Supportive Care During Childbirth in Syrian Migrant Women

This randomized controlled trial aims to evaluate the effects of structured supportive midwifery care provided during labor on childbirth satisfaction, breastfeeding success, breastfeeding self-efficacy, and perceived stress among Syrian migrant women. A total of 100 eligible women admitted to the delivery unit of Yuregir State Hospital in Adana, Türkiye, will be randomly assigned in a 1:1 ratio to either the intervention group or the control group. Women in the intervention group will receive structured supportive midwifery care in addition to routine hospital care, whereas women in the control group will receive routine maternity care. The supportive care intervention will include physical support, emotional support, informational and communication support, and advocacy throughout labor. Outcomes will be assessed using validated measurement tools during the childbirth and early postpartum periods.

Inclusion Criteria: * Syrian migrant women admitted to the Delivery Unit of Adana Yüreğir State Hospital due to labor. * Aged 18 years or older. * Gestational age between 37 and 42 weeks. * Singleton, live pregnancy. * Fetus in cephalic presentation. * Spontaneous vaginal labor initiated and in the active phase of labor. * Able to communicate in Arabic or Turkish at a level sufficient to understand the data collection instruments and the intervention to be applied. * Voluntarily agreeing to participate in the study and providing informed consent. Exclusion Criteria: * Having a planned (elective) cesarean delivery decision at the time of admission. * Having an obstetric condition contraindicating vaginal delivery. * Having a high-risk pregnancy or labor condition, including severe preeclampsia, eclampsia, placenta previa, or placental abruption. * Multiple pregnancy. * Intrauterine fetal death or a major fetal anomaly incompatible with life. * Having a maternal or fetal clinical condition requiring emergency obstetric intervention at the time of admission for labor. * Having a cognitive impairment or severe psychiatric condition that would prevent participation, communication, or the informed consent process.