Rotation and Movement System, Postpartum Cesarean Sections

Study Overview
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Brief Summary
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In the first half hour of a cesarean advertisement, the service-oriented mother will not be mobile and will need support to get fit in bed and start getting started. The patient turning and movement system will provide a lot of convenience to the mother who does not have enough support. With the remote control system, the mother will be easily turned to the desired side in the bed and it will be ensured that she takes the desired position with less pain and more comfort.

Detailed Description
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While studies on the Patient Turning and Movement System have been conducted on long-term bedridden patients, there is no scientific study examining its effects in the obstetric field. For the reasons mentioned above, the aim of this research is; The aim of this study is to investigate the effect of Patient Turning and Movement System on postpartum early postpartum breastfeeding success, pain and postpartum comfort in puerperant women who delivered by cesarean section and to contribute to the literature.

Official Title
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The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section

Conditions
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Breast Feeding, Exclusive

Intervention / Treatment
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* Other: Giving side position with patient turning and movement system


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-35. Primiparity. Having a transverse cesarean section. At least primary school graduate. No high-risk pregnancy. Absence of any complications in the puerperal and newborn during the delivery and postnatal period Exclusion Criteria: Having an open wound on the body and/or an allergic disease diagnosis on the skin. Development of puerperal complications (bleeding, infection, fever). At risk of convulsions; have diseases such as eclampsia, epilepsy. Having a body mass index above 40 (morbidly obese). Having any contraindications for breastfeeding. Having chronic opioid, antidepressant, and psychoactive drug use.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Giving side position with patient turning and movement system<br>On the day she was admitted to the clinic, the pregnant woman was taken to the room with the turning and movement system, the system was introduced and the personal information form was filled. When she came to the clinic from the operating room, the puerperant was placed on the bed with the turning and motion system (side position) and a follow-up form for LATCH, GKO and Lactogenesis Free symptoms was filled in the first three breastfeedings. Before discharge, LATCH, GCS, and Lactogenesis symptoms follow-up forms were filled in the last three breastfeedings. WHO was filled 1-2 hours before discharge. On the 3rd and 4th days after discharge, the lactogenesis symptoms follow-up form was filled by phone. | Other: Giving side position with patient turning and movement system<br>* To provide effective breastfeeding by placing the mother in position.<br>|
| No Intervention: Control: Assigned Interventions standard care group<br>routine maintenance of the hospital | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section | It is a randomized study planned as a research. The sample of the study consists of postpartum women (75 experimental group, 75 control group) who had cesarean section. Breastfeeding success of postpartum women was evaluated with the LATCH Breastfeeding Diagnosis and Evaluation tool. This scale consists of five evaluation criteria (L:Latch on the brest, A: Audible Swallowing, T: Type of Nipple, C:Comfort of Breast/ Nipple, H: Hold/ Position). Each item is evaluated between 0-2 points. The scale has no breakpoints. The highest score that can be obtained from the scale is 10 and the lowest score is 0. An increase in the score obtained from the scale indicates the success of breastfeeding. | two day | 
| The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section | Postpartum pain was assessed with the Visual Comparison Scale. Painlessness on one head and the most severe pain on the other side were evaluated with a 10 cm ruler. An increase in the scale score indicates an increase in the severity of pain. | two days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section | Postpartum comfort of postpartum women was evaluated with the postpartum comfort scale. The scale has no breakpoints. The scale consists of 34 items. The minimum score to be taken from the scale is 34 and the maximum score is 170. The higher the score obtained from the scale, the higher the comfort. | one day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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midwife, breast-feeding, movement, pain, comfort