Motivation
Conditions
Brief summary
Motivational interviewing is a technique used in many fields. No study has been found in national and international databases investigating the effect of motivational interviewing on the perception of insufficient milk, breastfeeding motivation and cortisol level. The study aimed to evaluate the effect of motivational interviews on the perception of insufficient milk, breastfeeding motivation and cortisol level.
Detailed description
Motivational interviewing; It is an evidence-based and client-centered approach that finds and eliminates the person's complex emotions, motivates, and increases the person's self-efficacy and motivation in the decision-making process. Breast milk is the only physiological baby food that contains the nutrients necessary for babies' absorption in appropriate quantity and quality. It is very important for the mother and baby's health that the mother starts breastfeeding her baby as early as possible and that the baby is fed only breast milk for the first six months. The perception of insufficient milk is defined as the mother thinking that she cannot produce milk or believing that there is too little milk in her breasts. The main reasons are; The mother's stay in the hospital longer than normal during the postpartum period, the mother's separation from her baby, and therefore the late establishment of the emotional bond between the mother and the baby may trigger the perception of insufficient milk. Cortisol is a glucocorticoid steroid hormone that is released in the human body during stress and whose release is regulated through the hypothalamic-pituitary adrenal (HPA) system. Stress and fear of birth cause insufficient milk secretion. Stress and fear in the mother can prevent early skin-to-skin contact between the mother and the baby by affecting the oxytocin hormone.
Interventions
OTHERmotivational interview
Before starting the interview, mothers will be informed about the interview intervals, duration, how many times it will be held, and that, unlike other interviews, the topic will be determined and the mother's opinions on this subject will be obtained. Each meeting will last approximately 15-30 minutes
Sponsors
Kahramanmaras Sutcu Imam University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Those aged 18 and over * Those who feed their babies only with breast milk * Do you believe that you produce enough milk to feed your baby? in the Insufficient Milk Perception Scale. Those who answered No to the question * Having given birth at 37\>gestational weeks * Having a baby weighing at least 2500 grams * Giving birth vaginally * Primiparous
Exclusion criteria
* Cannot speak Turkish * Mothers who did not agree to participate in the research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insufficient Milk Perception Scale (ANN) | 1 month | The Insufficient Milk Perception Scale is a scale developed by McCarterSpaulding (2001) to measure mothers' beliefs about whether they produce sufficient milk. It consists of 6 questions. A minimum score of 0 and a maximum score of 50 can be obtained from this scale. A high score indicates that the mother's perception of adequate milk is high |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Breastfeeding Motivation Scale (EMS) | 1 month | Based on the self-determination theory of the Breastfeeding Motivation Scale (EMS), Peleg et al. It was developed by in 2015. After the scale was applied to the sample group, factor analysis was performed and it was determined that it had 5 factors. These factors; It consists of integrated, identified, introjected, external regulation and internal motivation. No total score is obtained from the scale. As the score obtained from the sub-dimension of the scale increases, the motivation representing that sub-dimension also increases |
Other
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | 1 month | Satisfaction Level Rating with Motivational Interviewing Application is a scale developed by Hayes and Patterson in 1921, used to express some values that cannot be measured with numbers. In the satisfaction rating scale, which was created by taking the Visual Analog Scale as an example, the mother's satisfaction level will be marked on this line by writing not at all satisfied on one end and very satisfied on the other end. |
Countries
Turkey (Türkiye)
Contacts
Primary Contacteda sever
Outcome results
None listed