Clinical trial NCT05676996: Investigation of the Effect of Attachment-Based Support Given in the Perinatal Period
Official title: Investigation of the Effect of Attachment-Based Support Given in the Perinatal Period on Prenatal Bonding, Early Mother-Infant Bonding Indicators and Maternal Bonding
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Attachment Disorder
Lead sponsor: Sakarya University
Sponsor class: OTHER
First posted: 2023-01-09
Enrollment: 70
Sex: FEMALE
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: It is important that effective intervention programs are developed and implemented in our country by identifying risk factors in the early period. In this aspect, the work is unique. Unlike the studies in the literature, it is a unique study in terms of determining the risky population that needs to be questioned and strengthened during the prenatal attachment of expectant mothers during pregnancy, and creating a program where mothers can receive uninterrupted support for 24 hours.

Detailed description: Mother-infant attachment is also an important factor for adaptation to the maternal role. Attachment begins in the prenatal period and continues in the postnatal period. Attachment in the prenatal and postnatal period is related to each other . Abasi et al. (2013) stated that the attachment strengthening intervention program applied to pregnant women can positively affect maternal mental health, fetal health and ultimately child health. In the study of Akbarzadeh et al. (2016), investigators found that by educating mothers on attachment skills, the bond between mothers and fetuses is strengthened and the mental health of babies can be improved after birth. It has been reported that prenatal attachment affects postnatal parenting roles and plays an important role in the child's growth and development. Therefore, mother-infant attachment begins in the prenatal period, not in the neonatal period. Peppers and Knapp in their study; investigators found that the mother's contact with her stillborn baby did not affect the mother's grief process and suggested that mother-infant attachment begins in the prenatal period, not in the newborn period. Prenatal attachment can be affected by many factors. In the studies carried out; It has been observed that education level, desired pregnancy status, gestational week, feeling fetal movements, coping styles with stress and anxiety experienced during pregnancy, body image perceptions, emotional intelligence and social support perceptions of pregnant women, and the support given to the mother before birth affect prenatal attachment. For this reason, it is important to determine prenatal attachment behaviors during pregnancy, to examine the factors affecting attachment behaviors, to identify pregnant women with low attachment levels, as they may have positive contributions to mother-infant health in the prenatal and postnatal period. When investigators examine the international literature, although there are studies to support attachment, there is a study in our country for the population that can be strengthened by determining the prenatal attachment level. It is important that effective intervention programs are developed and implemented in our country by identifying risk factors in the early period. In this aspect, the work is unique. Unlike the studies in the literature, it is a unique study in terms of determining the risky population that needs to be questioned and strengthened during the prenatal attachment of expectant mothers during pregnancy, and creating a program where mothers can receive uninterrupted support for 24 hours.

Eligibility criteria: Inclusion Criteria:

be 19 years or older 21 and 26. Primigravida at gestational week Having had a normal delivery Watching all the videos within the scope of Attachment-Based Support Program by the pregnant women in the intervention group Being literate Pregnancy with only one baby The baby is at term Being the mother of the primary caregiver Volunteering to participate in the research The absence of any health problems of the mother and the baby Absence of a physician-diagnosed psychiatric disease in the mother Having a smart phone and wireless internet Pregnant women who answered "No" to Question 34 on the Pregnant Introductory Information Form and did not get a full score from the "Maternal Antenatal Attachment Scale"

Exclusion Criteria:

* The development of a situation that prevents the mother from participating in education during pregnancy
* Unwillingness to continue working
* A situation that prevents the mother and baby from staying in the same room in the postpartum period
* Severe trauma or loss of the mother during pregnancy

Primary outcomes:
measure: Prenatal attachment of pregnant women who participated in the attachment-based support program in the perinatal period compared to those who did not participate is higher.
timeFrame: 22.-26. pre-test between weeks
measure: Pregnant women who participated in the Attachment-Based Support Program during the perinatal period showed more early mother-infant attachment symptoms than those who did not.
timeFrame: this scale will be administered to mothers on postpartum day 0.
measure: Pregnant women who participated in Attachment-Based Support Program in the perinatal period had higher maternal attachment than those who did not.
timeFrame: postpartum 1st month
measure: Prenatal attachment of pregnant women who participated in the attachment-based support program in the perinatal period compared to those who did not participate is higher.
timeFrame: post-test at 36 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Sakarya
country: Turkey
facility: Sakarya University Training and Research Hospital
Study officials:
affiliation: Sakarya University
name: Nursan CİNAR, PhD
role: STUDY_DIRECTOR
References: