跳至主要内容
临床试验/NCT07095088
NCT07095088进行中(未招募)不适用

Effects of Awareness-based Parenting and Birth Preparation Education Given to Couples on Materna-paternal Bonding, Birthparameters and Postpartum Harmony

Kayseri Training and Research Hospital2 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2023年11月23日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
24
试验地点
2
主要终点
Mindful Attention Awareness Scale(MAAS) total score to assess change in trait mindfulness

研究概览

简要总结

Nurses, who play a key role in maternal and infant health, take action with evidence-based practices to reduce fear of childbirth, encourage natural birth, and improve negative pre-pregnancy, pregnancy, and post-pregnancy outcomes caused by fear.Considering the increasing rates of elective cesarean sections in developed countries, interventions against fear of childbirth have become more important. The negative effects of cesarean section on both maternal and infant health and the damage it causes to the health system due to increased costs are clear . For all these reasons, the inclusion of awareness-based interventions such as MBCP in childbirth preparation class education programs not only aims to reduce the increasing cesarean section rates, but also aims to provide awareness that women and their partners can benefit from not only during pregnancy, birth, and parenthood, but throughout their lives.

详细描述

According to the Turkish Language Association, the word parent means mother and father. It is also described as a nuclear family and represents the mother and father of a child . The meaning of being a parent is defined as the continuous provision of care, needs and support for a child for development and survival .

Becoming a parent is one of the developmental transition periods that include radical changes and add new roles and responsibilities to an individual's life . This process of change is called the transition to parenthood. Although there are many different views on when the transition to parenthood begins and ends, the most widely accepted view is that it begins with pregnancy for individuals who become mothers/fathers for the first time and ends within a few months after birth. The transition period is followed by the parenthood period .

The transition period to parenthood also brings about parent-infant bonding. The term attachment refers to the ability to establish and maintain an emotionally positive, mutual, and supportive relationship between babies and parents. If the relationship is established appropriately, adults adapt themselves to their babies and babies give adults clues about their needs. This relationship, which develops in the early period, has an important place in the physical, psychological, and intellectual development of the child and continues to be effective throughout life. The family-baby bonding process develops in three periods: pregnancy, birth, and postpartum . During pregnancy, it is important for parents to feel and caress their baby physically, to believe that their baby is in touch with them, to talk to the fetus, to say its name, to think about their baby, to feel positive feelings about their baby, and to imagine their baby's future situation in terms of the development of attachment . It is stated that the attachment that begins during pregnancy gradually increases as the pregnancy progresses and strengthens after the baby is born .In a study examining attachment, it was determined that there was a strong and significant relationship between prenatal attachment and postpartum attachment . Since the conscious emotions created by attachment are motivating during pregnancy and facilitate adaptation to the parenting role, they also positively affect the parent-infant adaptation process . The pregnancy period is seen as an important preparation period in which physiological, psychological, social and emotional changes are experienced for parenthood and adaptation to these changes is required. Especially individuals who will become mothers and fathers for the first time may experience some feelings of uncertainty regarding the changes experienced during pregnancy, birth and the postpartum period. Parents want the pregnancy process to be smooth, the birth to be painless and with high satisfaction . However, during this process, they experience complex emotions such as anxiety, fear, and excitement. Fears usually arise from the possibility of an episiotomy during vaginal birth, the possibility of a tear in the perineum, the pain felt during all these processes, and the responsibilities of being a parent regarding baby care . There are many educational programs that focus on attitudes and behaviors for parents in order to facilitate individuals' adaptation to these changes and to better manage their transition to parenthood. These programs have a positive effect on the individual well-being of parents, their ability to acquire parenting skills in a healthy way, and the healthy development of the child . By supporting the uncertainty of this transition process with educational programs in the prenatal period, family-baby bonding and adaptation can be achieved, and pregnancy, birth and postpartum processes can be continued in a healthy way One of the behavioral intervention programs used to adapt to the changes experienced during pregnancy, birth and postpartum and to continue the transition to parenthood in a healthy way is Conscious Awareness-Based Applications. Conscious awareness is an experiential process in which attention is directed purposefully and consciously to what is happening in the body and mind at that moment, and the content that emerges as a result of these observations is accepted with curiosity, understanding and compassion without judgment, analysis or reaction. According to the Turkish Language Association, the word parent means mother and father. It is also described as a nuclear family and represents the mother and father of a child . The meaning of being a parent is defined as the continuous provision of care, needs and support for a child for development and survival .

