The Effect of Hypno-breastfeeding and Solution-oriented Approach

Cukurova University90 enrolled

Overview

Motivation, which is also necessary for the breastfeeding behavior of mothers in the postpartum period, can affect the success and continuity of breastfeeding. This study was conducted to evaluate the effects of hypno-breastfeeding and solution-oriented approach on breastfeeding motivation and insufficient milk perception in mothers. It is a randomized controlled experimental study. The sample of the study consisted of 90 women who met the inclusion criteria, three groups as the hypno-breastfeeding group, the solution-focused approach group and the control group.

Hypno-breastfeeding, which is a mind-body program that helps to increase breast milk production, is a therapy that includes emotion control, pain management, and positive suggestions that define the mother's role in the breastfeeding process. This method, in comfortable, calm and natural conditions, is effective in increasing the amount of milk by eliminating phobias, anxiety and negative thoughts in the mind of the mother, relaxing and concentrating on breastfeeding. The solution-oriented approach, on the other hand, is a therapeutic counseling practice that does not deal with the problem itself, but focuses on the past successes of the individual and the times when they did not experience the problem. In solution-oriented approach, which argues that each individual can solve their problems with their own internal resources by only directing them to the positive, it focuses on the strengths of the person instead of underlining the weaknesses. No study has been found on the effect of solution-oriented approach on breastfeeding process in the perinatal period. However, there are studies that show that the application of solution-oriented approach, which will make a different contribution to midwifery philosophies, is effective in reducing the fear of birth and reducing the anxiety of mothers who have anxiety about premature baby care. It is thought that with the effective use of the hypno-breastfeeding method and solution-oriented approach by midwives and health personnel, the perception of insufficient milk of mothers during the breastfeeding process can be reduced and breastfeeding motivation will be positively affected. In this context, this study aimed to determine the effect of hypno-breastfeeding and solution-oriented approach on breastfeeding motivation and insufficient milk perception.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Conditions

Breastfeeding Breast Milk Expression

Interventions

Solution-oriented approachOTHER

A preliminary assessment of the pregnant woman's thoughts on breastfeeding was made and the EARS (Eliciting, Amplifying, Reinforcing and Start Over) process was applied. Eliciting, Amplifying, Reinforcing and Start Over process guides the second and subsequent sessions in a sequential order. The Eliciting, Amplifying, Reinforcing and Start Over technique reminds the counselor of the basic concepts of solution-oriented approach and its explanation is as follows;

Hypno-breastfeedingOTHER

A preliminary assessment was made about the pregnant woman's thoughts on breastfeeding. In the hypno-nursing philosophy, affirmation, relaxation, imagination and visualization techniques were used in order to positively affect the subconscious mind during the breastfeeding process.

Eligibility

Sex: FEMALEMin age: 19 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Single pregnancy * 35 weeks and above healthy pregnancy * No communication barrier * No diagnosed psychiatric problem * Normal delivery * No complications of mother and baby Exclusion Criteria: * Multiple pregnancy * 34 weeks and below pregnancy * Communication barrier * Clinical diagnosis of psychiatric problem * Cesarean delivery * Complications in mother and baby

Locations (1)

Çukurova University

Adana, Turkey (Türkiye)

Outcomes

Primary Outcomes

Primiparous Breastfeeding Motivation Scale

The scale, which was validated and reliable in Turkish by Akçay and Demirgöz Bal, was developed by Stockdale et al. to determine the factors affecting breastfeeding motivation in primiparous women. It was determined that the scale consisting of 29 items was 7-point Likert type and had 4 sub-dimensions. These sub-dimensions are: the value attached to breastfeeding, self-efficacy, perceived midwife support, and success expectancy. As the score obtained from each sub-dimension increases, the breastfeeding motivation level of that sub-dimension increases. A cutoff in the assessment of the scale There is no value or total score. Evaluation by summing the scores obtained in each subgroup in the scale is done. As the score increases, the characteristics of the subgroup and therefore the motivation increase.

Time frame: 5 months

Secondary Outcomes

Insufficient Milk Perception Scale

The scale, developed by McCarter-Spaulding, consists of 6 questions to determine inadequate perception of breast milk. The Turkish validity and reliability of the scale was performed by Gökçeoğlu. The first question of the scale questions whether the mother perceives her milk adequately and is answered as "yes" or "no". Other questions of the scale are aimed at measuring the perception of inadequacy of milk. These questions are scored between 0-10 ("0" is perceived as completely inadequate, "10" is perceived as completely sufficient). A score between 0-50 can be obtained from the scale, and a high total score indicates an increased perception of milk sufficiency.

Time frame: 5 months

Data from ClinicalTrials.gov

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