The Effects Of KC On Exclusively Breastfeeding And Baby's Growth And Development According To Attachment Theory

NCT04506541 | Completed

• 1 other identifier: Kangaroo care at birth
• Study Type: interventional
• Target: 214
• Locations: 1 country
• Sites: 1

Brief Summary

Kangaroo care is a developmental care method determined to improve the quality of life of premature babies. When the benefits of kangaroo care on development and feeding with breast milk on premature babies are considered, term babies should also receive kangaroo care, and kangaroo care should be started immediately after birth. In this research, the authors aimed to investigate the effect of kangaroo care at birth on breast milk only feeding status and infant growth and development according to attachment theory. This is a randomized controlled, experimental, prospective study. The sample of the study consisted of pregnant women between 36-38 gestational weeks, who referred to the pregnant outpatient clinic of Buca Maternity and Children Hospital between March 2017 and February 2019 (n: 132). Pregnant women in the intervention group received "kangaroo care and breastfeeding training," and their babies were given kangaroo care at birth. Routine care was given to the mothers and their babies in the control group. Maternal attachment levels of mothers in both groups after birth and infants' breastfeeding only status and infant growth and development in the first, third, sixth, and ninth months were evaluated.

Conditions

Breastfeeding, Exclusive; Growth Acceleration; Development, Infant; Attachment

Keywords

kangaroo care; growth; development; breastfeeding; maternal attachment

Outcome Measures

Primary Outcomes (6)

• breastfeeding conditions

  Baby's time to start sucking: how many minutes in the first half hour it starts to suck Absorption time: How many minutes it absorbs in the first half hour o Breastfeeding status only: Breastfeeding time of the mother's baby only until the end of the research by using Kangaroo Care and Breastmilk Intake Status Inspection Form. The form was developed by the researcher to monitor and control how long the mother implemented the kangaroo care, the time baby started breastfeeding, the duration of breastfeeding, and the changes in the baby's body weight

  from birth to the ninth month

• baby's weight

  the weight of the baby was evaluated in grams and was measured with a standard measuring tool.

  from birth to the ninth month

• baby's height

  the height of the baby was evaluated in centimeter and was measured with a standard measuring tool.

  from birth to the ninth month

• baby's head circumferecne

  the head circumference of the baby was evaluated in centimeter and was measured with a standard measuring tool.

  from birth to the ninth month

• baby's development

  Baby's first, third, sixth and ninth month developmental status by using Guide to Monitoring and Supporting Development. There is no scoring in the development monitoring and supporting guide. In the study, the developmental status of the babies was categorized as "behind by month," "normal by month," and "ahead by month.

  from birth to the ninth month

• maternal attachment

  Attactment level between mother and baby at postpartum first, third, sixth and ninth months by using Maternal Attachment Scale. The scale consists of 26 items in a four-point Likert type. The minimum score that can be obtained from the scale is 26, the maximum score is 104, and the height of the score indicates that the bond between the mother and the baby is high The Cronbach's alpha value of the scale was determined as 0.87 in the study.

  from birth to the ninth month

Study Arms (2)

Kangaroo Care Group

EXPERIMENTAL

The pregnant women who were in the kangaroo care group of the study and who were 36-38 weeks of gestation were given 20 minutes of kangaroo care and breastfeeding training by the researcher. A video about "kangaroo care and breastfeeding" was sent to pregnant women to remind them two weeks after the training. Kangaroo care application started in the first minute after giving birth in mothers who were in the kangaroo care group and came to the delivery room. In the first, third, sixth, and ninth months after the discharge of the mothers who started applying kangaroo care, kangaroo care application status, breastfeeding status, baby's growth, and development status were evaluated. In each follow-up, the baby's height, weight, and head circumference were measured with a standard measuring tool.

Other: Kangaroo Care

Control Group

NO INTERVENTION

The pregnant women in the control group were not trained other than breastfeeding training given in the hospital. In the maternity room, routine care practices were performed after delivery of the pregnant women. As in mothers in the kangaroo care group, in the first, third, sixth, and ninth months after the discharge of mothers, kangaroo care application situations, breastfeeding conditions, growth, and development of the baby were evaluated.

Interventions

Kangaroo Care OTHER

Kangaroo care application started in the first minute after giving birth in mothers who were in the kangaroo care group and came to the delivery room.

Kangaroo Care Group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• gestational weeks,
• giving birth at 37 weeks or above,
• single and live fetus,
• having no obstacle for applying kangaroo care,
• accepting kangaroo care implementation,
• no need for intervention of newborn,
• no need of newborn to be referred to the neonatal intensive care unit,
• being able to communicate with the pregnant woman,
• having a cesarean section with spinal or epidural anesthesia.

You may not qualify if:

• being accepted to the delivery room with urgent delivery,
• mothers who did not want to apply kangaroo care,
• mothers who had mental disorders which could harm the baby or self such as postpartum depression,
• the delivery was performed under general anesthesia for pregnant women who had a cesarean delivery.

Sponsors & Collaborators

• Ege University: lead
• Buca Women Birth and Child Diseases Hospital: collaborator

Study Sites (1)

Ege University

Bornova, İzmir, 35100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding

Interventions

Kangaroo-Mother Care Method

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Intervention Hierarchy (Ancestors)

Patient Positioning; Patient Care; Therapeutics; Infant Care; Child Care; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Rabia GENÇ

  Ege University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 3, 2020
• First Posted: August 10, 2020
• Study Start: March 1, 2017
• Primary Completion: February 1, 2018
• Study Completion: February 1, 2019
• Last Updated: August 10, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)