Baby Smell Visual Stimulus Program Cortical and Breast Oxygenation Milk Amount Mother-Infant Attachment
Condition: Cesarean Delivery Affecting Fetus; Preterm Labor
MeSH terms: Obstetric Labor, Premature
Study type: Interventional

Summary: 
      In this study, the effect of infant odor and visual stimulus program applied to mothers who
      had delivered by cesarean section and whose babies were taken to the NICU on cortical and
      breast oxygenation (rSO2), amount of breast milk and mother-infant bonding was investigated.
    

Detailed description: 
      One of the conditions that prevent the preterm baby from being close to the mother in the
      early period is cesarean delivery and subsequent removal to the NICU. In the first hour of
      life, the process immediately after birth, when the newborn is alert, makes eye contact,
      focuses, finds the unaided mother's breast and begins to feed, deteriorates in babies in need
      of intensive care and mothers begin the experience of parenting with delayed attachment. The
      mother experiences high levels of stress due to changes in many parental roles such as being
      physically separated from her baby, not being able to breastfeed effectively, not being able
      to care for her baby and the intensive care environment, and experiencing a delay in
      lactation with the effect of cesarean delivery. In the literature, many interventions have
      been implemented to reduce the negative effects of mother-infant separation on lactation and
      attachment in mothers who have given birth by cesarean section. However, there is no
      published research examining the effect of infant odor and visual stimulus program applied to
      mothers who had delivered by cesarean section and whose babies were taken to the NICU on
      cortical and breast oxygenation (rSO2), amount of breast milk and mother-infant bonding. In
      addition, being able to assess how the mother's cortical and breast oxygenation changes while
      smelling her baby's scent and watching her/his video will further strengthen the results of
      the measurement tools.
    

Intervention name(s): Olfactory stimulation; Visual stimulation
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Olfactory stimulation: Mothers will be made to smell their babies' odor.; Mothers will be shown video images of their babies.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: In this randomized controlled study, "block randomization" method, which is one of the "fixed probability randomization" methods, was used in randomization. Each of the experimental and control groups was represented by one of the letters A, B, C. In the creation of the 6-block (2A, 2B, 2C) design for 54 samples and three groups; Using the "permutation" method, the assignment of 9 blocks out of 90 block options was carried out through the random numbers table on the www.random.org site. Which of the experimental and control groups will match the letters A, B, C; It was determined by the lottery method drawn by hand by the independent clinical nurse from the study. As a result of the draw, A: smell, B: smell + video, C: represented the control group.
Masking: Single (Investigator)
Primary purpose: Supportive Care
Keywords: breastmilk; cortical and breast oxygenation; infant odor; mother-infant bonding; NIRS; visual stimulus