The Effect of Lactation Management Model-Based Care Provided to Mothers With Babies in the Intensive Care Unit on the Amount of Breast Milk and Breastfeeding Duration
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Scoring system for the amount of breast milk the baby receives
研究概览
简要总结
Using breast stimulating techniques (skin-to-skin contact, relaxation exercises, breast massage, nipple stimulation, hot application, etc.) stimulates the secretion of milk and increases its amount. This study aimed to determine the effect of care based on the lactation management model offered to mothers whose babies are in the neonatal intensive care unit, on the amount of breast milk and duration of breastfeeding.
详细描述
Support of prolactin and oxytocin hormones is needed for adequate production and secretion of breast milk. Many factors affect the levels of oxytocin and prolactin in the blood, such as the health status of the mother and the baby after birth, their separation for a while, nutrition, light, stress, fear, and lack of social support. Using breast stimulating techniques (skin-to-skin contact, relaxation exercises, breast massage, nipple stimulation, hot application, etc.) stimulates the secretion of milk and increases its amount. This study aimed to determine the effect of care based on the lactation management model offered to mothers whose babies are in the neonatal intensive care unit, on the amount of breast milk and duration of breastfeeding.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
All mothers included in the sample were assigned to experimental and control groups using the randomization table.
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Between the ages of 18-35,
- •The baby is still in intensive care,
- •Gave birth at 34 weeks of gestation and above,
- •The baby was taken to intensive care within the first 3 days after birth,
- •The baby will stay in the neonatal intensive care unit for at least 3 more days,
- •The baby has started breastfeeding,
- •Giving breast milk to the baby by expressing it,
- •Not using any medication that will affect milk quantity,
- •Does not have a psychiatric disease that will affect breastfeeding in the postpartum period,
- •Availability by phone, language, etc. Mothers who do not have communication problems.
排除标准
- •Not between the ages of 18-35,
- •The baby is discharged from intensive care,
- •Those whose gestational age is less than 34 weeks,
- •The baby is taken to intensive care after the first 3 days after birth,
- •The baby is in the neonatal intensive care unit for at least 3 days,
- •The baby has not started breastfeeding,
- •Breastfeeding,
- •Those who use medication that will affect the amount of milk,
- •Having a psychiatric disease that will affect breastfeeding in the postpartum period,
- •Mothers with communication problems.
研究组 & 干预措施
Lactation Management Model-Experimental
The women in the experimental group were told about the care technique in accordance with the Lactation Management Model and were asked to apply it regularly for 3 days.The content of the Lactation Management Model includes skin-to-skin contact, hot application to the breast, relaxation and breast massage, and process monitoring.In this regard, the mother should apply skin-to-skin contact to her baby 12 times a day, 8 times on the 2nd day, 4 times on the 3rd day, hot application to the breast (5 minutes), relaxation technique (3 minutes) and breast massage (5 minutes manual milking, 2 minutes . nipple stimulation, stroking for 3 minutes).
干预措施: Lactation Management Model (Other)
Non-application group- Control
No treatment was performed on women in the control group.
结局指标
主要结局
Scoring system for the amount of breast milk the baby receives
时间窗: Change from before implementation and 4th week of practice
The form developed to evaluate the amount of breast milk the baby receives consists of 5 sections: urine amount, breast condition, stool amount, weight and satisfaction. Each section is grouped into 3 groups in terms of its features and is evaluated over 0, 1, 2 points. In the evaluation, 10 points mean that breast milk is received in the best way, and 7 points and below mean that breast milk is inadequate.
次要结局
- Breast Milk and Breastfeeding Monitoring Form(Change from before implementation and 4th week of practice)