Theory of Meleis on Women's Adaptation to Motherhood and Perceptions of Newborn Baby

NCT04827849 | Completed

• 1 other identifier: Duygu YEŞİLFİDAN, Filiz ADANA
• Study Type: interventional
• Target: 79
• Locations: 1 country
• Sites: 1

Brief Summary

A randomised control trial will made to determine the effects of nursing care based on Meleis's Theory of Transition on Adaptation of Women to Motherhood and their Perception of New-born Infant

Conditions

Newborn; Prenatal Care; Nursing Caries

Keywords

Nursing care; Prenatal; Newborn; Postpartum; Theory; Transition

Outcome Measures

Primary Outcomes (6)

• Adaptasion with pregnancy before intervention

  Adaptasion with pregnancy period will be evaluated with "Prenatal Self Evaluation Questionnaire". The scale was developed (1979) in order to evaluate the adaptation of women in the prenatal period to motherhood. The scale has 7 sub-dimensions. For the whole scale, a minimum of 79 and a maximum of 316 points can be obtained. Low scores show that adjustment to pregnancy is high.

  28th gestational weeks

• Adaptasion with pregnancy after intervention

  The "Prenatal Self Evaluation Questionnaire" will be used to compare the fits to pregnancy between 28th and 34th weeks of gestation. The scale was developed (1979) in order to evaluate the adaptation of women in the prenatal period to motherhood. The scale has 7 sub-dimensions. For the whole scale, a minimum of 79 and a maximum of 316 points can be obtained. Low scores show that adjustment to pregnancy is high.

  34th gestational weeks

• Mother-Neonatal Perception after birth

  Neonatal Perception Inventory (NPI-I) will be used to determine maternal- newborn perception. The scale was developed in 1971 to measure mothers' perception of their babies. It consists of two parts: the Neonatal Perception Inventory (NPI-I), applied in the first days after birth, and the NPI-II, administered one month after birth. In NPI-I and II of the scale, there are "Any Baby" and "Your Baby" forms, each containing six items (behaviors such as crying, feeding, sleeping, vomiting / drooling, pooping, eating and sleeping habits). It consists of 5-point Likert type 24 items.

  3rd - 5th day after the birth

• Mother-Neonatal Perception after birth

  Neonatal Perception Inventory (NPI-II) will be used to determine maternal- newborn perception. The scale was developed in 1971 to measure mothers' perception of their babies. It consists of two parts: the Neonatal Perception Inventory (NPI-I), applied in the first days after birth, and the NPI-II, administered one month after birth. In NPI-I and II of the scale, there are "Any Baby" and "Your Baby" forms, each containing six items (behaviors such as crying, feeding, sleeping, vomiting / drooling, pooping, eating and sleeping habits). It consists of 5-point Likert type 24 items.

  1st month after the birth

• Adaptasion to the postpartum period

  The scale was developed (1981) to evaluate the adaptation of women in postpartum period to motherhood and is a 4-point Likert type with 82 items. There are 7 subscales that evaluate postpartum compliance of mothers. For the whole scale, a minimum of 82 and a maximum of 328 points can be obtained. Low scores indicate high postpartum adjustment.

  1st month after the birth

• Adaptasion to the postpartum period

  The scale was developed (1981) to evaluate the adaptation of women in postpartum period to motherhood and is a 4-point Likert type with 82 items. There are 7 subscales that evaluate postpartum compliance of mothers. For the whole scale, a minimum of 82 and a maximum of 328 points can be obtained. Low scores indicate high postpartum adjustment.

  4th month after the birth

Study Arms (2)

Experiment group

EXPERIMENTAL

The study group will be provided physical examination, pregnancy monitoring and training on transition to motherhood within the direction of nursing care based on Meleis's Transition Period Theory, in addition to the usual care provided by healthcare professionals.

Other: Structured education and follow-up

Control group

NO INTERVENTION

The control group continued to receive the routine care

Interventions

Structured education and follow-up OTHER

The women in the intervention groups will administer a seven-session intervention program in addition to the routine care they will receive. The training including preparation practices for the transition with the mother, which is planned to last for 7 weeks encompassed providing the women with an educational programme that were created to increasing women's adaptation to motherhood and perceptions of newborn baby Nursing-recommended follow-up and physical examination of the pregnant woman will be performed at 28th and 34th week of pregnancy. In addition, postpartum and newborn follow-up, and mother-newborn physical examinations will be performed at the postpartum period.

Experiment group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Living in Aydın
• Between the ages of 18-35
• Have no children
• Gestational week is 28 weeks (beginning of 3rd trimester)
• Having a single pregnancy
• At least primary school graduate
• Not risky of pregnancy
• Have no chronic disease
• Can speak and write Turkish language

You may not qualify if:

• Having a history of mental and mental health problems
• With speech and hearing impairments
• Having a risky pregnancy
• Having multiple pregnancies

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

AydınAdnan Menderes University, Faculy of Nursing, Division Public Health Nursing

Aydin, Turkey (Türkiye)

Location

Study Officials

• Duygu Yeşilfidan, MsC

  Aydın Adnan Menderes University, Faculty of Nursing, Devision Public Health Nursing

  STUDY CHAIR

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: Research Assistant

Model Details: Following recruitment, the pregnant women were divided into a study and a control group by randomization (1:2 randomization)

Study Record Dates

• First Submitted: March 30, 2021
• First Posted: April 1, 2021
• Study Start: September 1, 2020
• Primary Completion: March 30, 2021
• Study Completion: August 19, 2022
• Last Updated: June 22, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 6 months after publication
• Access Criteria: relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.

Locations

TU (1)