbirth.

Read the detailed description

Objective: Managing pain and anxiety during childbirth is important for the health of the mother and baby, as well as for the positive birth experience. Midwives support women in coping with pain and anxiety during the birth process by utilizing non-pharmacological methods. The aim of this study is to investigate the effect of chewing mint gum during labor on the birth pain and state anxiety levels of primiparous pregnant women.

Materials and Methods: The research was conducted in a randomized controlled experimental design. The sample of the study consisted of 106 primiparous pregnant women who were in the process of labor and met the inclusion criteria of the study. The participants were divided into two groups: 53 in the intervention group and 53 in the control group. Pregnant women in the intervention group were made to chew mint-flavored sugar-free gum for at least 20 minutes during labor, while routine midwifery care was applied to pregnant women in the control group. In both groups, birth pain and state anxiety levels were evaluated. The measurements were taken during the 4-5 cm, 6-7 cm, and 8-9 cm cervical dilatation periods of labor.

03

Conditions studied

  • Labor Pain and Anxiety

Keywords

  • chewing mint gum
  • labor pain
  • anxiety
  • labor
  • primiparous pregnant women
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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.

Inclusion criteria

  • being over the age of 18 and primiparous, There is no risk for vaginal birth, Without communication problems, Pregnant women without systemic or chronic diseases, Pregnant women with cervical dilatation of 4 cm or more, 37. The pregnancy is at term and a singleton pregnancy. Pregnant women who can chew gum without a history of dental, maxillofacial surgery, or dental disease will be included in the study.

Exclusion criteria

Exclusion Criteria:

  • Pregnant women who do not like chewing gum, Pregnant women with mental and auditory health problems, Pregnant women with mint allergies, Pregnant women with dental or jaw problems, High-risk pregnancies will not be included in the study.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
106 participants (actual)

Study arms

  • Sham comparator
    control group

    Pregnant women in the control group received routine midwifery care during childbirth and did not receive the mint gum chewing intervention.

    Other: Routine midwifery care

  • Active comparator
    min chewing gum group

    participants in this group received mint chewing gum during labor according to the study protocol

    Other: Mint Chewing Gum During Labor

Interventions

  • OtherRoutine midwifery care

    Only midwifery services were provided to pregnant women in the control group.

  • OtherMint Chewing Gum During Labor

    Participants in the intervention group chewed mint-flavored sugar-free gum for at least 20 minutes during childbirth. The intervention was performed in 4-5 cm, 6-7 cm and 8-9 cm cervical dilatations. Pain and anxiety levels were evaluated at each stage.

06

What researchers measure

Primary outcomes

  1. The Angle Labor Pain Scale

    The Angle Labor Pain Scale (A-LPQ) was developed by Angle et al. to assess the pain experienced by women during labor. The scale consists of 22 items, each scored from 0 to 10. The total score ranges from 0 to 220, with higher scores indicating greater perceived labor pain.

    Time frame: During active labor, when cervical dilation reaches 4-5 cm, 6-7 cm, and 8-9 cm.

Secondary outcomes

  1. State Anxiety Scale

    The State Anxiety Scale (SAS) is used to assess the level of state anxiety experienced by individuals. The scale consists of 20 items, with each item scored on a 4-point Likert scale. Total scores range from 20 to 80, with higher scores indicating higher levels of state anxiety.

    Time frame: During active labor, when cervical dilation reaches 4-5 cm, 6-7 cm, and 8-9 cm.

07

Study locations

1 site
  • Uskudar University Faculty of Health Sciences
    Istanbul, Turkey (Türkiye)
08

References and documents

Publications

  • Ebrahimian A, Bilandi RR, Bilandi MRR, Sabzeh Z. Comparison of the effectiveness of virtual reality and chewing mint gum on labor pain and anxiety: a randomized controlled trial. BMC Pregnancy Childbirth. 2022 Jan 19;22(1):49. doi: 10.1186/s12884-021-04359-3. PubMed 35045813 ↗
  • Mohsenzadeh-Ledari F, Omidvar S, Ghanbarpour A, Behmanesh F, Gholinia Ahangar H. The Effect of Chewing Gum in Managing Labor Pain Intensity and Anxiety Level in Primiparous Women: A Randomized Controlled Trial. Int J Community Based Nurs Midwifery. 2025 Apr 1;13(2):103-112. doi: 10.30476/ijcbnm.2025.102876.2515. eCollection 2025 Apr. PubMed 40322058 ↗

Individual participant data

Plan to share: Yes — The study will be published in Yöktez.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: The work began on October 9, 2025 and ended on February 24, 2026.

Access criteria: The study can be accessed by entering Yöktez and typing the name of the study or the names of the administrators.

Data sharing details ↗ · tez.yok.gov.tr

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2025 to primary completion in Feb 2026, 4 months.

Of 191 non-industry interventional studies with no phase under Labor Pain, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's 4 months is below that.

Counting every sponsor, half of 193 studies reached it within 9 months; a quarter within 5 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2026
First posted
Sep 3, 2026
StartActual
Oct 9, 2025
Primary completionActual
Feb 24, 2026
CompletionActual
Feb 24, 2026
Last update
Sep 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07801196
Lead sponsor
Uskudar University
Responsible party
Tuğba YILMAZ ESENCAN (associate professor doctor, Uskudar University) — Principal investigator
First posted
Sep 3, 2026
Start date
Oct 9, 2025
Primary completion
Feb 24, 2026
Completion
Feb 24, 2026
Last update
Sep 3, 2026

Study contacts

Tuğba Yılmaz Esencan, associate professor doctor
study director · Uskudar University
eylem gezer, specialist midwife
principal investigator · Mazıdağı State Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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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