Effect of Continuous Midwifery Support on Comfort, Sleep Quality, and Breastfeeding Self-Efficacy in Primiparous Women: A Follow-Up Study From Pregnancy to Motherhood

Palu Devlet Hastanesi

Status: Completed

Conditions: Effect of Continuous Midwifery Support on Comfort, Sleep, and Breastfeeding Self-Efficacy in Primiparous Women: A Follow-Up From Pregnancy to Motherhood

Treatments: Other: warm shower; Other: Continuous midwife support care; Other: Pilates ball usage

Study type: Interventional

Funder types: Other

Identifiers

NCT07165288

Palu Devlet Hastanesi

Details and patient eligibility

About

The study was conducted to determine the effect of continuous midwife support provided to primiparous pregnant women until the postpartum period on comfort, sleep quality and breastfeeding self-sufficiency.

Full description

The study was conducted to determine the effect of continuous midwifery support provided to primiparous pregnant women until the postpartum period on comfort, sleep quality, and breastfeeding self-efficacy.

Materials and Methods: This randomized controlled trial included a total of 128 pregnant women-64 in the experimental group and 64 in the control group-who were in the 36th week of pregnancy and applied to the Elazığ Palu State Hospital Gynecology and Obstetrics Outpatient Clinic. During the first interview (36th week), pre-test data were collected in the NST room using the "Personal Information Form", "General Comfort Questionnaire", "Pittsburgh Sleep Quality Index", and the "Antenatal Breastfeeding Self-Efficacy Scale-Short Form".

In the second (37th week of pregnancy), third (38th week of pregnancy), and fifth interviews (within the first 4-8 hours postpartum), participants in the experimental group received training in line with educational booklets prepared by the researcher. Since the fourth interview was scheduled during the labor process, continuous support was provided to the pregnant women during childbirth. The sixth interview was conducted between the 5th and 7th days postpartum, during which post-test data were collected using the "General Comfort Questionnaire", "Pittsburgh Sleep Quality Index", and the "Postnatal Breastfeeding Self-Efficacy Scale-Short Form".

Enrollment: 128 patients

Sex: Female

Ages: 18 to 36 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

All pregnant women who communicate verbally and do not have a reading or writing disability,

• Having a singleton healthy pregnancy,
• Having a primiparous pregnancy in the 36th week of pregnancy,
• Not a midwife by profession,
• Not having any diagnosed psychiatric problems were included.

Exclusion criteria

• Women who developed an indication for cesarean section were excluded.

For postpartum women;

• Those who developed a condition requiring separation from their babies,
• Those who wanted to leave the study during the follow-ups,
• Those who filled out the data collection forms incompletely,
• Those who gave birth before the third interview were excluded.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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128 participants in 2 patient groups

Continuous midwife support care

Active Comparator group

Description:

Experimental Group First Interview (36th week of pregnancy - first encounter) Second Interview (37th week of pregnancy) Third Interview (38th week of pregnancy) Fourth Observation (Hospital follow-up covering the labor process and the first day after birth) Fifth Interview (5-7th day after birth):

Treatment:

Other: Pilates ball usage

Other: warm shower

Other: Continuous midwife support care

Control Group

No Intervention group

Description:

Control Group First Interview (36th week of pregnancy - first encounter) Second Interview (5-7th day after birth):