Analyse Of Early Skın To Skın Contact's Impact Upon Maternal-Infant Bondıng And Perceptıon Of Traumatıc Bırth
Condition: Postpartum
MeSH terms: Birth Injuries
Study type: Interventional

Summary: 
      This study will carry out as a randomized controlled experimental study in order to examine
      the effect of early skin-to-skin contact on mother-infant attachment and traumatic birth
      perception and to provide new information to the literature. The sample of the study consist
      of 350 women who apply to the Training and Research Hospital in the city center of Batman
      between December 2021 and May 2022, and who agreed to participate as the study group (n:175)
      and the control group (n: 175), who had a normal delivery in the delivery room. hascreated.
      "Personal Questionnaire Form", "Traumatic Birth Perception Scale" and "MaternalAttachment
      Scale" forms were used in the analysis of the data. Data analysis was done with SPSS 24
      program
    

Detailed description: 
      The population of the study consisted of puerperant women who gave normal birth in Batman
      Training and Research Hospital TDL (Travay-Birth-Postpartum) service between December 2021
      and May 2022. The population of the research was determined as N:2760 for the 6-month data
      collection period in the center with a monthly average of 460 normal births.The sample of the
      study consisted of women who met the research conditions and accepted the study. In our
      study, the sample population was calculated as n:338 people with a 95% confidence interval
      using the known sample calculation method. The sample number was determined as n:367
      puerperant women, since there may be a loss of cases in the research (desire to leave the
      research, interruption of attachment, not filling out the entire questionnaire…).

      Inclusion Criteria: Agreeing to participate in the study, Vaginal delivery, Being between
      37-42 weeks of gestation, Hearing and visual impairment, Be between 18-49 years old, No
      psychiatric diagnosis, Reading and writing Turkish and understanding Turkish, Single and
      healthy fetus, Head presentation, Not having a high-risk pregnancy, No need for neonatal
      intensive care Exclusion Criteria in Research: Not meeting the inclusion criteria,Not
      completing the forms, Multiple pregnancy, Women who refused to participate in the study were
      excluded from the study.

      Randomization: In order to keep the number of people in balance between the groups, the
      "block randomization" method, one of the fixed-probability randomization methods, was used.
      By using a computer program module (http://www.randomr.org/form.htm) used in
      randomization-controlled studies using the block randomization method, the data were
      collected at one-week intervals considering the inclusion criteria in order not to affect the
      groups compared to each other. group (A), 2nd week control group (B), 3rd week study group
      (A), 4th week control group (B), …)." Which group to start with first was determined by a
      person independent of the research using the coin-print method.

      Working Group: Women who met the criteria for inclusion in the study and accepted the study
      (n:180) were told how to apply skin-to-skin contact. Skin-to-skin contact was initiated
      within the first minutes of normal delivery and skin-to-skin contact was applied to the
      mothers for a minimum of 15 minutes (due to the high number and frequency of births in the
      TDL service and hospital conditions). Routine newborn care procedures (eye drops,
      vaccination, footprints, etc.) performed in the delivery room were performed during
      skin-to-skin contact. After the skin-to-skin contact between the mother and the newborn was
      terminated at the end of delivery, 2 hours later, mothers were asked to fill in a personal
      questionnaire and a traumatic birth scale. The maternal attachment scale was completed 1
      month after birth by telephone interview.

      Control Group: Standard midwifery practices and labor follow-up were applied to women who met
      the inclusion criteria in the hospital (during the delivery room) (n: 187), agreed to
      participate in the study, and were in the control group. Neonatal routine care procedures
      (vaccine, footprint, eye drop application, etc.) of the postpartum hospital were performed.
      Then, after 2 hours postpartum, mothers were asked to fill in a personal questionnaire and a
      traumatic birth scale. The maternal attachment scale was completed 1 month after birth by
      telephone interview
    

Intervention name(s): skin-to-skin contact
Intervention type(s): Behavioral
Intervention description(s): skin-to-skin contact
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This study was carried out as a randomized controlled experimental study in order to examine the effect of early skin-to-skin contact on mother-infant attachment and traumatic birth perception and to provide new information to the literature. The sample of the study consisted of 350 women who applied to the Training and Research Hospital in the city center of Batman between December 2021 and May 2022, and who agreed to participate as the study group (n: 175) and the control group (n: 175), who had a normal delivery in the delivery room has created.
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: traumatic birth; maternal attachment; Skin to skin; Midwifery