Becoming a parent is one of the developmental transition periods that include radical changes and add new roles and responsibilities to an individual's life This process of change is called the transition to parenthood . Although there are many different views on when the transition to parenthood begins and ends, the most widely accepted view is that it begins with pregnancy for individuals who become mothers/fathers for the first time and ends within a few months after birth. The transition period is followed by the parenthood period .

The transition period to parenthood also brings about parent-infant bonding. The term attachment refers to the ability to establish and maintain an emotionally positive, mutual, and supportive relationship between babies and parents. If the relationship is established appropriately, adults adapt themselves to their babies and babies give adults clues about their needs. This relationship, which develops in the early period, has an important place in the physical, psychological, and intellectual development of the child and continues to be effective throughout life. The family-baby bonding process develops in three periods: pregnancy, birth, and postpartum. During pregnancy, it is important for parents to feel and caress their baby physically, to believe that their baby is in touch with them, to talk to the fetus, to say its name, to think about their baby, to feel positive feelings about their baby, and to imagine their baby's future situation in terms of the development of attachment .It is stated that the attachment that begins during pregnancy gradually increases as the pregnancy progresses and strengthens after the baby is born . In a study examining attachment, it was determined that there was a strong and significant relationship between prenatal attachment and postpartum attachment . Since the conscious emotions created by attachment are motivating during pregnancy and facilitate adaptation to the parenting role, they also positively affect the parent-infant adaptation process. The pregnancy period is seen as an important preparation period in which physiological, psychological, social and emotional changes are experienced for parenthood and adaptation to these changes is required. Especially individuals who will become mothers and fathers for the first time may experience some feelings of uncertainty regarding the changes experienced during pregnancy, birth and the postpartum period. Parents want the pregnancy process to be smooth, the birth to be painless and with high satisfaction .However, during this process, they experience complex emotions such as anxiety, fear, and excitement . Fears usually arise from the possibility of an episiotomy during vaginal birth, the possibility of a tear in the perineum, the pain felt during all these processes, and the responsibilities of being a parent regarding baby care .There are many educational programs that focus on attitudes and behaviors for parents in order to facilitate individuals' adaptation to these changes and to better manage their transition to parenthood. These programs have a positive effect on the individual well-being of parents, their ability to acquire parenting skills in a healthy way, and the healthy development of the child. By supporting the uncertainty of this transition process with educational programs in the prenatal period, family-baby bonding and adaptation can be achieved and pregnancy, birth and postpartum processes can be continued in a healthy way . It is a skill that allows us not to be passive towards everything that is happening in the moment and is associated with reducing all levels of suffering and increasing our well-being with all our positive, negative and neutral experiences. Due to the stated effects, these interventions are important for parents to develop awareness and acceptance of thoughts, feelings and body sensations, reduce reactivity, avoid disturbing experiences, accept the roles and responsibilities of parenting in a non-judgmental manner, learn to use mechanisms to cope with the stress of parenting and show compassion to themselves and their children.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Supportive Care
盲法
Single (Participant)

入排标准

年龄范围
18 Years 至 35 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Women aged 18-35,
  • Women in their first pregnancy,
  • Women in their 24-28th weeks of pregnancy,
  • Women accepted to Pregnancy School training during the study period,
  • Women with at least a literate education level, and
  • Women without a communication barrier were included in the study.

排除标准

  • • Women with psychiatric disorders,
  • Women with pregnancy-related risk factors that could lead to a risk of preterm birth,
  • Women with chronic illnesses that could lead to a risk of preterm birth were excluded from the study.

结局指标

主要结局

Mindful Attention Awareness Scale(MAAS) total score to assess change in trait mindfulness

时间窗: Baseline (pre-intervention) and post-intervention (week 8)

The MAAS is a 15-item self-report questionnaire developed by Brown \& Ryan (2003) and adapted into Turkish by Özyeşil et al. (2011). It measures the frequency of mindful states in daily life using a 6-point Likert scale (1 = Almost always to 6 = Almost never), with total scores ranging between 15 and 90. Higher scores reflect higher dispositional mindfulness. Unit of Measure: Total Score (15-90)

次要结局

  • Wijma Delivery Expectancy Questionnaire (W-DEQ)total score to assess fear of childbirth(Baseline (gestational week 28-30) and post-intervention (gestational week 36))
  • Visual Analog Scale (VAS)score to assess perceived labor pain(IMMEDIATELY AFTER BIRTH)

研究者

发起方
Kayseri Training and Research Hospital
申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

MERVE GÜL TİREN

Responsible Party Type: Principal Investigator, PhD student Name: Merve Gül Tiren

Kayseri Training and Research Hospital

研究点 (2)

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