The Effect of Showing Photographs, Videos and Live Images of Their Babies to Mothers During Milking

Eskisehir Osmangazi University

Status: Invitation-only

Conditions: Breast Milk Expression; Mother-Infant Interaction; Breast Milk Collection

Treatments: Behavioral: Photograph; Behavioral: Control Group; Behavioral: Video; Behavioral: Live Broadcast

Study type: Interventional

Funder types: Other

Identifiers

NCT05700162

EOU.SBE.OM.01

Details and patient eligibility

About

The study was planned to determine the effect of showing photographs, videos and live images of premature babies who could not be breastfed in the neonatal intensive care unit to their mothers on the amount of breast milk, mother-infant attachment and breastfeeding self-efficacy.

It is a randomized controlled experimental study.

Full description

Separation of the baby from the mother, being admitted to the neonatal intensive care unit can quickly increase the mother's fears about her baby's health and appearance, it can be interpreted as a crisis for the family. When the baby is in the intensive care unit, it also becomes difficult for parents to participate in the care of the baby.

In this case, one of the negative emotions that parents often experience is anxiety.

In general, mothers experience more intense stress than fathers.The mother, who is away from her baby's care, feels tense, irritable and confused. She makes an effort to reach her baby, and when she fails to do so, she finds herself helpless and powerless. The neonatal intensive care nurse and the Women's Health nurse play a major role in the initiation of breastfeeding and the continuation of breastfeeding in pre-term newborns.

Early milking of mothers after premature birth increases breast milk production.

Despite early and frequent milking, some mothers may experience lower milk volume and milk production in the first few weeks. Therefore, mothers with premature babies should practice frequent breastfeeding/milking, massage and compression, hot application, acupuncture, yoga and relaxation exercises, etc., in order to increase prolactin secretion and increase breast milk production. focused on non-pharmacological methods such as. Another method that is considered effective is to show the mother a photo or video of the baby during milking. However, in the literature review, the number of available studies on this subject is only 2.

One of these studies was done in 2020. The other study was done in 2021. More work is needed on this subject. The aim of this study was to determine the effects of watching photos, videos and live images of babies during milking on the amount of breast milk, mother-infant attachment and breastfeeding self-efficacy.

Enrollment: 150 estimated patients

Sex: All

Ages: 1 to 28 days old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Staying of the baby in the Neonatal Intensive Care Unit
• 34 weeks of gestation and below
• Mother's acceptance of the application
• The mother's inability to breastfeed her baby
• The mother has a smart mobile phone
• Mother's ability to read and write
• Being able to communicate with the mother (being able to read and write, speak Turkish, etc.)

Exclusion criteria

• Gestation week over 34
• The mother is breastfeeding her baby
• Being a smoker
• Having a systemic disease and constantly taking medication(s)
• Having a health problem that may affect the mother's milking (crack, mastitis, collapse etc.)

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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150 participants in 4 patient groups

Photograph

Experimental group

Description:

As soon as the mother starts to express her milk, she will be asked to look at the photo of her baby sent to her on whatsapp for 5 minutes.

Treatment:

Behavioral: Photograph

Video

Experimental group

Description:

As soon as the mother starts to express her milk, she will be asked to watch the 5-minute video of her baby sent to her on whatsapp.

Treatment:

Behavioral: Video

Live Broadcast

Experimental group

Description:

As soon as the mother starts to express her milk, she will be asked to watch the 5-minute live video of her baby with the call sent to her from WhatsApp.

Treatment:

Behavioral: Live Broadcast

Control Group

Experimental group

Description:

The mother will be asked to express both breasts for 15 minutes every 3 hours. No additional application will be made.

Treatment:

Behavioral: Control Group