Clinical trial NCT06688604: The Effect of Mother-Infant Contact Barrier on Maternal Sadness and Adaptation
Official title: The Effect of Infant Attachment Barrier on Maternal Sadness and Adaptation: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mother Infant Contact
Keywords: Mother infant contact, contact barrier, maternal sadness, postpartum adaptation, midwifery,
Lead sponsor: Kahramanmaras Sutcu Imam University
Sponsor class: OTHER
First posted: 2024-11-14
Enrollment: 351
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Ensuring mother-infant skin-to-skin contact by the researcher within the first 5 minutes after cesarean and vaginal birth.
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study was conducted to investigate the effect of mother-infant contact deprivation on maternal sadness and maternal adaptation. The research is a randomized controlled experimental study. The intervention group consisted of mothers who had vaginal births or cesarean deliveries with epidural/spinal anesthesia (n: 198), while the control group included mothers who had cesarean deliveries under general anesthesia (n: 99). In the intervention group, mother-infant skin-to-skin contact was ensured within the first 10 minutes after birth. No intervention was made with the mothers in the control group. Both groups were assessed within the first 48 hours postpartum using the Mother-Infant Contact Barrier Scale, and on the 14th day postpartum, the Postpartum Self-Evaluation Scale and the Postpartum Maternal Sadness Evaluation Scale were administered to compare the results.

Detailed description: This study was conducted to investigate the effect of mother-infant contact deprivation on maternal sadness and maternal adaptation. The research is a randomized controlled experimental study. The intervention group consisted of mothers who had vaginal births or cesarean deliveries with epidural/spinal anesthesia (n: 198), while the control group included mothers who had cesarean deliveries under general anesthesia (n: 99). In the intervention group, mother-infant skin-to-skin contact was ensured within the first 10 minutes after birth. No intervention was made with the mothers in the control group. Both groups were assessed within the first 48 hours postpartum using the Mother-Infant Contact Barrier Scale, and on the 14th day postpartum, the Postpartum Self-Evaluation Scale and the Postpartum Maternal Sadness Evaluation Scale were administered to compare the results.

Eligibility criteria: Inclusion Criteria:

Had given birth at Mardin Training and Research Hospital

* No physical and/or mental health issues
* No infectious diseases transmitted through contact
* Agreed to participate in the study
* Able to speak Turkish and/or does not have communication issues
* Single live birth with the baby
* Mothers who gave birth vaginally or via spinal anesthesia and had skin-to-skin contact with their baby within the first 5 minutes postpartum

Exclusion Criteria:

Foreign nationals, immigrants, or those with communication issues

* Individuals with any physical and/or mental health problems
* Those with infectious diseases transmitted through contact
* Individuals who did not agree to participate in the study
* Mothers whose baby was stillborn (ex) after birth
* Mothers whose babies were receiving treatment in the intensive care unit
* Those who do not wish to provide a phone number
* Women who gave birth vaginally or via spinal anesthesia and do not wish to establish contact with their baby
* Mothers who gave birth to twins or more babies

Primary outcomes:
measure: Maternal Sadness and Adaptation
timeFrame: 9 month
measure: Postpartum Self-Assessment Scale
timeFrame: nine mounth
measure: Mother-Infant Contact Barrier Scale
timeFrame: nine mounth
Secondary outcomes:
Other outcomes:
Locations:
city: Mardin
country: Turkey
facility: Mardin Training and research hospital
state: Artuklu
Study officials:
References:
citation: Eyquem A, de Saint Martin J. [Clinical significance of circulating autoantibodies]. Ann Immunol (Paris). 1977 Jan-Mar;128(1-2):285-6. French.
citation: Bystrova K, Ivanova V, Edhborg M, Matthiesen AS, Ransjo-Arvidson AB, Mukhamedrakhimov R, Uvnas-Moberg K, Widstrom AM. Early contact versus separation: effects on mother-infant interaction one year later. Birth. 2009 Jun;36(2):97-109. doi: 10.1111/j.1523-536X.2009.00307.x.
citation: Rowe-Murray HJ, Fisher JR. Operative intervention in delivery is associated with compromised early mother-infant interaction. BJOG. 2001 Oct;108(10):1068-75. doi: 10.1111/j.1471-0528.2001.00242.x.
citation: Karimi FZ, Sadeghi R, Maleki-Saghooni N, Khadivzadeh T. The effect of mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis. Taiwan J Obstet Gynecol. 2019 Jan;58(1):1-9. doi: 10.1016/j.tjog.2018.11.002.