Effects of Nada Yoga Music and Mandala Coloring During Labor on Pain, Anxiety, and Maternal Outcomes

Aim: The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women. Materials and Methods: This study is designed as an experimental study planned to be conducted between May 1, 2025 and May 1, 2026. The study population will consist of pregnant women admitted for live birth to the Obstetrics and Gynecology Department of Ağrı Training and Research Hospital during the study period. The sample size was determined based on a power analysis using an effect size of 0.80 (Cohen's d) obtained from a reference study, a significance level of 5% (α = 0.05), and a statistical power of 80% (1 - β = 0.80). According to the analysis conducted for four independent groups, it was determined that a total of 104 participants should be included in the study, with 26 participants in each group (mandala coloring group, Nada Yoga music group, mandala coloring + Nada Yoga music group, and control group).

Inclusion Criteria: * Age ≥18 years * No communication barriers * Pregnant women admitted to Ağrı Training and Research Hospital for vaginal delivery * Willingness to participate in the study * No contraindication to normal vaginal delivery (e.g., cephalopelvic disproportion) * Term pregnancy (38-42 weeks of gestation) * Absence of any chronic disease (e.g., diabetes, hypertension) * No condition preventing mandala coloring (e.g., hand or finger injuries, structural impairments) * No condition preventing listening to music (e.g., hearing impairment) Exclusion Criteria: * Pregnant women who prefer cesarean delivery despite having no contraindication to vaginal birth * Failure to respond to the questionnaire items * Presence of psychiatric disorders (e.g., social phobia, schizophrenia, bipolar disorder) * Conditions requiring emergency cesarean section during the first stage of labor