The Effect of Facilitated Tucking After Vaginal Delivery on Late Preterm Stress, Comfort and Physiological Parameters
Condition: Preterm Labor; Preterm Labor With Preterm Delivery in Third Trimester; Preterm Spontaneous Labor With Preterm Delivery
MeSH terms: Premature Birth; Obstetric Labor, Premature
Study type: Interventional

Summary: 
      Objective: It is aimed to examine the effect of facilitated tucking after vaginal delivery on
      late preterm stress, comfort and physiological parameters.

      Design: The study was designed randomized controlled study. Setting: The study was conducted
      spontaneous vaginal delivery of late preterm at State Hospital between January-June 2020.

      Participants: In order to determine the sample size of the study, power analysis was
      performed using the G*Power (v3.1, 7) program, and a total of 60 preterm were sampled,
      facilitated tucking (n=30) and control group (n=30).

      Methods: In the study, Newborn Information and Registration Form, Neonatal Comfort Behavior
      Scale (NCBS) and Newborn Stress Scale (NSS) were used. As for physiological parameters, for
      the temperature is used private digital thermometer, for the saturation and heart rate is
      used device preferred in hospital routine and lastly the respirator rate is clocked by
      nurses.
    

Detailed description: 
      Facilitated tucking (FT) is a procedure that kindly flexes the newborn by placing hands on
      the head and hips. There is no mentioned any risk about this implementation in the literature
      review. Its effects are that it improves the sleep quality of the newborn and stabilizes the
      physiological parameters helps to gain a sense of safety related to the position, support the
      motor development and protect the energy. Studies have shown that facilitated tucking is
      practiced many times, especially pain management; however, no study has been found examining
      how it affects stress and comfort of the preterm newborns first nursing care after delivery.
      Furthermore, vaginal delivery can be a cause of stress alone for all newborns. During these
      procedures, nursing practices are needed to relieve the stress and to provide comfort on the
      newborn. Therefore, it is aimed to examine the effect of facilitated tucking after vaginal
      delivery on late preterm stress, comfort and physiological parameters.

      Material and Method: Power analysis for the present study was based on the study by a study
      which performed the study with at least 32, 30 preterm in each group (with 95% confidence
      interval and 5% alpha (two tailed)). Herein, the present study was performed with a total of
      60 preterm corresponding to 30 preterm for each experimental group (It was assumed that could
      be lost cases during the study).Randomization was achieved by means of the computer program
      (https://www.randomizer.org) indicating the total number of preterm, groups and preterm
      groups and the preterm divided into control and experimental groups.

      Experimental group: In order to eliminate the pain and stress that they experience during
      routine care after vaginal delivery to late preterm. FT implementation begins 3 minutes
      before the procedures and 10 minutes continuous. After the end of the procedures further 3
      minutes was given. Physiological parameters were simultaneously recorded on the registration
      form. Neonatal Comfort Behavior Scale (NCBS) and Newborn Stress Scale (NSS) were used end of
      the all procedures which means 13th minute. While FT was implemented by researcher,
      postpartum care for newborn was performed and recorded by same nurse who is on shift.
      Evaluation of the scales was evaluated by the researcher and the nurse working in the
      hospital shift (with 5 years of neonatal experience) (Observer I-Observer II).

      Control group: In this group was implemented of the hospital routine care (supine position).
      Physiological parameters were simultaneously recorded after the vaginal delivery. Neonatal
      Comfort Behavior Scale (NCBS) and Newborn Stress Scale (NSS) were used end of the all
      procedures which means 13th minute. Evaluation of the scales was evaluated by the researcher
      and the nurse working in the hospital shift (with 5 years of neonatal experience) (Observer
      I-Observer II).
    

Intervention name(s): Assessment of physiological parameters; Assessment of Stress; Assessment of Comfort
Intervention type(s): Other; Other; Other
Intervention description(s): FT implementation begins 3 minutes before the procedures and 10 minutes continuous. After the end of the procedures further 3 minutes was given . Physiological parameters were simultaneously recorded on the registration form; Newborn Stress Scale (NSS) was used end of the all procedures which means 13th minute.; Neonatal Comfort Behavior Scale (NCBS) was used end of the all procedures which means 13th minute.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care