Efficacy of a Nursing Intervention in First-time Mothers

University Rovira i Virgili

Status: Completed

Conditions: First Birth; Mothers

Treatments: Behavioral: Maternal support to become mother; Behavioral: Control Group: usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT03594526

0418

Details and patient eligibility

About

Experimental study will determine the efficacy of nursing intervention named Maternal support to become first-time mothers based on the theory of Ramona Mercer. Sequential explanatory design will be used. It is a mixed design with approach quantitative and qualitative in order to obtain a better approach of the phenomen. The approach quantitative will be randomized controlled clinical trial. The qualitative analysis of the content will be done according to Bardin.

Full description

Taking into account the scientific literature related to studies in first-time mothers with healthy newborns, it can be concluded that the limited success of interventions that have been made suggests that the main areas of becoming a mother have not been addressed, either as part of the content or process of the interventions. This study will be conducted in 24 months. The sample size calculated will be 74 first-time mothers in total, which are allocated in two groups, intervention and control. Each group with 37 mothers.

Enrollment: 76 patients

Sex: Female

Ages: 18 to 54 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Postpartum stage (for vaginal or for cesarean delivery)
• Mother of a healthy full term newborn.
• First-time mother.
• Self-declared support by her couple.
• Mother living in Bucaramanga metropolitan area

Exclusion criteria

• Multiple pregnancy.
• Mothers who cannot read or write.
• Diagnosis of postpartum depression, mental disorders, behavioral disorders.
• Mothers admitted to the intensive care unit after childbirth.
• Mothers with newborns hospitalized in the intensive care unit, intermediate care or minimal care.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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76 participants in 2 patient groups

Maternal support to become mother

Experimental group

Description:

Maternal support to become mother: is an intervention based on the mid-range nursing theory of Ramona Mercer, whose purpose is to empower first-time mothers in their new maternal role, favoring the mother-child bond, strengthening social support and maternal self-efficacy, consists of: 1. Four Home visits , in the first week; first month of baby life; at three months; and the fourth postpartum month. 2. Four Educational sessions and support sessions for maternal empowerment in each home visit. 3. Telephone follow-up: at 15 days; a month and a half; at two and a half months; and three and a half months postpartum.

Treatment:

Behavioral: Maternal support to become mother

Control group: usual Care

Active Comparator group

Description:

The participants will receive the usual education about the care of the mother during the puerperium, the care of the newborn, including breastfeeding.

Treatment:

Behavioral: Control Group: usual care