Cesarean Section, First Birth, Postpartum Care
Conditions
Keywords
Depression, Difficulty, Meleis's Transition Theory, Postpartum Period, Primipara Mother, Quality of Life
Brief summary
The randomized controlled experimental study sought to determine the impact of the training structured according to Meleis's Transition Theory on postpartum difficulties and quality of life in primipara mothers.
Detailed description
In the study, the intervention group (39 mothers) was given face-to-face training in the hospital, which was structured according to Meleis' Transition theory, 24 hours after the cesarean section.Telephone counseling was provided on the 5th, 15th and 42nd days after discharge. Thus, these mothers were followed up 4 times in the postpartum period. No intervention was made in the control group (40 mothers).
Interventions
In order to facilitate the transition to motherhood, theory-based training and counseling was provided to primiparous mothers on self and infant care.
Sponsors
TC Erciyes University
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
randomized controlled experimental study
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Mothers with the following criteria were included in the study; * Primiparous * Cesarean delivery * Over 18 years old * At least primary school graduate * Communicating verbally * Using mobile phone and whatsapp application * Married and living with spouse
Exclusion criteria
Mothers with the following criteria were excluded from the study; * Having a risky pregnancy history * Having a history of chronic disease * Diagnosed with a psychiatric illness * Having a health problem in herself or her baby that requires separation from each other * Having a baby with any congenital anomaly or severe disease detected at birth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the level of difficulty in self-care of primipara mothers in post-cesarean (42 days) | 1st follow-up (pre-training), 2nd follow-up (post-cesarean 5th day), 3rd follow-up (post-cesarean 15th day) and 4th follow-up (post-cesarean 42nd day) | Change in the level of difficulty in self-care of primipara mothers in post-cesarean (42 days) was evaluated with a form prepared by the researchers using the literature. This form consists of 15 Likert type items. Each item is scored between 0 and 2. Therefore, the minimum score of the form is 0, while the maximum score of the form is 30. If the score obtained from the form is high, the difficulty level is high, and if the score obtained from the form is low, the level of difficulty is low. |
| Change in the level of difficulty in baby-care of primipara mothers in post-cesarean (42 days) | 1st follow-up (pre-training), 2nd follow-up (post-cesarean 5th day), 3rd follow-up (postcesarean 15th day) and 4th follow-up (postcesarean 42nd day) | Change in the level of difficulty in baby-care of primipara mothers in post-cesarean (42 days) was evaluated with a form prepared by the researchers using the literature. This form consists of 9 Likert type items. Each item is scored between 0 and 2. Therefore, the minimum score of the form is 0, while the maximum score of the form is 18. If the score obtained from the form is high, the difficulty level is high, and if the score obtained from the form is low, the level of difficulty is low. |
| Postpartum depression | Post-cesarean 42nd day | Edinburgh postpartum depression scale consists of 10 questions. The answers are evaluated in a 4-point Likert format and scored between 0-3. The total score of the scale is obtained by summing these item scores. Persons with a score above 12 points are considered a risk group. The lowest score is 0 and the highest score is 30. Primiparous mothers filled out the google form via whatsapp at the first interview (pre-training) and post-cesarean the 42nd day |
| Postpartum quality of life | Post-cesarean 42nd day | Postpartum quality of life scale is a likert-type scale consisting of five sub-dimensions and a total of 40 items. Each item is evaluated for its importance and satisfaction for the mother. The Quality of Life Score is in the range of 0-30. Primiparous mothers filled out the google form via whatsapp at the first interview (pre-training) and post-cesarean the 42nd day |
Countries
Turkey (Türkiye)
Outcome results
None listed