The Effect of Breastfeeding Support Provided Via Video-conferencing

Study Overview
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Brief Summary
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A randomized control trial was made to examine the effects of breastfeeding support given by the video-conferencing method in the early postpartum period on anxiety, breastfeeding self-efficiency, and newborn outcomes.

Official Title
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The Effect of Breastfeeding Support Provided Via Video-conferencing on Postpartum Anxiety, Breastfeeding Self-Efficacy and Neonatal Outcomes: A Randomized Controlled Trial

Conditions
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Breastfeeding, Anxiety Disorders, Neonatal Outcomes

Intervention / Treatment
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* Behavioral: Video-conferencing group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Infants; Born between 37 and 42 weeks Without severe congenital anomalies Mothers; A single live birth Were 18 years of age or over At least primary school graduate Did not have a disease that prevents breastfeeding Had internet access at home or on the phone Could speak and understand the Turkish language. Exclusion Criteria: Situations that cause separation of mother and baby Hospitalization of the baby in intensive care Inability to answer 3 calls in a video call They were determined as those who could not be reached during the home visit for the first and second follow

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video-conferencing group<br>The mothers in the video-conferencing group were counseled via video-conferencing a total of six times (three times a week, at equal intervals) during the first 2 weeks after birth. Each interview was approximately 15-20 minutes. In video-conferencing sessions, the breastfeeding position, the mother's grasping the breast, the baby's latch-on, and sucking duration were observed. Mothers' questions were answered and solutions were offered for breastfeeding problems (sore nipple, engorgement, etc.). | Behavioral: Video-conferencing group<br>* No intervention<br>* Other names: Control group;|
| No Intervention: Control group<br>The mothers in the control group were given usual care before discharge and no intervention was made after discharge. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The mean postpartum maternal anxiety level (mean ± SD) | The primary outcome of this study was the mean postpartum maternal anxiety level (mean ± SD) of the mothers at 2 weeks and 4 weeks after delivery. Maternal anxiety level was assessed using the Postpartum Specific Anxiety Scale. The scale comprises 51 items and 4 sub-dimensions. It means that those who score 73 and below on the scale have low postpartum anxiety levels, those who score between 74 and 100 have a medium level, and those who score 101 and above have a high level of anxiety. | at 2 weeks and 4 weeks after delivery | 
| The mean breastfeeding self-efficacy level | The other main outcome of the study was the mean breastfeeding self-efficacy level (mean ± SD) measured with the Breastfeeding Self-Efficacy Scale Short Form. The scale is likert type and a total score between 14 and 70 is taken from the scale. The higher the score, the higher the breastfeeding self-efficacy. | at 2 weeks and 4 weeks after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neonatal outcomes-Newborn weight (g) | Newborn weight (g) was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-Hypoglycemia of the newborn | Hypoglycemia of the newborn was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery. | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-Need for phototherapy | The need for phototherapy was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-Respiratory morbidity | Respiratory morbidity was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-illness requiring hospitalization | Illness requiring hospitalization was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-Food intake other than breast milk | Food intake other than breast milk was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery | 
| Neonatal outcomes-Neonatal death | Neonatal death was evaluated using the Follow-up Form at 2 weeks and 4 weeks after delivery | at 2 weeks and 4 weeks after delivery |