Clinical trial NCT05700162: The Effect of Showing Photographs, Videos and Live Images of Their Babies to Mothers During Milking
Official title: 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
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Breast Milk Expression
Breast Milk Collection
Mother-Infant Interaction
Keywords: prematüre
neonatal intensive care
breast milk
Lead sponsor: Eskisehir Osmangazi University
Sponsor class: OTHER
First posted: 2023-01-26
Enrollment: 150
Sex: ALL
Minimum age (years): 1
Maximum age (years): 28
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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.)

Primary outcomes:
measure: Mother-to-Infant Bonding Scale
timeFrame: up to 2 days
measure: The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short Form
timeFrame: up to 2 days
Secondary outcomes:
measure: Development of the breast milk expression experience measure
timeFrame: up to 2 days
Other outcomes:
measure: Beck Anxiety Scale
timeFrame: 1 day
measure: Sleeplessness Severity Index
timeFrame: 1 day
Locations:
city: Eskişehir
country: Turkey
facility: Eskisehir Osmangazi Üniversity
state: Eskisehir
Study officials:
affiliation: ayferacikgoz u.edu.tr
name: Ayfer Açıkgöz
role: STUDY_DIRECTOR
References: