Birth Outcome, Adverse, Breast Feeding, Parenting
Conditions
Keywords
WHO intrapartum care model, breastfeeding self-efficacy, LATCH, parenting behavior, discharge readiness
Brief summary
The objective of this study was to examine the impact of the intrapartum care model that adheres to the guidelines set forth by the World Health Organization (WHO) on several key outcomes, including the mother's maternal behavior towards her infant postpartum, breastfeeding self-efficacy, the success of breastfeeding, and the mother's readiness for hospital discharge.
Detailed description
The study was a randomized controlled trial. The study was conducted with 128 primiparous pregnant women (intervention group n=64, control group n=64) admitted to the maternity unit of a training and research hospital in a province in the Central Anatolia region of Turkey. Pregnant women in the intervention group were provided with intrapartum care in accordance with the WHO recommendations following the achievement of cervical dilatation reaching 5 cm. The control group was provided with only standard intrapartum and postpartum care. Data were collected using a personal information form, a postpartum parenting behavior scale, a breastfeeding self-efficacy scale, a breastfeeding charting system and documentation tool (LATCH), and a hospital discharge readiness scale.
Interventions
OTHERIntrapartum Care Model
\- The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations
Sponsors
Selcuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Being 18 years of age or older, * History of term pregnancy (38-42 weeks), * Having a primiparous, * Single, healthy, vertex positioned fetus, * Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object, * Birth canal dystocia, dystocia related to the mother's psychology), * Having a partner/husband, * History of cervical dilatation of 5 cm or more, * Having a healthy newborn, * Being able to speak and understand Turkish.
Exclusion criteria
* Being under 18 years of age, * Having a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.), * Having a chronic disease (hypertension, diabetes, etc.), * Having maternal or fetal complications (oligohydramnios and polyhydramnios, placenta previa, pre-eclampsia, premature rupture of membranes, anomalies of presentation, intrauterine growth retardation, fetal anomaly, intrauterine death, fetal macrosomia, cord prolapse, etc.), * Having any complication that prevents vaginal delivery (head-pelvis incompatibility, etc.), * Having a history of elective cesarean section, * Being pregnant with assisted reproductive techniques, * Being multiparous,and having mastitis in the breast or having inverted nipples. * The study also excluded women who had undergone a cesarean section due to any complication (e.g., cord entanglement, fetal distress), * Who experienced complications related to the postpartum period (e.g., uterine atony, hemorrhage), * And whose infant was admitted to the neonatal intensive care unit for any reason (e.g., respiratory distress).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of pre-intervention sociodemographic of pregnant women. | 6 months | Sociodemographic of pregnant women will be collected through surveys and compared and reported |
| Comparison of pre-intervention obstetric features of pregnant women | 6 months | Obstetric of pregnant women will be collected through surveys and compared and reported. |
| Comparison of postpartum characteristics of pregnant women | 6 months | Postpartum characteristics of pregnant women will be collected through surveys and compared and reported. |
| Comparison of mother's postpartum parenting behavior towards her baby mean scores by groups | 6 months | The postpartum parenting behavior scale will be applied to mothers. The postpartum parenting behavior scale is 0-6 points (min-max) and as the score increases, the level of positive parenting behaviors of mothers towards their babies increases. |
| Comparison of mother's breastfeeding self-efficacy scale mean scores by groups | 6 months | The breastfeeding self-efficacy scale will be applied to mothers. The breastfeeding self-efficacy scale is 14-70 points (min-max) and as the score increases, the breastfeeding self-efficacy of the mothers increases. |
| Comparison of mother's A Breastfeeding Charting System and Documentation Tool (LATCH) mean scores by groups | 6 months | The Breastfeeding Charting System and Documentation Tool (LATCH) will be applied to mothers. The LATCH is 0-10 points (min-max) and as the score increases, the LATCH of the mothers increases. |
| Comparison of mother's readiness for hospital discharge scale-new mother form mean scores by groups | 6 months | The readiness for hospital discharge scale-new motherwill be applied to mothers. The readiness for hospital discharge scale-new mother is 0-220 points (min-max) and as the score increases shows that the mothers is sufficiently ready for discharge. |
Countries
Turkey (Türkiye)
Outcome results
None listed