The Effect of Relactation Support Program on Milk Release, Mother-Infant Attachment and Maternity Role
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Scale 2
研究概览
简要总结
Aim: This study aimed to determine the effect of relactation support program on milk release, mother-infant attachment and maternity role.
Materials and Methods: This single-group pre-test post-test experimental study was conducted with 34 mothers who had 1-4 month old infants, stopped breastfeeding at least 15 days and at most 3 months ago and were registered in the family health centers of a province in the southern Turkey. The relactation support program was completed in 15 days, with eight home visits and seven telephone support sessions. The data were collected using a personal information form, a mother-infant follow-up form, the Maternal Attachment Inventory (MAI) and the Barkin Index of Maternal Functioning (BIMF).
Keywords: Mother-Infant Attachment, Maternity Role, Midwifery, Relactation, Milk Release.
详细描述
This is a single-group pre-test post-test experimental study. This study was conducted between October 2021 and October 2022 in Family Health Centers (FHCs) in province in southern Turkey. By using the G*power 3.1 program, the sample size was determined to include 29 mothers/women under 5% margin of error, 95% confidence level, and 95% power of representation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
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
- •For mothers;
- •Having no milk release,
- •Using no pharmacological agents that may increase milk release,
- •Being not pregnant,
- •Having no communication problem,
- •Being literate,
- •Being between the ages of 18-35 years,
- •Having singleton gestation in their last childbirth,
- •Using no medication that prevents breastfeeding (chemotherapy, etc.). For babies;
- •Being healthy
- •Having no congenital sucking problem (cleft palate, cleft lip, etc.)
排除标准
- •For mothers;
- •Using any pharmacologic agent to increase milk release,
- •Having a diagnosis of psychiatric illness. For babies;
- •Having any metabolic disease that may prevent breastfeeding (galactosemia, phenylketonuria, etc.) or any other chronic disease (advanced heart disease, etc.).
研究组 & 干预措施
single-group pre-test post-test experimental study
In our midwifery intervention, the mother was firstly educated about breastfeeding and relactation, using educational brochures prepared by the researchers. Afterwards, the mother was taught "nipple stimulation", "skin-to-skin contact" and "finger feeding method", and the first feeding of the baby was performed together with the mother. After this first intervention in the FHC, all interventions were performed at home. The follow-ups continued for 15 days with one day of telephone support and one day of home visit. Since the majority of mothers did not accept video calls (privacy, etc.), telephone support was provided only verbally.
干预措施: TEACHING RELACTATION TECHNIQUES (Other)
结局指标
主要结局
Scale 2
时间窗: First day
Barkin Index of Maternal Functioning Scale was used for pretest. Index of Maternal Functioning consists of 16 items, scoring as "completely disagree=0", "disagree=1", "partially disagree=2", "undecided=3", "partially agree=4", "agree=5", "completely agree=6". The lowest and highest scores on the scale are 0 and 96, respectively. The scale has five subscales: * Self-Care (2, 11, 13 items) * Maternal Psychology (8, 10 items) * Infant Care (items 12, 14, 15, 16) * Social Support (items 6, 7, 9) * Maternal adjustment (items 1, 3, 4, 5).
Questionnaire
时间窗: First day
Mother-Infant Follow-Up Form filled out at the first meeting with the participants.This form was prepared by the researchers and includes information about the mothers' breastfeeding issues, breast health problems (cracks, mastitis, etc.), number of daily breastfeeding, number of daily milk release, amount of milk release, baby's weight and presence of sucking problems, which should be followed up during relactation.
Scale 1
时间窗: First day
Maternal Attachment Scale was used for pretest.This 4-point Likert-type scale has a total of 26 items, scoring as "always =4", "often =3", "sometimes =2", and "never =1". The lowest and highest scores on the scale are 26 and 104, respectively. Higher scale scores refer to greater maternal attachment.
次要结局
- Scale 1 Scale 1 (Attachment Inventory)(16. day)
- Scale 2(16. day)
- Questionnaire(1-16 days)
研究者
Emel GÜÇLÜ CİHAN
Principal Investigator
Inonu University