The Effects of Video-Based and Practical Newborn Bathing Education Provided to Primiparous Pregnant Women During the Third Trimester on Knowledge, Anxiety, and Bonding During the First Bath: a Randomized Controlled Trial

NCT06661408 | Not Yet Recruiting

• 2 other identifiers: 185TUBITAK or KSU BAP
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted in a randomized controlled experimental research design with pretest, posttest control group.

Conditions

Newborn Bathing; Primiparous Pregnant Women; Anxiety; Bonding; Knowledge

Keywords

Newborn; Bathing; Primipar; Education

Outcome Measures

Primary Outcomes (3)

• Knowledge Level of Mothers on Newborn Bathing

  The Newborn Bathing Knowledge Test was developed by the researchers based on the literature to determine the knowledge levels of mothers about newborn bathing. In the knowledge test, there are a total of 20 questions under 10 main topics including "bath time, bathing materials, ambient temperature, water temperature, umbilical cord care, soap and shampoo use, maintaining newborn body temperature, bathing procedure sequence, safety during bathing, drying after bathing and dressing". The questions were prepared in multiple-choice and true/false design, and each question had only one correct answer. The women\'s answers to the questions were evaluated after the completion of the test and each correctly answered question was evaluated as five points and the total score ranged from 0-100. The higher the score obtained from the knowledge test, the higher the women\'s level of knowledge about newborn bathing.

  average 3 months

• Anxiety level of women

  Anxiety level of women will be assessed by using Spielberger\'s State Anxiety Inventory. The scale was developed to measure the state anxiety levels of normal and abnormal individuals and adapted into Turkish by Öner and Le Compte. It is a self-assessment type scale consisting of short statements. The State Anxiety Inventory was developed to measure a person\'s anxiety at a specific moment and consists of 20 items. In the evaluation of the scale, it is accepted that those who score below 36 have no anxiety, those who score between 37 and 42 have mild anxiety and those who score 42 and above have high anxiety.

  average 3 months

• Womens bonding levels

  Womens bonding level will be assessed using the Postpartum Bonding Questionnaire (PBQ). The PBQ was first developed to assess mother-infant attachment. It was revised to identify problems in the mother-infant relationship. The scale was adapted into Turkish by Dişsiz et al. in 2024. The six-point Likert-type scale has 21 items to measure the mothers attachment to the infant within a year. As the score obtained from the scale increases, the mothers bonding to the baby decreases.

  average 3 months

Study Arms (3)

Control Group

NO INTERVENTION

Pregnant women in the control group will be subjected to the routine hospital protocol without any other intervention. Pregnant women in this group are verbally informed about bathing during outpatient clinic follow-ups. After completing the post-test questions, the newborn bath application video will be transmitted to the women in this group on their phones and the disadvantageous situation of this group will be tried to be reduced.

Intervention group 1

EXPERIMENTAL

The women assigned to this group will be shown the newborn bath application video prepared by the researchers in groups of 2-4 people in the form of a projection presentation.

Behavioral: Intervention group 1

Intervention group 2

EXPERIMENTAL

In groups of 2, the researcher will first explain the stages of newborn bathing application by the researcher in the form of a projection presentation, and then the pregnant women will be provided to perform the newborn bathing application on the newborn bathing model and tools simultaneously with the researcher.

Behavioral: Intervention group 2

Interventions

Intervention group 1 BEHAVIORAL

The women assigned to this group will be shown the newborn bath application video prepared by the researchers in groups of 2-4 people in the form of a projection presentation.

Intervention group 1

Intervention group 2 BEHAVIORAL

In groups of 2, the researcher will first explain the stages of newborn bathing application by the researcher in the form of a projection presentation, and then the pregnant women will be provided to perform the newborn bathing application on the newborn bathing model and tools simultaneously with the researcher.

Intervention group 2

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Can speak and understand Turkish,
• years of age or older,
• Literate,
• Primiparous,
• In the third trimester of pregnancy,
• A singleton pregnancy,
• No psychiatric illness,
• Who have not received any training on newborn bathing before,
• Her baby was not diagnosed with a fetal anomaly,
• With a smartphone and internet,
• Residing in the province of Kahramanmaras and
• Who agreed to participate in the research

You may not qualify if:

• Preterm labor (\<37 weeks gestation),
• Stillbirth,
• The baby needs intensive care or is hospitalized,
• The baby has a low birth weight (\<2500 grams),
• The one whose baby\'s first bath was given by someone else,
• A newborn bathing program was organized at the pregnancy school.
• Wishing to leave at any stage of the study.

