Clinical trial NCT06551571: The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO)
Official title: The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO) on the Mother's Maternal Behavior Towards Her Baby, Breastfeeding Self-efficacy, Breastfeeding Success, and Hospital Discharge Readiness
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Birth Outcome, Adverse
Breast Feeding
Parenting
Keywords: WHO intrapartum care model
breastfeeding self-efficacy
LATCH
parenting behavior
discharge readiness
Lead sponsor: Selcuk University
Sponsor class: OTHER
First posted: 2024-08-13
Enrollment: 128
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The objective of this study was to examine the impact of the intrapartum care model that adheres to the guidelines set forth by the World Health Organization (WHO) on several key outcomes, including the mother's maternal behavior towards her infant postpartum, breastfeeding self-efficacy, the success of breastfeeding, and the mother's readiness for hospital discharge.

Detailed description: The study was a randomized controlled trial. The study was conducted with 128 primiparous pregnant women (intervention group n=64, control group n=64) admitted to the maternity unit of a training and research hospital in a province in the Central Anatolia region of Turkey. Pregnant women in the intervention group were provided with intrapartum care in accordance with the WHO recommendations following the achievement of cervical dilatation reaching 5 cm. The control group was provided with only standard intrapartum and postpartum care. Data were collected using a personal information form, a postpartum parenting behavior scale, a breastfeeding self-efficacy scale, a breastfeeding charting system and documentation tool (LATCH), and a hospital discharge readiness scale.

Eligibility criteria: Inclusion Criteria:

* Being 18 years of age or older,
* History of term pregnancy (38-42 weeks),
* Having a primiparous,
* Single, healthy, vertex positioned fetus,
* Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object,
* Birth canal dystocia, dystocia related to the mother's psychology),
* Having a partner/husband,
* History of cervical dilatation of 5 cm or more,
* Having a healthy newborn,
* Being able to speak and understand Turkish.

Exclusion Criteria:

* Being under 18 years of age,
* Having a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.),
* Having a chronic disease (hypertension, diabetes, etc.),
* Having maternal or fetal complications (oligohydramnios and polyhydramnios, placenta previa, pre-eclampsia, premature rupture of membranes, anomalies of presentation, intrauterine growth retardation, fetal anomaly, intrauterine death, fetal macrosomia, cord prolapse, etc.),
* Having any complication that prevents vaginal delivery (head-pelvis incompatibility, etc.),
* Having a history of elective cesarean section,
* Being pregnant with assisted reproductive techniques,
* Being multiparous,and having mastitis in the breast or having inverted nipples.
* The study also excluded women who had undergone a cesarean section due to any complication (e.g., cord entanglement, fetal distress),
* Who experienced complications related to the postpartum period (e.g., uterine atony, hemorrhage),
* And whose infant was admitted to the neonatal intensive care unit for any reason (e.g., respiratory distress).

Primary outcomes:
measure: Comparison of pre-intervention sociodemographic of pregnant women.
timeFrame: 6 months
measure: Comparison of pre-intervention obstetric features of pregnant women
timeFrame: 6 months
measure: Comparison of postpartum characteristics of pregnant women
timeFrame: 6 months
measure: Comparison of mother's postpartum parenting behavior towards her baby mean scores by groups
timeFrame: 6 months
measure: Comparison of mother's breastfeeding self-efficacy scale mean scores by groups
timeFrame: 6 months
measure: Comparison of mother's A Breastfeeding Charting System and Documentation Tool (LATCH) mean scores by groups
timeFrame: 6 months
measure: Comparison of mother's readiness for hospital discharge scale-new mother form mean scores by groups
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Konya
country: Turkey
facility: Seyhan Çankaya
Study officials:
affiliation: Selcuk University
name: Seyhan Çankaya, PhD
role: PRINCIPAL_INVESTIGATOR
References: