Rotation and Movement System, Postpartum Cesarean Sections

NCT05499208 | Completed DMC

• 1 other identifier: KarsHarakani Lazoglu0001
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

In the first half hour of a cesarean advertisement, the service-oriented mother will not be mobile and will need support to get fit in bed and start getting started. The patient turning and movement system will provide a lot of convenience to the mother who does not have enough support. With the remote control system, the mother will be easily turned to the desired side in the bed and it will be ensured that she takes the desired position with less pain and more comfort.

Conditions

Breast Feeding, Exclusive

Keywords

pain; midwife; breast-feeding; movement; comfort

Outcome Measures

Primary Outcomes (2)

• The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section

  It is a randomized study planned as a research. The sample of the study consists of postpartum women (75 experimental group, 75 control group) who had cesarean section. Breastfeeding success of postpartum women was evaluated with the LATCH Breastfeeding Diagnosis and Evaluation tool. This scale consists of five evaluation criteria (L:Latch on the brest, A: Audible Swallowing, T: Type of Nipple, C:Comfort of Breast/ Nipple, H: Hold/ Position). Each item is evaluated between 0-2 points. The scale has no breakpoints. The highest score that can be obtained from the scale is 10 and the lowest score is 0. An increase in the score obtained from the scale indicates the success of breastfeeding.

  two day

• The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section

  Postpartum pain was assessed with the Visual Comparison Scale. Painlessness on one head and the most severe pain on the other side were evaluated with a 10 cm ruler. An increase in the scale score indicates an increase in the severity of pain.

  two days

Secondary Outcomes (1)

• The Effect of Turning and Movement System on Breastfeeding Success, Pain and Comfort in Postpartum Cesarean Section

  one day

Study Arms (2)

Giving side position with patient turning and movement system

EXPERIMENTAL

On the day she was admitted to the clinic, the pregnant woman was taken to the room with the turning and movement system, the system was introduced and the personal information form was filled. When she came to the clinic from the operating room, the puerperant was placed on the bed with the turning and motion system (side position) and a follow-up form for LATCH, GKO and Lactogenesis Free symptoms was filled in the first three breastfeedings. Before discharge, LATCH, GCS, and Lactogenesis symptoms follow-up forms were filled in the last three breastfeedings. WHO was filled 1-2 hours before discharge. On the 3rd and 4th days after discharge, the lactogenesis symptoms follow-up form was filled by phone.

Other: Giving side position with patient turning and movement system

Control: Assigned Interventions standard care group

NO INTERVENTION

routine maintenance of the hospital

Interventions

Giving side position with patient turning and movement system OTHER

To provide effective breastfeeding by placing the mother in position.

Giving side position with patient turning and movement system

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 18-35.
• Primiparity.
• Having a transverse cesarean section.
• At least primary school graduate.
• No high-risk pregnancy.
• Absence of any complications in the puerperal and newborn during the delivery and postnatal period

You may not qualify if:

• Having an open wound on the body and/or an allergic disease diagnosis on the skin.
• Development of puerperal complications (bleeding, infection, fever).
• At risk of convulsions; have diseases such as eclampsia, epilepsy.
• Having a body mass index above 40 (morbidly obese).
• Having any contraindications for breastfeeding.
• Having chronic opioid, antidepressant, and psychoactive drug use.

Sponsors & Collaborators

• Kars Harakani State Hospital: lead
• Ataturk University: collaborator

Study Sites (1)

Kars Harakani State Hospital

Kars, 36100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding; Pain

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• merve lazoglu, phd

  Kars Harakani State Hospital

  PRINCIPAL INVESTIGATOR

• Serap Ejder Apay, Prof.

  Ataturk University Faculty of Health Sciences Department of Midwifery

  STUDY DIRECTOR

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: PhD student

Study Record Dates

• First Submitted: August 8, 2022
• First Posted: August 12, 2022
• Study Start: December 1, 2020
• Primary Completion: June 30, 2021
• Study Completion: September 16, 2022
• Last Updated: September 28, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)