Breastfeeding, Maternal Attachment, Neonatal Intensive Care Unit, Transient Tachypnea of the Newborn
Conditions
Keywords
Maternal voice, Auditory stimulation, NICU, Breastfeeding outcomes, Maternal attachment, Randomized controlled trial
Brief summary
This randomized controlled trial evaluates the effect of reciprocal maternal-infant voice exposure on maternal attachment and breastfeeding outcomes in a neonatal intensive care unit (NICU). Infants in the intervention group are exposed to recordings of their mothers' voices, while mothers simultaneously listen to recordings of their infants' sounds between the 6th and 12th postpartum hours. The intervention is administered every 2 hours for 30 minutes. Outcomes include maternal attachment, breastfeeding effectiveness, breastfeeding self-efficacy, infant feeding intention, perceived insufficient milk, and expressed breast milk volume. Neonatal physiological parameters and blood gas values are also assessed. The findings aim to support family-centered NICU care through non-invasive auditory interventions.
Interventions
BEHAVIORALReciprocal Voice Exposure Group
Reciprocal auditory stimulation consisting of maternal voice recordings played to infants and infant sound recordings played to mothers every 2 hours for 30 minutes between the 6th and 12th postpartum hours.
Sponsors
Biruni University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Mothers aged ≥18 years * Infants ≥37 weeks gestation * Diagnosis of transient tachypnea of the newborn (TTN) * Infant admitted to NICU ≥6 hours * Ability to communicate in Turkish
Exclusion criteria
* Infant clinical deterioration requiring transfer * Maternal psychiatric disorder * Hearing impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maternal Attachment | 12th postpartum hour | Measured using the Maternal Attachment Inventory (26 items; scores range from 26 to 104; higher scores indicate stronger attachment). |
| Breastfeeding Effectiveness | 12th postpartum hour | Measured using the Bristol Breastfeeding Assessment Tool (scores range from 0 to 8; higher scores indicate more effective breastfeeding). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Breastfeeding Self-Efficacy | 12th postpartum hour | Measured using the Breastfeeding Self-Efficacy Scale-Short Form (14 items; scores range from 14 to 70; higher scores indicate greater self-efficacy). |
| Infant Feeding Intention | 12th postpartum hour | Measured using the Infant Feeding Intention Scale. Scores range from 0 to 16; higher scores indicate stronger intention to breastfeed. |
| Perceived Insufficient Milk | 12th postpartum hour | Measured using the Perceived Insufficient Milk Scale. Higher scores indicate greater perceived milk insufficiency. |
| Expressed Breast Milk Volume | Between 6th and 12th postpartum hours | Volume of breast milk expressed using an electric pump, measured in milliliters (mL). |
| Neonatal Physiological Parameters | 6th, 8th, 10th, and 12th postpartum hours | Respiratory Rate: Measured in breaths per minute. |
| Oxygen Saturation | 6th, 8th, 10th, and 12th postpartum hours. | Peripheral oxygen saturation measured as percentage (%). |
| Heart Rate | 6th, 8th, 10th, and 12th postpartum hours. | Heart rate measured in beats per minute (bpm). |
| Partial Pressure of Oxygen (pO₂) | Between 6th and 12th postpartum hours. | Partial pressure of oxygen measured in mmHg. |
| Partial Pressure of Carbon Dioxide (pCO₂) | Between 6th and 12th postpartum hours. | Partial pressure of carbon dioxide measured in mmHg. |
| Blood pH | Between 6th and 12th postpartum hours. | Blood pH measured as a unitless value. |
| Blood Lactate Level | Between 6th and 12th postpartum hours. | Blood lactate level measured in mmol/L. |
Countries
Turkey (Türkiye)
Outcome results
None listed