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Kahramanmaras Sutcu Imam University

Kahramanmaraş, Turkey (Türkiye)

Location

Related Publications (16)

• WHO Recommendations on Postnatal Care of the Mother and Newborn. Geneva: World Health Organization; 2013 Oct. Available from http://www.ncbi.nlm.nih.gov/books/NBK190086/

  PMID: 24624481 BACKGROUND

• Sarkar R, Basu S, Agrawal RK, Gupta P. Skin care for the newborn. Indian Pediatr. 2010 Jul;47(7):593-8. doi: 10.1007/s13312-010-0132-0.

  PMID: 20683112 BACKGROUND

• Roxanne B, Laura VDB, Yannic VG, Natacha VC, Luka VL, Kuipers YJ. Validation of the postpartum bonding questionnaire: A cross-sectional study among Flemish mothers. Midwifery. 2022 Apr;107:103280. doi: 10.1016/j.midw.2022.103280. Epub 2022 Feb 8.

  PMID: 35182820 BACKGROUND

• Öner N, Le Compte A. Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. s: 1-26, 1. Basım Boğaziçi Üniversitesi Yayınları, İstanbul, 1983.

  BACKGROUND

• Keten Edis E. Sağlık & Bilim 2022: Hemşirelik- IV. s. 95-103, 1. Basım, Efe Akademik Yayıncılık, İstanbul, 2022.

  BACKGROUND

• Kayom VO, Kakuru A, Kiguli S. Newborn Care Practices among Mother-Infant Dyads in Urban Uganda. Int J Pediatr. 2015;2015:815938. doi: 10.1155/2015/815938. Epub 2015 Dec 2.

  PMID: 26713096 BACKGROUND

• Getachew G, Ibrahim IM, Mulugeta Y, Ahmed KY. Early newborn bathing and associated factors among mothers in Afar Region, Northeast Ethiopia. J Trop Pediatr. 2022 Dec 5;69(1):fmac117. doi: 10.1093/tropej/fmac117.

  PMID: 36625889 BACKGROUND

• Garcia Bartels N, Mleczko A, Schink T, Proquitte H, Wauer RR, Blume-Peytavi U. Influence of bathing or washing on skin barrier function in newborns during the first four weeks of life. Skin Pharmacol Physiol. 2009;22(5):248-57. doi: 10.1159/000235552. Epub 2009 Aug 18.

  PMID: 19690450 BACKGROUND

• Dissiz M, Bayri Bingol F, Demirgoz Bal M, Karacam Yilmaz ZD, Karakoc A, Bilgin Z. The Turkish version of the Postpartum Bonding Questionnaire (PBQ): Examination of the validity and reliability and scale structure. J Pediatr Nurs. 2024 Jul-Aug;77:131-139. doi: 10.1016/j.pedn.2024.03.012. Epub 2024 Mar 21.

  PMID: 38518689 BACKGROUND

• Dağoğlu T, Ovalı F. Yenidoğanın cilt bakımı. Neonatoloji. s.167-74, 2. Basım, Nobel Tıp Kitabevleri, İstanbul, 2007.

  BACKGROUND

• Çalışır H, Güler F. Riskli Yenidoğanların cilt bakımında kanıta dayalı uygulamalar. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 2011; 3(2).

  BACKGROUND

• Brockington IF, Oates J, George S, Turner D., Vostanis P, Sullivan M, ve ark. Screening questionnaire for mother-infant bonding disorders. Archives Of Women's Mental Health 2001; 3(4):133-140.

  BACKGROUND

• Brandon D, Hill CM, Heimall L, Lund CH, Kuller J, McEwan T, New K. Neonatal skin care: evidence-based clinical practice guideline. Washington DC: Association of Women's Health, Obstetric and Neonatal Nurses 2018.

  BACKGROUND

• Boran S, Kahriman İ, Polat SD. Exploring newborn bathing practices among mothers in the postpartum period. Genel Sağlık Bilimleri Dergisi 2024; 6(2):239-254.

  BACKGROUND

• Blume-Peytavi U, Cork MJ, Faergemann J, Szczapa J, Vanaclocha F, Gelmetti C. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. J Eur Acad Dermatol Venereol. 2009 Jul;23(7):751-9. doi: 10.1111/j.1468-3083.2009.03140.x.

  PMID: 19646134 BACKGROUND

• American Academy of Pediatricks 2023. https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Bathing-Your-Newborn.aspx: Erişim Tarihi: 19.08.2024.

  BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

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: Randomized controlled experimental research

Study Record Dates

• First Submitted: September 17, 2024
• First Posted: October 28, 2024
• Study Start: December 15, 2024
• Primary Completion: July 15, 2025
• Study Completion: August 15, 2025
• Last Updated: October 28, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)