The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO)

The Effects of the Intrapartum Care Model Given in Line With the Recommendations of the World Health Organization (WHO) on the Mother's Maternal Behavior Towards Her Baby, Breastfeeding Self-efficacy, Breastfeeding Success, and Hospital Discharge Readiness

The objective of this study was to examine the impact of the intrapartum care model that adheres to the guidelines set forth by the World Health Organization (WHO) on several key outcomes, including the mother's maternal behavior towards her infant postpartum, breastfeeding self-efficacy, the success of breastfeeding, and the mother's readiness for hospital discharge.

Study Overview

• Status: Completed
• Conditions: Parenting; Breast Feeding; Birth Outcome, Adverse
• Intervention / Treatment: Other: Intrapartum Care Model

Detailed Description

The study was a randomized controlled trial. The study was conducted with 128 primiparous pregnant women (intervention group n=64, control group n=64) admitted to the maternity unit of a training and research hospital in a province in the Central Anatolia region of Turkey. Pregnant women in the intervention group were provided with intrapartum care in accordance with the WHO recommendations following the achievement of cervical dilatation reaching 5 cm. The control group was provided with only standard intrapartum and postpartum care. Data were collected using a personal information form, a postpartum parenting behavior scale, a breastfeeding self-efficacy scale, a breastfeeding charting system and documentation tool (LATCH), and a hospital discharge readiness scale.

• Study Type: Interventional
• Enrollment (Actual): 128
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Konya, Turkey, 42250
    • Seyhan Çankaya

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being 18 years of age or older,
• History of term pregnancy (38-42 weeks),
• Having a primiparous,
• Single, healthy, vertex positioned fetus,
• Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object,
• Birth canal dystocia, dystocia related to the mother's psychology),
• Having a partner/husband,
• History of cervical dilatation of 5 cm or more,
• Having a healthy newborn,
• Being able to speak and understand Turkish.

Exclusion Criteria:

• Being under 18 years of age,
• Having a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.),
• Having a chronic disease (hypertension, diabetes, etc.),
• Having maternal or fetal complications (oligohydramnios and polyhydramnios, placenta previa, pre-eclampsia, premature rupture of membranes, anomalies of presentation, intrauterine growth retardation, fetal anomaly, intrauterine death, fetal macrosomia, cord prolapse, etc.),
• Having any complication that prevents vaginal delivery (head-pelvis incompatibility, etc.),
• Having a history of elective cesarean section,
• Being pregnant with assisted reproductive techniques,
• Being multiparous,and having mastitis in the breast or having inverted nipples.
• The study also excluded women who had undergone a cesarean section due to any complication (e.g., cord entanglement, fetal distress),
• Who experienced complications related to the postpartum period (e.g., uterine atony, hemorrhage),
• And whose infant was admitted to the neonatal intensive care unit for any reason (e.g., respiratory distress).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; In pregnant women with cervical dilatation of 5 cm, the Personal Information Form was completed at the initial clinic admission.; The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations.; The Postpartum Parenting Behavior Scale (PPBS), Breastfeeding Self-efficacy Scale (BSS), A Breastfeeding Charting System and Documentation Tool (LATCH), and Readiness for Hospital Discharge Scale-New Mother Form (RHD-NMF) were administered postpartum.	Other: Intrapartum Care Model; - The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations
No Intervention: Control Group; Routine intrapartum care was provided to the pregnant woman in the hospital setting. This included taking an anamnesis, completing her file, opening an intravenous line, conducting routine blood tests, taking vital signs, recording cervical changes on the partograph via vaginal examination, applying EFM (electronic fetal monitoring) when indicated according to the attending physician's orders, listening to the fetal heart sounds (FHR) every fifteen minutes, and documenting this on the partograph.; The mother and infant received standard postpartum care in the hospital. Breastfeeding was initiated immediately after delivery, and the infant was placed in direct contact with the mother. The uterine tone and bleeding of the mother were evaluated, and vital signs were taken every four hours. Nutrition and mobilization were ensured, and a heel prick blood sample was taken in the 24th hour after delivery. If the mother and infant were normal after 24 hours, they were discharged.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of postpartum characteristics of pregnant women	Postpartum characteristics of pregnant women will be collected through surveys and compared and reported.	6 months
Comparison of pre-intervention sociodemographic of pregnant women.	Sociodemographic of pregnant women will be collected through surveys and compared and reported	6 months
Comparison of pre-intervention obstetric features of pregnant women	Obstetric of pregnant women will be collected through surveys and compared and reported.	6 months
Comparison of mother's postpartum parenting behavior towards her baby mean scores by groups	The postpartum parenting behavior scale will be applied to mothers. The postpartum parenting behavior scale is 0-6 points (min-max) and as the score increases, the level of positive parenting behaviors of mothers towards their babies increases.	6 months
Comparison of mother's breastfeeding self-efficacy scale mean scores by groups	The breastfeeding self-efficacy scale will be applied to mothers. The breastfeeding self-efficacy scale is 14-70 points (min-max) and as the score increases, the breastfeeding self-efficacy of the mothers increases.	6 months
Comparison of mother's A Breastfeeding Charting System and Documentation Tool (LATCH) mean scores by groups	The Breastfeeding Charting System and Documentation Tool (LATCH) will be applied to mothers. The LATCH is 0-10 points (min-max) and as the score increases, the LATCH of the mothers increases.	6 months
Comparison of mother's readiness for hospital discharge scale-new mother form mean scores by groups	The readiness for hospital discharge scale-new motherwill be applied to mothers. The readiness for hospital discharge scale-new mother is 0-220 points (min-max) and as the score increases shows that the mothers is sufficiently ready for discharge.	6 months

Collaborators and Investigators

• Sponsor: Selcuk University
• Investigators: Principal Investigator: Seyhan Çankaya, PhD, Selcuk University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2024
• Primary Completion (Actual): May 1, 2024
• Study Completion (Actual): June 1, 2024

Study Registration Dates

• First Submitted: August 9, 2024
• First Submitted That Met QC Criteria: August 9, 2024
• First Posted (Actual): August 13, 2024

Study Record Updates

• Last Update Posted (Actual): August 13, 2024
• Last Update Submitted That Met QC Criteria: August 9, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: breastfeeding self-efficacy; discharge readiness; parenting behavior; WHO intrapartum care model; LATCH
• Additional Relevant MeSH Terms: Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Pregnancy Complications
• Other Study ID Numbers: 2023/1143

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No