The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO)

Selcuk University128 enrolled

Overview

The objective of this study was to examine the impact of the intrapartum care model that adheres to the guidelines set forth by the World Health Organization (WHO) on several key outcomes, including the mother's maternal behavior towards her infant postpartum, breastfeeding self-efficacy, the success of breastfeeding, and the mother's readiness for hospital discharge.

The study was a randomized controlled trial. The study was conducted with 128 primiparous pregnant women (intervention group n=64, control group n=64) admitted to the maternity unit of a training and research hospital in a province in the Central Anatolia region of Turkey. Pregnant women in the intervention group were provided with intrapartum care in accordance with the WHO recommendations following the achievement of cervical dilatation reaching 5 cm. The control group was provided with only standard intrapartum and postpartum care. Data were collected using a personal information form, a postpartum parenting behavior scale, a breastfeeding self-efficacy scale, a breastfeeding charting system and documentation tool (LATCH), and a hospital discharge readiness scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

128

Conditions

Birth Outcome, Adverse Breast Feeding Parenting

Interventions

Intrapartum Care ModelOTHER

\- The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being 18 years of age or older, * History of term pregnancy (38-42 weeks), * Having a primiparous, * Single, healthy, vertex positioned fetus, * Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object, * Birth canal dystocia, dystocia related to the mother's psychology), * Having a partner/husband, * History of cervical dilatation of 5 cm or more, * Having a healthy newborn, * Being able to speak and understand Turkish. Exclusion Criteria: * Being under 18 years of age, * Having a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.), * Having a chronic disease (hypertension, diabetes, etc.), * Having maternal or fetal complications (oligohydramnios and polyhydramnios, placenta previa, pre-eclampsia, premature rupture of membranes, anomalies of presentation, intrauterine growth retardation, fetal anomaly, intrauterine death, fetal macrosomia, cord prolapse, etc.), * Having any complication that prevents vaginal delivery (head-pelvis incompatibility, etc.), * Having a history of elective cesarean section, * Being pregnant with assisted reproductive techniques, * Being multiparous,and having mastitis in the breast or having inverted nipples. * The study also excluded women who had undergone a cesarean section due to any complication (e.g., cord entanglement, fetal distress), * Who experienced complications related to the postpartum period (e.g., uterine atony, hemorrhage), * And whose infant was admitted to the neonatal intensive care unit for any reason (e.g., respiratory distress).

Locations (1)

Seyhan Çankaya

Konya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Comparison of pre-intervention sociodemographic of pregnant women.

Sociodemographic of pregnant women will be collected through surveys and compared and reported

Time frame: 6 months

Comparison of pre-intervention obstetric features of pregnant women

Obstetric of pregnant women will be collected through surveys and compared and reported.

Time frame: 6 months

Comparison of postpartum characteristics of pregnant women

Postpartum characteristics of pregnant women will be collected through surveys and compared and reported.

Time frame: 6 months

Comparison of mother's postpartum parenting behavior towards her baby mean scores by groups

The postpartum parenting behavior scale will be applied to mothers. The postpartum parenting behavior scale is 0-6 points (min-max) and as the score increases, the level of positive parenting behaviors of mothers towards their babies increases.

Time frame: 6 months

Comparison of mother's breastfeeding self-efficacy scale mean scores by groups

The breastfeeding self-efficacy scale will be applied to mothers. The breastfeeding self-efficacy scale is 14-70 points (min-max) and as the score increases, the breastfeeding self-efficacy of the mothers increases.

Time frame: 6 months

Comparison of mother's A Breastfeeding Charting System and Documentation Tool (LATCH) mean scores by groups

The Breastfeeding Charting System and Documentation Tool (LATCH) will be applied to mothers. The LATCH is 0-10 points (min-max) and as the score increases, the LATCH of the mothers increases.

Time frame: 6 months

Comparison of mother's readiness for hospital discharge scale-new mother form mean scores by groups

Data from ClinicalTrials.gov

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