Clinical trial NCT05562245: Motivational Interviewing-Based Breastfeeding Education
Official title: The Effect of Motivational Interviewing-Based Breastfeeding Education on Breastfeeding Motivation, Breastfeeding Success, and Breastfeeding Self-Efficacy Perceptions After Cesarean Section
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Breastfeeding
Motivation
Success
Self-Efficacy
Lead sponsor: Selcuk University
Sponsor class: OTHER
First posted: 2022-09-30
Enrollment: 76
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study was planned in a randomized controlled experimental design to evaluate the effect of motivational interviewing-based breastfeeding education on breastfeeding motivation, breastfeeding success and breastfeeding self-efficacy perception of primiparous mothers after cesarean section.
Primary purpose: SUPPORTIVE_CARE

Brief summary: The general purpose of this project is; to evaluate effect of motivational interviewing-based breastfeeding education on breastfeeding motivation, breastfeeding success and breastfeeding self-efficacy perception of primiparous mothers after cesarean section.

The sub-aims of the study were to evaluate the effect of motivational interviewing-based breastfeeding education on breastfeeding outcomes of primiparous mothers who gave birth by cesarean section.

The study will be conducted between September 2022- March 2023 at Konya a private hospital.

Detailed description: The research was planned as a randomized controlled experimental study. Block randomization method was used to determine the experimental and control groups. Randomization was done by a biostatistician outside the researcher. Mothers who meet the inclusion criteria and agree to participate in the study will be assigned to the experimental and control groups according to the randomization list.

A total of 80 primiparous mothers who gave birth by cesarean section, 40 in the experimental group and 40 in the control group, will be included in the study.

Pre-Test Information Collection Form at the 1st hour after Caesarean section, Postpartum 5-7. Day Follow-up Form, Postpartum 6th Week Follow-Up Form and Postpartum 3rd Month Follow-up Form, LATCH Breastfeeding Assessment Tool, Breastfeeding Self-Efficacy Short Form Scale, The Primipara Breastfeeding Motivation Scale, Confidence-sufficiency and importance a scale.

Breastfeeding education based on motivational interviewing will be held for mothers in the experimental group, 1st hour after cesarean section, 5-7th days postpartum, postpartum 6th week, and postpartum 3rd month. Routine breastfeeding training of the hospital will be given to mothers in the control group 1st hour after cesarean section and will be followed up 5-7th days postpartum, postpartum 6th week, and postpartum 3rd month. At the end of the study, the results of the mothers in the experimental and control groups will be evaluated.

The breastfeeding guide prepared by the researcher will be given to the mothers in the experimental and control groups.

Eligibility criteria: Inclusion Criteria:

* Volunteer to participate in the study,
* Cesarean delivery,
* Does not have a condition that prevents breastfeeding,
* Married
* Primiparous,
* Not receiving general anesthesia,
* At least primary school graduate,
* 18 years and above,
* Do not have any chronic disease,
* The birth weight of the baby is 2500 g and above,
* Your baby's APGAR score is 7 and above in the 5th minute,
* Mothers whose babies do not have congenital and/or metabolic diseases will be included in the study.

Exclusion Criteria:

* Having multiple pregnancy and giving birth,
* Foreign nationals and do not speak Turkish,
* Having a history of preeclampsia, eclampsia and gestational diabetes,
* Mothers who develop complications during cesarean section and whose transfer to the service exceeds 1 hour (because breastfeeding will be delayed for the first hour),
* COVID-19 positive in the 1st hour after birth and having a condition that prevents breastfeeding,
* Those with a history of diagnosed mental or psychiatric illness will not be included in the study.

Primary outcomes:
measure: LATCH Breastfeeding Assessment Tool
timeFrame: Change from LATCH Breastfeeding Assessment Tool at 3 months
measure: Breastfeeding Self-Efficacy Short Form Scale
timeFrame: Change from Breastfeeding Self-Efficacy Short Form Scale at 3 months
measure: The Primipara Breastfeeding Motivation Scale
timeFrame: Change from The Primipara Breastfeeding Motivation Scale at 3 months
measure: Confidence- sufficiency and importance a scale
timeFrame: Change from Confidence- sufficiency and importance a scale at 3 months
Secondary outcomes:
measure: Rate of feeding the baby with only breast milk
timeFrame: 3 months
measure: Total breastfeeding time
timeFrame: 3 months
Other outcomes:
Locations:
city: Konya
country: Turkey
facility: Medicana Konya Hospital
Study officials:
affiliation: esrameran@selcuk.edu.tr
name: Halime Esra Meram, PhD
role: STUDY_DIRECTOR
References: