Baby Smell Visual Stimulus Program Cortical and Breast Oxygenation Milk Amount Mother-Infant Attachment

Selcuk University

Status: Completed

Conditions: Cesarean Delivery Affecting Fetus; Preterm Labor

Treatments: Behavioral: Olfactory stimulation; Behavioral: Visual stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06058208

SelcukUnı4244

Details and patient eligibility

About

In this study, the effect of infant odor and visual stimulus program applied to mothers who had delivered by cesarean section and whose babies were taken to the NICU on cortical and breast oxygenation (rSO2), amount of breast milk and mother-infant bonding was investigated.

Full description

One of the conditions that prevent the preterm baby from being close to the mother in the early period is cesarean delivery and subsequent removal to the NICU. In the first hour of life, the process immediately after birth, when the newborn is alert, makes eye contact, focuses, finds the unaided mother's breast and begins to feed, deteriorates in babies in need of intensive care and mothers begin the experience of parenting with delayed attachment. The mother experiences high levels of stress due to changes in many parental roles such as being physically separated from her baby, not being able to breastfeed effectively, not being able to care for her baby and the intensive care environment, and experiencing a delay in lactation with the effect of cesarean delivery. In the literature, many interventions have been implemented to reduce the negative effects of mother-infant separation on lactation and attachment in mothers who have given birth by cesarean section. However, there is no published research examining the effect of infant odor and visual stimulus program applied to mothers who had delivered by cesarean section and whose babies were taken to the NICU on cortical and breast oxygenation (rSO2), amount of breast milk and mother-infant bonding. In addition, being able to assess how the mother's cortical and breast oxygenation changes while smelling her baby's scent and watching her/his video will further strengthen the results of the measurement tools.

Enrollment: 54 patients

Sex: All

Ages: 28 to 37 weeks old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Infant

• Born at 28-37 (36+6) weeks of gestation
• Admission to the NICU in the same hospital as the mother immediately after birth Mother
• To agree to participate in the study,
• To give birth by cesarean section,
• To be able to use the Turkish language,
• To pass the smell test (to correctly identify the 3 different types of smell presented),
• Not to have been diagnosed with depression etc. Psychiatry at the time of the study

Exclusion criteria

Infant

• The presence of conditions that affect the baby's original smell (baby born with Meconium, Hepatitis C and HIV infected baby)
• Infant who underwent interventional intervention in the head area
• The baby whose suction function is sufficient and who can suck breast milk

Mother

• Admission to Intensive Care,
• Being covid positive (as the sense of smell will be affected),
• Having a mental, neurological, nasal related disease,
• Having a communication problem

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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54 participants in 3 patient groups

Baby Smell Group

Experimental group

Description:

Firstly the baby beret worn by the researcher on the baby will be removed at the end of the 12th hour (at the 12th hour and 24th hour of the hospitalization in the clinic) and taken to the Obstetrics and Gynecology Service on the same floor as the NICU without waiting;Odor stimulation will be applied in the form of 30 sec odor-30 sec standby-30 sec odor-30 sec standby-30 sec odor. A total of 4 rSO2 values, including the initial value and the average of the values during three 30 sec stimulation, will be recorded in the "Cortical and Breast Oxygenation Follow-up Form". The amount of the first amount of milk, the total amount of milk until the 12th hour, the amount of oral fluid intake, the amount of milk until the 24th hour (12th hour -24th hour) and the amount of oral fluid intake will be recorded in the Milk Amount Follow-up Form.

Treatment:

Behavioral: Olfactory stimulation

Baby Smell and Visual Stimulus Group

Experimental group

Description:

Firstly the baby video (visual stimulus) and beret worn by the researcher on the baby will be removed at the end of the 12th hour (at the 12th hour and 24th hour of the hospitalization in the clinic) taken by researcher and taken to the clinic on the same floor as the NICU without waiting; Once the initial rSO2 value has been recorded, the mother will be instructed to sniff the beret uninterruptedly until further warning by the researcher and to watch the image of her baby unfolding on the tablet fixed to the floor during the entire measurement process. Odor stimulation to the mother will be applied in the form of 30 sec odor-30 sec waiting-30 sec odor-30 sec waiting-30 sec odor respectively, and visual stimulation will be applied as uninterrupted 2.5 min. At the end of 24 hours, the Mother-Baby Interaction Form and the MIBS tool will be re-applied as the final test.

Treatment:

Behavioral: Olfactory stimulation

Behavioral: Visual stimulation

Control Group

No Intervention group

Description:

The intervention and data collection process in the control group is the same as the intervention in the odor group; As a placebo instead of odor stimulation, the odorless beret will be offered in the same conditions.