The Effect of Discharge Education on Maternity Blues and Postpartum Depression
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Kocaeli University
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Motherhood Sadness Scale
Study Overview
Brief Summary
The study will be conducted with participants who will give birth at Farabi Training and Research Hospital in Darıca District, Kocaeli Province.
The sample size of the study was calculated using the G*Power 3.1.9.2 program, and the effect size of the Edinburgh Postnatal Depression Scale (EPDS) score in the Sun et al. (2021) study was considered in the effect size calculation. In the relevant article, the effect size is reported as effect size: 0.47. In our planned research, the minimum number of individuals to be sampled was calculated using G*Power 3.1.9.2 with effect size: 0.47 α= 0.05, power: 0.80, and the sample size was set at a minimum of 57 participants in each group. In anticipation of possible data loss, the study will be completed with a total of 140 participants, including 70 cases and 70 routine discharge training groups. This research aims to determine the effect of discharge training on maternal blues and postpartum depression on the levels of maternal blues and postpartum depression during postpartum follow-up.
Detailed Description
The purpose of this study is to determine the effect of discharge training on maternal sadness and postpartum depression on the level of maternal sadness and postpartum depression in the puerperium follow-up. In this context, the hypotheses of the study are as follows;
Hypothesis 1:
H0: There is no difference in the total scores of the Maternal Sadness Scale used in the postpartum follow-up of mothers who received discharge training on maternal sadness and postpartum depression and mothers who did not receive training.
H1: There will be a difference in the total scores of the Maternal Sadness Scale used in the postpartum follow-up of mothers who received discharge education on maternal sadness and postpartum depression and mothers who did not receive education.
Hypothesis 2:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Those who gave birth between weeks of gestation,
- •Those who have had vaginal birth or caesarean section,
- •Able to speak and understand Turkish,
- •Those over 18 years of age,
- •Mothers with a single healthy baby
- •Those with an Edinburgh Postnatal Depression Scale score of 9 or less in depressive symptoms screening
Exclusion Criteria
- •Preterm or postterm birth,
- •Received psychiatric treatment or used psychotropic medications during pregnancy,
- •Having a history of substance dependence and/or use in the past 6 months,
- •Being in the high-risk category,
- •Interventional/instrumented birth (Kiwi, vacuum, crystal maneuver),
- •Mothers having babies with congenital malformations requiring intensive care intervention (small for gestational age, mort de fetus, fetus without major pathology according to ultrasonography).
- •Participants who wish to withdraw from the study at any time will not be included in the study.
Arms & Interventions
Discharge education
Participants assigned to the discharge education group will receive discharge education about postpartum blues and postpartum depression. A "Personal Information Form" will be used. Discharge training and data collection are expected to take approximately 15-20 minutes. 5-7 days postpartum after the mothers are discharged. The 32-item "Motherhood Sadness Scale" will be administered by the researcher by telephone during the following days. In the 6th week of the postpartum period, the mothers will be contacted by the researcher by telephone and the 10-item "Edinburgh Postpartum Depression Scale" will be administered.
Intervention: Discharge training (Procedure)
Routine discharge training
Participants assigned to the routine discharge training group will receive routine discharge training. "A personal information form will be used. Discharge training and data collection are expected to take approximately 15-20 minutes. 5-7 days postpartum after mothers are discharged. The 32-item "Motherhood Sadness Scale" will be administered by the researcher by telephone during the following days. In the 6th week of the postpartum period, the mothers will be contacted by the researcher by telephone and the 10-item "Edinburgh Postpartum Depression Scale" will be administered.
Outcomes
Primary Outcomes
Motherhood Sadness Scale
Time Frame: 5-7 days of the postpartum period after the mother's discharge. It will be obtained by the researcher by telephone on the following days.
The scale developed to evaluate motherhood blues consists of 32 items and 8 sub-dimensions. These sub-dimensions; skin-to-skin contact, communication, staying in the same room, breastfeeding, physical adaptation, responsibility, culture, economic factors, information and economic support, social support. Scale items contain positive and negative expressions. The scale is graded as 'completely appropriate (5 points), appropriate (4 points), rarely appropriate (3 points), not appropriate (2 points), not at all appropriate (1 point). The minimum score that can be obtained from the scale is 32 and the maximum score is 160. A high total score in the evaluation of the scale indicates experiencing motherhood blues.
Edinburgh Postnatal Depression Scale - EPDS
Time Frame: At 6 weeks postpartum, the researcher will call and administer the 10-item Edinburg Postpartum Depression Scale.
The scale consists of 10 items. Items are evaluated in a 4-point Likert format and scored between 0-3. The lowest score that can be obtained from the scale is 0 and the highest score is 30. Although the cut-off scores for the scale vary between studies, it is stated that a cut-off score of 12 may be sufficient to determine clinical depression. The scale is a screening scale to determine the risk of postpartum depression.
Secondary Outcomes
No secondary outcomes reported
Investigators
sena dilek
Principal Investigator
Kocaeli University