None listed
Conditions
Brief summary
Contrary to popular conceptions, mothers and newborns do not spend the best time of their lives once birth occurs. Both go through a period of physiological adjustments , emotional and behavioral, which are reflected in the affectation of physical and emotional well-being. This adaptation is influenced by contextual factors peculiar to a developing country such as poverty or low level of schooling; Which can lead to consequences such as postpartum depression in the mother and delayed growth and development in children (12,17-19). In Colombia, no support or rigorous follow-up strategies are available during this sensitive period for mother and child dyads (20,21). The multimodal auditory, tactile, vestibular and visual stimulation (VCTA) has been studied since 1980 and is known to favor the premature newborn and its growth has ended; Decreases stress; Favors the organization of neonatal behavior and improves mother-child interaction. When the mother offers it, there has been a decrease in depressive symptoms. Objective: To measure the results of the multisensory stimulation ATVV performed by the mother to her newborn, in the adaptation to the birth of the mother and child dyad. Method: A quasi-experimental, blind study using the design of equivalent materials, with repeated post-test measurements. Expected Results: Performing the stimulation (VCTA) by the mother to her newborn will generate positive results in: 1. The synchrony of mother and child interaction. 2. Decreased depressive symptoms in the mother. 3. Health and maternal energy level. 4. Effective neonatal suction. 5. Neonatal growth and development. In this way, adaptation to the birth of the mother and child dyad will be favored.
Interventions
1. Early stimulation of the newborn. The technique of auditory, tactile, visual and vestibular multi-sensory stimulation (VCTA) is used.
2. This therapy performs the hearing of the stimulus with the voice of the mother, the touch of the stimulus with the realization of an ordered and sequential massage; Visual stimulation with visual contact with his mother and vestibular stimulation with slow movements in the arms of the mother
3. ATVV therapy is performed according to the Rice Protocol modifie
1. Early stimulation of the newborn. The technique of auditory, tactile, visual and vestibular multi-sensory stimulation (VCTA) is used. 2. This therapy performs the hearing of the stimulus with the voice of the mother, the touch of the stimulus with the realization of an ordered and sequential massage; Visual stimulation with visual contact with his mother and vestibular stimulation with slow movements in the arms of the mother 3. ATVV therapy is performed according to the Rice Protocol modified by White-Traut and Contributors and lasts for 15 minutes. 4. Mothers received training in therapy by a nurse. A video was used to do the demonstration of each stimulation and neonatal behavioral responses showing pleasure with the stimulus. The video lasted 6 minutes. Then a recording gives continuous instructions to the mother step by step during the performance of the stimulation therapy 5. During the first application an understanding checklist is made 6. To promote adhesion, the mother is given a headset set with recorded instructions 7. At home, mothers performed therapy by listening to recorded instructions, twice a day for 7 days
Sponsors
Universidad Nacional de Colombia
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
New mothers Newborns full term Healthy dyads Newborns without congenital diseases Mothers who can read and write Dyadic without contraindications to breastfeeding Mothers with breastfeeding intentions at least the first month
Exclusion criteria
Mothers with cognitive impairments or diagnosed mental illness Mother or child hospitalization during follow-up time Breastfeeding suspension
Outcome results
None listed