The Design, Development and Effect of Breastfeeding Cradle on Breastfeeding Self-efficacy
Condition: Women
Study type: Interventional

Summary: 
      After cesarean section, mothers who are not mobile and cannot take a suitable position to
      breastfeed their baby, with the designed breastfeeding cradle, the baby approaches the
      mother's breast and by taking the appropriate position, effective and easy breastfeeding is
      ensured.
    

Detailed description: 
      Breastfeeding is considered the most appropriate feeding method because it has many benefits
      for mother and baby. The benefit of breast milk, which is the most beneficial and unique
      feeding method for the healthy growth and development of babies biologically, psychologically
      and emotionally, is indisputable. There is no doubt that breast milk is one of the greatest
      life savers and that breast milk is a miracle.

      Breastfeeding within the first half hour after birth is one of the Baby-Friendly Hospital
      criteria, a program of the World Health Organization (WHO) and the United Nations
      International Children's Emergency Fund (UNICEF). The baby's active period after birth is the
      first half hour. In this process, breastfeeding affects the success of breastfeeding and the
      duration of breastfeeding positively. Failure to start breastfeeding in the early postpartum
      period and the lack of a successful breastfeeding process can have important consequences for
      the health of the mother and baby in the short and long term. WHO states that breastfeeding
      in the first half-hour period after birth reduces the risk of death and disease in infants,
      and then increases breastfeeding rates. International and national organizations have stated
      that breastfeeding of mothers in the first half-hour period after birth increases the
      probability of survival of babies, skin-to-skin contact is achieved earlier, increases milk
      production, including colostrum, and increases uterine involution.

      There has been a significant increase in cesarean section rates in our country as well as in
      the world in recent years. According to Turkey Demographic Health Survey (TNSA) 2018 data,
      cesarean deliveries account for 52% of all deliveries in Turkey. Mothers with cesarean
      section experience more problems with breastfeeding compared to mothers who gave birth
      normally. Some of the most important problems with breastfeeding after cesarean section are
      that mothers have difficulty breastfeeding without the help of someone due to the limitation
      of movement after cesarean section. Another problem experienced in the early postpartum
      period after cesarean section is that mothers may not want to breastfeed their babies because
      of the concern that the baby will experience pain after the baby's contact instead of the
      cesarean section incision while breastfeeding. Expecting the mother to be mobile for the
      first breastfeeding negatively affects breastfeeding self-efficacy. The need for support is
      higher in cesarean deliveries than in normal births. For this, there must be sufficient
      midwives who can be sufficient here. It is thought that the most important factor in the
      failure of breastfeeding after cesarean section is the wrong breastfeeding position. In order
      for breastfeeding to be easier and more comfortable, the tools produced to support
      breastfeeding should be useful, easy and effective in breastfeeding. Tools used in
      breastfeeding self-efficacy; breastfeeding support system, breastfeeding pillow,
      breastfeeding apron and breastfeeding chair.
    

Intervention name(s): breastfeeding cradle
Intervention type(s): Device
Intervention description(s): Mothers with postop mobile cesarean section should be breastfed with a nursing cradle for 30 minutes every 2-3 hours, even if the baby does not cry, until after mobilization (for 6 hours after coming to the service) every time the baby cries.
Intervention model: Sequential Assignment
Intervention model description: Breastfeeding cradle with remote control system is designed for the mother to breastfeed her baby comfortably. The mother can breastfeed her baby in any position without getting out of bed. Thanks to the remote control, it can give the cradle the desired position. She can safely breastfeed her baby in the cradle with seat belt and safety lock. Breastfeeding cradle with massage, music and light system will provide high comfort for mother and baby.
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: breastfeeding cradle; breastfeeding self-efficacy; postpartum