Maternal Burnout, Breastfeeding Self-Efficacy and Attachment Level

NCT07112495 | Completed

• 1 other identifier: OznurT.
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Labor pain causes women to be afraid of vaginal delivery and to be anxious about delivery and therefore to prefer cesarean delivery (Ali Alahmari et al., 2020). The World Health Organization (WHO) has set the safe cesarean section rate for countries at 15% (World Health Organization, 2015). However, many countries are well above this rate (Betran et al., 2021). An important factor in the preference for cesarean deliveries is the fear of vaginal delivery (Zhao et al., 2021). Vaginal delivery with epidural anesthesia in primiparous women is a very good opportunity to prevent the preference of cesarean deliveries due to fear of vaginal delivery. Unless contraindicated, epidural analgesia should be offered to women to alleviate the pain felt with contractions during labor (Callahan et al., 2023). Recently, women frequently prefer epidural anesthesia to avoid pain during vaginal delivery. Vaginal delivery with epidural anesthesia aims to minimize the pain of women during the trauma process and is the most effective pain method among pharmacological and nonpharmacological interventions (Antonakou, \& Papoutsis, 2016). The reason why vaginal delivery with epidural anesthesia is not widespread enough is that women are not given enough information about epidural anesthesia (Shishido et al., 2020).

Conditions

Pregnancy

Keywords

pregnancy; pain; burnout; breastfeeding

Outcome Measures

Primary Outcomes (4)

• To determine the breastfeeding self-efficacy levels of mothers.

  Assessed using the Breastfeeding Self-Efficacy Scale The minimum possible score on the scale is 14, and the maximum is 70. There is no cutoff point for the scale, and a higher score indicates higher breastfeeding self-efficacy.

  1 year

• To evaluate maternal attachment levels.

  Measured with a validated maternal attachment scale. The lowest possible score on the scale is 26, and the highest is 104. A higher score indicates a higher level of maternal attachment.

  1 year

• To examine the breastfeeding status of infants during the first six months of life.

  Including exclusive breastfeeding, partial breastfeeding, and formula supplementation

  1 year

• To monitor infant growth and development through percentile tracking during the first six months.

  Based on weight, height, and head circumference measurements compared with growth charts

  1 year

Study Arms (2)

intervention

EXPERIMENTAL

pregnant women receiving epidural

Other: pregnant women with

Control

NO INTERVENTION

no pregnant women receiving epidural

Interventions

pregnant women with OTHER

pregnant women with

intervention

Eligibility Criteria

• Age: 19 Years - 45 Years
• Gender Eligibility Details: women in labor
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Having a normal vaginal delivery in the delivery room,
• to 45 years old
• To be transferred to the Puerperium service after delivery,
• The baby's APGAR score is 7 and above
• and above weeks of gestation
• No complications in the baby and mother due to childbirth
• Postnatal care by the mother's side
• Mother and baby sharing the same room after birth until discharge,
• The mother is breastfeeding her baby,
• Mother's voluntary participation in the study.

You may not qualify if:

• Separation of mother and baby for any reason while the mother is with the baby
• Transfer of the baby to the NICU
• Wanting to get out of the study.
• Being a single parent
• Those who cannot speak and write Turkish

Sponsors & Collaborators

• Sakarya University: lead

Study Sites (1)

Sakarya University

Sakarya, Turkey (Türkiye)

Location

Related Links

• DOI: 10.14744/DAJPNS.2023.00212
• Related Info

MeSH Terms

Conditions

Pain; Burnout, Psychological; Breast Feeding

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Stress, Psychological; Behavioral Symptoms; Behavior; Feeding Behavior

Study Officials

• Tiryaki

  Sakarya

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Prof

Model Details: This study was designed as a randomized controlled trial.

Study Record Dates

• First Submitted: May 14, 2025
• First Posted: August 8, 2025
• Study Start: January 1, 2024
• Primary Completion: January 1, 2025
• Study Completion: February 20, 2025
• Last Updated: January 2, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)