The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO)

NCT06551571 | Completed

• 1 other identifier: 2023/1143
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

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.

Conditions

Birth Outcome, Adverse; Breast Feeding; Parenting

Keywords

WHO intrapartum care model; breastfeeding self-efficacy; LATCH; parenting behavior; discharge readiness

Outcome Measures

Primary Outcomes (7)

• Comparison of pre-intervention sociodemographic of pregnant women.

  Sociodemographic of pregnant women will be collected through surveys and compared and reported

  6 months

• Comparison of pre-intervention obstetric features of pregnant women

  Obstetric of pregnant women will be collected through surveys and compared and reported.

  6 months

• Comparison of postpartum characteristics of pregnant women

  Postpartum characteristics of pregnant women will be collected through surveys and compared and reported.

  6 months

• Comparison of mother's postpartum parenting behavior towards her baby mean scores by groups

  The postpartum parenting behavior scale will be applied to mothers. The postpartum parenting behavior scale is 0-6 points (min-max) and as the score increases, the level of positive parenting behaviors of mothers towards their babies increases.

  6 months

• Comparison of mother's breastfeeding self-efficacy scale mean scores by groups

  The breastfeeding self-efficacy scale will be applied to mothers. The breastfeeding self-efficacy scale is 14-70 points (min-max) and as the score increases, the breastfeeding self-efficacy of the mothers increases.

  6 months

• Comparison of mother's A Breastfeeding Charting System and Documentation Tool (LATCH) mean scores by groups

  The Breastfeeding Charting System and Documentation Tool (LATCH) will be applied to mothers. The LATCH is 0-10 points (min-max) and as the score increases, the LATCH of the mothers increases.

  6 months

• Comparison of mother's readiness for hospital discharge scale-new mother form mean scores by groups

  The readiness for hospital discharge scale-new motherwill be applied to mothers. The readiness for hospital discharge scale-new mother is 0-220 points (min-max) and as the score increases shows that the mothers is sufficiently ready for discharge.

  6 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

* In pregnant women with cervical dilatation of 5 cm, the Personal Information Form was completed at the initial clinic admission. * The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations. * The Postpartum Parenting Behavior Scale (PPBS), Breastfeeding Self-efficacy Scale (BSS), A Breastfeeding Charting System and Documentation Tool (LATCH), and Readiness for Hospital Discharge Scale-New Mother Form (RHD-NMF) were administered postpartum.

Other: Intrapartum Care Model

Control Group

NO INTERVENTION

* Routine intrapartum care was provided to the pregnant woman in the hospital setting. This included taking an anamnesis, completing her file, opening an intravenous line, conducting routine blood tests, taking vital signs, recording cervical changes on the partograph via vaginal examination, applying EFM (electronic fetal monitoring) when indicated according to the attending physician's orders, listening to the fetal heart sounds (FHR) every fifteen minutes, and documenting this on the partograph. * The mother and infant received standard postpartum care in the hospital. Breastfeeding was initiated immediately after delivery, and the infant was placed in direct contact with the mother. The uterine tone and bleeding of the mother were evaluated, and vital signs were taken every four hours. Nutrition and mobilization were ensured, and a heel prick blood sample was taken in the 24th hour after delivery. If the mother and infant were normal after 24 hours, they were discharged.

Interventions

Intrapartum Care Model OTHER

\- The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations

Intervention Group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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).

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Seyhan Çankaya

Konya, 42250, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pregnancy Complications; Breast Feeding

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Feeding Behavior; Behavior

Study Officials

• Seyhan Çankaya, PhD

  Selcuk University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Seyhan Çankaya

Study Record Dates

• First Submitted: August 9, 2024
• First Posted: August 13, 2024
• Study Start: January 1, 2024
• Primary Completion: May 1, 2024
• Study Completion: June 1, 2024
• Last Updated: August 13, 2024

Record last verified: 2024-08

Locations

TU (1)