Parent Infant Skin-to-Skin Contact Intervention Based on The Co-parenting Theory

Affiliated Hospital of Jiangnan University

Status: Completed

Conditions: Parturition; Precipitate; Postpartum Anxiety

Treatments: Behavioral: Routine obstetric care; Behavioral: Online punching skin to skin contact; Behavioral: Skin to skin contact and co-parenting theory course; Behavioral: Skin to skin contact instruction manual and co-parenting theory brochure; Behavioral: Daily face-to-face skin to skin contact guidance during hospitalization

Study type: Interventional

Funder types: Other

Identifiers

NCT05785806

JNU20221201IRB20

Details and patient eligibility

About

The goal of this clinical intervention study is to construct a neonatal skin contact program for cesarean section primipara families with the cooperation of both parents.So as to provide theoretical basis and practical guidance for pregnant women and their spouses, and reduce the possibility of anxiety and depression of pregnant women and their spouses. Promoting the ability of fathers to participate in co-parenting can help mothers and their spouses adapt to the new role of ' parents ' and enhance their sense of parenting competence and happiness. The main questions it aims to answer are:

• How to publicize and educate knowledge about co-parenting theory and skin contact knowledge and use the co-parenting theory to design a suitable skin contact scheme?

• What are the benefits of skin to skin contact between parents after cesarean section?

  1. Participants will take prenatal classes on co-parenting and skin to skin contact.
  2. Participants will receive brochures on co-parenting theory and skin to skin contact.
  3. Participants will receive face-to-face skin-to-skin contact guidance every day during postpartum hospitalization to correctly perform skin to skin contact.
  4. Participants will be online to punch in skin contact. There is a comparison group: routine prenatal and post-natal care without additional educational support.

Researchers will compare the comparison group to see the cesarean section parents in the postpartum distribution of skin contact tasks, joint skin contact, whether will the intimate relationship between parents and infants, parents ' mental health, anxiety level.

Full description

Through pre-clinical research, it was found that primipara families lacked guidance and intervention for fathers, and theoretical basis and practical guidance were needed to build a new family system at the first time after delivery. Pregnant women need the support and help of their spouses or family members in the critical period of physical and mental recovery after delivery ; the newborn needs daily life care, interactive communication and caring companionship to meet the physical, emotional and psychological needs of the baby ; the parental participation of primipara spouses is at a low level. Maternal spouses lack relevant knowledge and experience, and need targeted guidance and intervention to promote their parental participation.

After the mother underwent cesarean section, due to physical factors such as pain and fetal crying, the mother 's mood is affected, and the arrival of a new life is full of anxiety, which will lead to problems in the mother 's lactation. Production and childrearing are not the task of the mother alone. The purpose of this study is to let the father participate in childrearing at the first time after childbirth, and what are the benefits to the family.

Enrollment: 111 patients

Sex: Female

Ages: 20 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primipara
• cesarean section
• 37-42 weeks of pregnancy
• junior high school education or above
• Couples live together
• Both husband and wife can recognize and understand Chinese

Exclusion criteria

• multiple pregnancy
• Pregnant women have serious complications / complications, such as eclampsia, postpartum hemorrhage, severe cardiopulmonary dysfunction, etc.
• Prenatal examination of the fetus with chromosomal abnormalities or possible malformations
• One of the couple has mental retardation or mental disorders can not cooperate
• Delivery before 37 weeks of gestation
• Postpartum mother-to-child separation, newborns need to be treated and monitored in NICU
• Evaluation information collection is not perfect

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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111 participants in 2 patient groups

Skin to skin contact and co-parenting theory course

Experimental group

Description:

1. Skin to skin contact and co-parenting theory course 2. Skin to skin contact instruction manual and co-parenting theory brochure 3. Daily face-to-face skin to skin contact guidance during hospitalization 4. Online punching skin to skin contact

Treatment:

Behavioral: Daily face-to-face skin to skin contact guidance during hospitalization

Behavioral: Skin to skin contact instruction manual and co-parenting theory brochure

Behavioral: Skin to skin contact and co-parenting theory course

Behavioral: Online punching skin to skin contact

Routine obstetric care

Other group

Description:

Routine prenatal training and postpartum education, including basic breastfeeding guidelines, touching, etc.

Treatment:

Behavioral: Routine obstetric care