The Effect of Showing Photographs, Videos and Live Images of Their Babies to Mothers During Milking

Study Overview
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Brief Summary
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The study was planned to determine the effect of showing photographs, videos and live images of premature babies who could not be breastfed in the neonatal intensive care unit to their mothers on the amount of breast milk, mother-infant attachment and breastfeeding self-efficacy. It is a randomized controlled experimental study.

Detailed Description
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Separation of the baby from the mother, being admitted to the neonatal intensive care unit can quickly increase the mother's fears about her baby's health and appearance, it can be interpreted as a crisis for the family. When the baby is in the intensive care unit, it also becomes difficult for parents to participate in the care of the baby. In this case, one of the negative emotions that parents often experience is anxiety. In general, mothers experience more intense stress than fathers.The mother, who is away from her baby's care, feels tense, irritable and confused. She makes an effort to reach her baby, and when she fails to do so, she finds herself helpless and powerless. The neonatal intensive care nurse and the Women's Health nurse play a major role in the initiation of breastfeeding and the continuation of breastfeeding in pre-term newborns. Early milking of mothers after premature birth increases breast milk production. Despite early and frequent milking, some mothers may experience lower milk volume and milk production in the first few weeks. Therefore, mothers with premature babies should practice frequent breastfeeding/milking, massage and compression, hot application, acupuncture, yoga and relaxation exercises, etc., in order to increase prolactin secretion and increase breast milk production. focused on non-pharmacological methods such as. Another method that is considered effective is to show the mother a photo or video of the baby during milking. However, in the literature review, the number of available studies on this subject is only 2. One of these studies was done in 2020. The other study was done in 2021. More work is needed on this subject. The aim of this study was to determine the effects of watching photos, videos and live images of babies during milking on the amount of breast milk, mother-infant attachment and breastfeeding self-efficacy.

Official Title
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The Effect of Showing Photographs, Videos and Live Images of Their Babies to Mothers During Milking on Breastmilk Amount, Mother-Infant Attachment and Breastfeeding Self-Efficacy Level: Randomized Controlled Experimental Study

Conditions
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Breast Milk Expression, Breast Milk Collection, Mother-Infant Interaction

Intervention / Treatment
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* Behavioral: Photograph
* Behavioral: Video
* Behavioral: Live Broadcast
* Behavioral: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Staying of the baby in the Neonatal Intensive Care Unit 34 weeks of gestation and below Mother's acceptance of the application The mother's inability to breastfeed her baby The mother has a smart mobile phone Mother's ability to read and write Being able to communicate with the mother (being able to read and write, speak Turkish, etc.) Exclusion Criteria: Gestation week over 34 The mother is breastfeeding her baby Being a smoker Having a systemic disease and constantly taking medication(s) Having a health problem that may affect the mother's milking (crack, mastitis, collapse etc.)

Ages Eligible for Study
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Minimum Age: 1 Day
Maximum Age: 28 Days

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: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Photograph<br>As soon as the mother starts to express her milk, she will be asked to look at the photo of her baby sent to her on whatsapp for 5 minutes. | Behavioral: Photograph<br>* As soon as she starts to express her milk from the mother, on whatsapp will be asked to look at the photo of the baby sent to her for 5 minutes. She will be asked to express both breasts for 15 minutes every 3 hours.<br>|
| Experimental: Video<br>As soon as the mother starts to express her milk, she will be asked to watch the 5-minute video of her baby sent to her on whatsapp. | Behavioral: Video<br>* As soon as the mother starts to express her milk, she will be asked to watch the 5-minute video of her baby sent to her on WhatsApp. She will be asked to express both breasts for 15 minutes every 3 hours.<br>|
| Experimental: Live Broadcast<br>As soon as the mother starts to express her milk, she will be asked to watch the 5-minute live video of her baby with the call sent to her from WhatsApp. | Behavioral: Live Broadcast<br>* As soon as the mother starts to express her milk, she will be asked to watch the 5-minute live video of her baby with the call sent to her from WhatsApp. She will be asked to express both breasts for 15 minutes every 3 hours.<br>|
| Experimental: Control Group<br>The mother will be asked to express both breasts for 15 minutes every 3 hours. No additional application will be made. | Behavioral: Control Group<br>* She will be asked to express both breasts for 15 minutes every 3 hours. No additional action will be taken.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mother-to-Infant Bonding Scale | It is a measurement tool that can be applied from the first day after birth and allows the mother to express her feelings towards her baby with a single word. | up to 2 days | 
| The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short Form | It consists of 33 items. It is a five-point Likert scale. | up to 2 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Development of the breast milk expression experience measure | It consists of 11 items. It is a five-point Likert scale. | up to 2 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prematüre, neonatal intensive care, breast milk