Clinical trial NCT06344663: Motivational Interviewing Inadequate Milk and Cortisol
Official title: The Effect of Motivational Interviews to Mothers With Insufficient Milk Perception on Breastfeeding Motivation and Cortisol Level
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Motivation
Lead sponsor: Kahramanmaras Sutcu Imam University
Sponsor class: OTHER
First posted: 2024-04-03
Enrollment: 130
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Mothers with the perception of insufficient milk

Brief summary: Motivational interviewing is a technique used in many fields. No study has been found in national and international databases investigating the effect of motivational interviewing on the perception of insufficient milk, breastfeeding motivation and cortisol level. The study aimed to evaluate the effect of motivational interviews on the perception of insufficient milk, breastfeeding motivation and cortisol level.

Detailed description: Motivational interviewing; It is an evidence-based and client-centered approach that finds and eliminates the person's complex emotions, motivates, and increases the person's self-efficacy and motivation in the decision-making process. Breast milk is the only physiological baby food that contains the nutrients necessary for babies' absorption in appropriate quantity and quality. It is very important for the mother and baby's health that the mother starts breastfeeding her baby as early as possible and that the baby is fed only breast milk for the first six months. The perception of insufficient milk is defined as the mother thinking that she cannot produce milk or believing that there is too little milk in her breasts. The main reasons are; The mother's stay in the hospital longer than normal during the postpartum period, the mother's separation from her baby, and therefore the late establishment of the emotional bond between the mother and the baby may trigger the perception of insufficient milk. Cortisol is a glucocorticoid steroid hormone that is released in the human body during stress and whose release is regulated through the hypothalamic-pituitary adrenal (HPA) system. Stress and fear of birth cause insufficient milk secretion. Stress and fear in the mother can prevent early skin-to-skin contact between the mother and the baby by affecting the oxytocin hormone.

Eligibility criteria: Inclusion Criteria:

* Those aged 18 and over
* Those who feed their babies only with breast milk
* Do you believe that you produce enough milk to feed your baby?" in the Insufficient Milk Perception Scale. Those who answered "No" to the question
* Having given birth at 37\>gestational weeks
* Having a baby weighing at least 2500 grams
* Giving birth vaginally
* Primiparous

Exclusion Criteria:

* Cannot speak Turkish
* Mothers who did not agree to participate in the research

Primary outcomes:
measure: Insufficient Milk Perception Scale (ANN)
timeFrame: 1 month
Secondary outcomes:
measure: Breastfeeding Motivation Scale (EMS)
timeFrame: 1 month
Other outcomes:
measure: Visual Analog Scale (VAS)
timeFrame: 1 month
Locations:
city: Kahramanmaraş
country: Turkey
facility: Eda Sever
state: Onikişubat
Study officials:
affiliation: Kahramanmaras Sutcu Imam University
name: Esra Karataş Okyay
role: PRINCIPAL_INVESTIGATOR
References: