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

Not Applicable

Completed

• Conditions: Nursing Caries; Newborn; Prenatal Care
• Interventions: Other: Structured education and follow-up

• Registration Number: NCT04827849
• Lead Sponsor: Aydin Adnan Menderes University

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

Detailed Description

Transition to motherhood, being one of the most important life incidents in the lives of women embodies the transition of role from a known situation to an unknown one. Being a special period in which women hold the role of motherhood together with the birth of the child; try to adapt the new role and reform relationship with the family members at the same time, transition to motherhood is a progressive period experienced by many women. Transition of woman to motherhood in a healthy manner will positively affect developing trust, achieving healthy communication with the infant, adapting to new lifestyle and fulfilling her responsibilities. Thus, transition to motherhood is quite significant both for mother and other family members and the new-born infant and needs to be discussed.

It is aimed in this research that effects of nursing care based on Meleis's Theory of Transition on Adaptation of Women to Motherhood and their Perception of New-born Infant shall be tested.

It will tested the hypotheses that there is no difference between the intervention and control groups of pregnant women after the intervention in terms of adaptation to pregnancy, adaptation to the postpartum period and newborn perception.

Study Timeline

• Study Start: 2020-09-01
• Primary Completion: 2021-03-30
• Study First Submitted: 2021-03-30
• Study First Submitted QC: 2021-03-30
• Study First Posted: 2021-04-01
• Study Completion: 2022-08-19
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-21
• Last Update Posted: 2023-06-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 79

Inclusion Criteria

• 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

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experiment group	Structured education and follow-up	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.

Primary Outcome Measures

Name	Time	Method
Adaptasion with pregnancy before intervention	28th gestational weeks	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.
Adaptasion with pregnancy after intervention	34th gestational weeks	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.
Mother-Neonatal Perception after birth	1st month after the 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.
Adaptasion to the postpartum period	4th month after the birth	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.

Trial Locations

Locations (1)

AydınAdnan Menderes University, Faculy of Nursing, Division Public Health Nursing; 🇹🇷 Aydın, Turkey