The Effect of Breastfeeding Training Given to Mothers With Vaginal Birth by Motivational Interview Technique

Not Applicable

Recruiting

• Conditions: Breastfeeding
• Interventions: Behavioral: Breastfeeding education based on motivational interviewing technique

• Registration Number: NCT06313034
• Lead Sponsor: Gümüşhane Universıty

Brief Summary

This study aimed to determine the effect of breastfeeding education given to mothers who gave birth vaginally using motivational interviewing technique on breastfeeding motivation, self-efficacy and attachment. The study will be conducted as a single-blind, randomized controlled trial.

Detailed Description

The study will be conducted as a single-blind, randomized controlled trial with 80 mothers who gave birth vaginally. In the experimental group, just before discharge from the hospital (within the last 4 hours before discharge), on the 2nd-5th, 13th-17th, 30th-42nd days after birth. Breastfeeding training based on motivational interviewing technique will be given 4 times in total. The control group will continue to receive the current standard care and service of the relevant hospital and other postpartum health institutions.

Hypotheses of the Research

1. The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the mother's breastfeeding motivation.

are there?(H1)

2. Breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique has no effect on increasing the mother's breastfeeding self-efficacy.

Does it have any effect?(H2)

3. The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the level of mother-infant attachment.

are there?(H3)

Study Timeline

• Study Start: 2023-05-01
• Status Verified: 2024-03
• Study First Submitted: 2024-03-05
• Study First Submitted QC: 2024-03-09
• Last Update Submitted: 2024-03-09
• Primary Completion: 2024-03-15
• Study Completion: 2024-03-15
• Study First Posted: 2024-03-15
• Last Update Posted: 2024-03-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 80

Inclusion Criteria

Maternal criteria;

• Agreeing to participate in the research
• Being 20 years or older
• Having had a vaginal birth
• being primiparous
• Being at least a primary school graduate
• Ability to speak Turkish
• Not having any condition that would prevent communication
• No medical breast problem

Criteria for the baby;

• Being born at term (38-41 gestational weeks)
• There is no congenital anomaly such as cleft palate or lip of the newborn that may prevent sucking.
• Birth weight over 2500 grams

Exclusion Criteria

Maternal criteria;

• Having a chronic disease that prevents breastfeeding
• Having major breast problems that will prevent breastfeeding
• The mother has a diagnosed psychiatric disease
• Having 2 or more live newborns in this birth

Criteria for the baby;

• Premature birth (37th gestational week and before)
• Having a congenital disease
• Being in the risk group/being diagnosed with a disease in the newborn screening program

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
experimental group	Breastfeeding education based on motivational interviewing technique	Breastfeeding education will be given to mothers in the experimental group in 4 individual and face-to-face sessions based on motivational interviewing technique. The first session of breastfeeding training based on motivational interviewing technique will be held in the delivery room where the mother is hospitalized before being discharged from the hospital. Other sessions will be held according to the monitoring frequency recommended in the Postnatal Care Management Guide of the Ministry of Health of the Republic of Turkey (2018). These will be done at the health institution where the mother receives service. Second session; Between the 2th and 5th postpartum day Third session; Between the 13th and 17th postpartum day Fourth session; Between the 30th and 42th postpartum day The duration of each motivational interview is planned to be between 30-40 minutes on average.

Primary Outcome Measures

Name	Time	Method
Breastfeeding Self-Efficacy Scale Short Form	Three months	The scale is a 5-point Likert type and consists of 14 questions in total. The lowest score that can be obtained from the scale is 14 and the highest score is 70. High scores are interpreted as high breastfeeding self-efficacy.
Mother-Baby Attachment Scale	Three months	The scale has a total of 8 items and is a 4-point Likert type. Responses are scored between 0-3. In the evaluation, items with positive emotion expressions (1, 4, 6.) were scored as 0, 1, 2, 3, while items with negative emotion expressions (2, 3, 5, 7, 8.) were scored as 3, 2, 1,0. It is scored as. The lowest score that can be obtained from the scale is 0 and the highest score is 24. As the score obtained from the scale increases, the level of mother-infant attachment decreases
Mother Introductory Information Form	one day	It was prepared in line with the literature. The form consists of a total of 27 questions, including information about socio-demographic information, obstetric, newborn characteristics.breastfeeding characteristics
Primipara Breastfeeding Motivation Scale	Three months	It was developed to determine the factors affecting breastfeeding motivation in primiparous women. The scale is a 7-point Likert type, consisting of a total of 29 items and 4 sub-dimensions. These sub-dimensions; the value placed on breastfeeding, self-efficacy, perceived midwife support and expectation of success. There is no cut-off value and total score in the evaluation of the scale. As the score obtained from each sub-dimension increases, the breastfeeding motivation level of that sub-dimension increases.

Trial Locations

Locations (1)

Gümüşhane University; 🇹🇷 Gümüşhane, Turkey