Facilitated Tucking Position's Effect on Comfort and Breastfeeding

Not Applicable

Completed

• Conditions: Breastfeeding, Exclusive; Preterm Birth; Position
• Interventions: Behavioral: Facilitation Tuchking Position

• Registration Number: NCT04704180
• Lead Sponsor: Selcuk University

Brief Summary

This study investigated the effect of facilitated tucking in the early postpartum period on preterm neonate comfort and breastfeeding performance.

Detailed Description

Individualized Developmental Care (IDC) offered by NICUs yields positive outcomes in preterm neonates and neonates. Those positions should be comfortable and safe to promote physiological stability and optimal neuromotor development. The facilitated tucking position is the position of the baby in its mother's womb. It calms the neonate and helps it feel safe and maintain body control. It also improves sleep quality, stabilizes physiological parameters, gives a sense of security, supports motor development, and optimizes energy use. The facilitated tucking position makes it easier for preterm neonates to undergo invasive procedures (heel blood collection, aspiration etc.). However, there is no published research examining the effect of the facilitated tucking position in the early postpartum period on physiological parameters, comfort, and breastfeeding performance in preterm neonates.

Study Timeline

• Study Start: 2018-11-29
• Primary Completion: 2018-11-29
• Study Completion: 2019-07-03
• Status Verified: 2021-01
• Study First Submitted: 2021-01-02
• Study First Submitted QC: 2021-01-07
• Last Update Submitted: 2021-01-07
• Study First Posted: 2021-01-11
• Last Update Posted: 2021-01-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 92

Inclusion Criteria

• Born at 35-37 weeks of gestation,
• Appropriate weight for the week of gestation,
• 1-min and 5-min Apgar score of ≥ 8,
• No oxygen therapy,
• No anatomical and physiological problems,
• Showing no signs of illness,
• No congenital disorder,
• No breastfeeding problems

Exclusion Criteria

• No parental consent
• Medical intervention other than the follow-up

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group: Facilitation Tuchking Group	Facilitation Tuchking Position	The experimental group neonates received facilitated tucking under the radiant heater after birth of the NICU as well as the routine interventions.

Primary Outcome Measures

Name	Time	Method
Physiological Parameter Follow-up Form	Secont measurement- After admission in NICU 30th minutes	Heart rate (min), oxygen saturation (SpO2%), body temperature (°C), and respiration rate (min) was measured at admission to the NICU at 30th minutes.
COMFORT Behavior Scale for Neonates	In the 30th minute	The COMFORT behavior scale for neonates (COMFORTneo) is a Likert-type measure of sedation and comfort needs, and pain and distress levels in NICU neonates. Van Dijk et al. (2009) established the validity and reliability of the COMFORTneo to measure only behavior in neonates. Kahraman, Başbakkal, and Yalaz (2014) adapted the scale to Turkish.; In the 30th minute of facilitated tucking, the researcher and the observer nurse completed the COMFORTneo simultaneously but separately. The neonate was in the facilitated tucking position until delivered to its mother. The Intraclass Correlation Coefficient (ICC) was calculated to check the inter-observer agreement. The results indicated a perfect inter-observer agreement. The researcher and the observer nurse had a full view of the neonate's face and body when completing the COMFORTneo, which took them about two minutes.
LATCH	First breastfeeding (Within the first half an hour to an hour after birth).	The LATCH breastfeeding diagnostic form was developed by Jensen, Wallace, and Kelsay (1994) and adapted to Turkish by Yenal and Okumuş (2003).; Each letter of the acronym "LATCH" denotes a criterion for breastfeeding assessment: Latch onto the breast (L), audible swallowing (A), type of nipple (T), comfort (C), hold/help (H). The items are scored on a three-point Likert-type scale.; After the neonate stabilized (within the first half an hour to an hour), it was delivered to the mother for breastfeeding based on specialist consent. The researcher and the observer simultaneously and independently observed the mother breastfeeding and completed the LATCH. The first breastfeeding was performed when the neonate was awake and active.

Trial Locations

Locations (1)

Selcuk University; 🇹🇷 Konya, Turkey