Effect of Continuous Midwifery Support on Comfort, Sleep, and Breastfeeding Self-Efficacy in Primiparous Women: A Follow-Up From Pregnancy to Motherhood
Conditions
Keywords
Breastfeeding self-efficacy, Comfort, Continuous midwifery support, Primiparity, Sleep quality
Brief summary
The study was conducted to determine the effect of continuous midwife support provided to primiparous pregnant women until the postpartum period on comfort, sleep quality and breastfeeding self-sufficiency.
Detailed description
The study was conducted to determine the effect of continuous midwifery support provided to primiparous pregnant women until the postpartum period on comfort, sleep quality, and breastfeeding self-efficacy. Materials and Methods: This randomized controlled trial included a total of 128 pregnant women-64 in the experimental group and 64 in the control group-who were in the 36th week of pregnancy and applied to the Elazığ Palu State Hospital Gynecology and Obstetrics Outpatient Clinic. During the first interview (36th week), pre-test data were collected in the NST room using the Personal Information Form, General Comfort Questionnaire, Pittsburgh Sleep Quality Index, and the Antenatal Breastfeeding Self-Efficacy Scale-Short Form. In the second (37th week of pregnancy), third (38th week of pregnancy), and fifth interviews (within the first 4-8 hours postpartum), participants in the experimental group received training in line with educational booklets prepared by the researcher. Since the fourth interview was scheduled during the labor process, continuous support was provided to the pregnant women during childbirth. The sixth interview was conducted between the 5th and 7th days postpartum, during which post-test data were collected using the General Comfort Questionnaire, Pittsburgh Sleep Quality Index, and the Postnatal Breastfeeding Self-Efficacy Scale-Short Form.
Interventions
OTHERContinuous midwife support care
Primiparous pregnant women are provided with continuous and individual midwife support starting from the 36th week until the postpartum period.
OTHERPilates ball usage
Primiparous pregnant women were provided with educational support starting from the prenatal period to the postnatal period. In addition, depending on the preferences of the pregnant woman, at least one of the above-mentioned practices was chosen with the accompaniment of a midwife at the time of birth.
OTHERwarm shower
It was generally applied to the majority of our pregnant women within the scope of training.
Sponsors
Palu Devlet Hastanesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 36 Years
Healthy volunteers
No
Inclusion criteria
All pregnant women who communicate verbally and do not have a reading or writing disability, * Having a singleton healthy pregnancy, * Having a primiparous pregnancy in the 36th week of pregnancy, * Not a midwife by profession, * Not having any diagnosed psychiatric problems were included.
Exclusion criteria
* Women who developed an indication for cesarean section were excluded. For postpartum women; * Those who developed a condition requiring separation from their babies, * Those who wanted to leave the study during the follow-ups, * Those who filled out the data collection forms incompletely, * Those who gave birth before the third interview were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| It was determined that continuous midwife support provided to primiparous pregnant women until the postpartum period increased women's comfort, sleep quality and breastfeeding self-sufficiency. | 8 weeks | Outcome Measure Title: General Comfort Level Description: General comfort level is assessed using the General Comfort Scale developed by Kolcaba (1992) and validated in Turkish by Kuğuoğlu and Karabacak (2008). This 48-item Likert-type scale includes four subdimensions: Physical Comfort (12 items), Psychospiritual Comfort (13 items), Environmental Comfort (13 items), and Sociocultural Comfort (10 items). Scores are calculated by reverse coding negative items, summing with positive items, and dividing by the number of items to yield an average score ranging from 1 (low comfort) to 4 (high comfort). Reliability coefficients (Cronbach's alpha) in this study were 0.773 (experimental group) and 0.905 (control group). Measurement Unit: Mean score (1-4), |
Countries
Turkey (Türkiye)
Outcome results
None listed