Determining the effect of body massage on attachment behaviors of mothers of premature infants in Neonatal Intensive Care Unit
Design
A randomized, pre-and post-test clinical trial with two groups of control and test, 60 mothers and infants hospitalized in Neonatal Intensive Care Unit, double blind
Settings and conduct
For massage training to mothers in the test group: 1- Presentation of a booklet on massage. 2- A two-part training session is held for one hour. 3. Massage training film is performed. In order to blind the control group and not to know about massage therapy, the control group is in another hospital. . To assess the attachment behaviors in the test and control group before the intervention, days 3 and 5, after the intervention, when the mother of the infant's bedside is offered, during the time period determined by the researcher who is unsure about the objectives and method of implementing the plan, Observing the attachment behaviors of the mother for 15 minutes and checking the behavioral checklist Madrkhvahd tag payment.
Participants/Inclusion and exclusion criteria
Newborns with gestational age 34 to 37 weeks that are feed with breast milk or milk powder, 3-5 days after birth, mother should be Persian speaker and must be able to read and write, with a single and wanted pregnancy.
Intervention groups
Experimental group: premature infants' mothers trained for massage technique. They applied massage to their infants once a day for 5 consecutive days (15 minutes). Control group: received only usual care.
Main outcome variables
Maternal attachment
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180621040184N1
Registration date:2019-07-07, 1398/04/16
Registration timing:retrospective
Last update:2019-07-07, 1398/04/16
Update count:0
Registration date
2019-07-07, 1398/04/16
Registrant information
Name
Zahra Kargar Shooroki
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 35 3234 0365
Email address
z.kargar@ssu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-07-23, 1397/05/01
Expected recruitment end date
2018-10-22, 1397/07/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of body massage on the premature Infants' mothers' attachment behaviors in the Neonatal ICU of Shahid Sadoughi and Afshar Yazd Hospitals
Public title
The effect of body massage on the attachment behaviors of premature Infants' mothers
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Age of birth is from 34 weeks of pregnancy to 37 weeks of pregnancy
Nutrition with breast milk or milk powder
3 to 5 days from the birth of the baby
Mother should be Persian speaker
Mother must be literate at least to read and write
Mother should have a wanted, single pregnancy
Exclusion criteria:
Neonates with cardio-pulmonary and neuro-muscular disorders require intubation and care at level three
Infant born by IVF method or born after several years of infertility
Mothers dissatisfaction with the sex of the baby
Having a history of high-risk behaviors in mother or spouse (prison record, drug addiction, alcohol use)
Maternal addiction to drugs and alcohol
Use of antidepressants by mother
Mother's education in psychology and counseling
Age
From 3 days old to 7 days old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
54
More than 1 sample in each individual
Number of samples in each individual:
2
MotherAnd premature baby
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Two researchers who assess the attachment behaviors of mothers in both control and test groups are not aware of the goals and method of the plan. At the morning shifts, when the mother presents to the infant's bedside to feed her infant with milk or interact with her baby, They observe the attachment behaviors of the mother without the mother awareness for 15 minutes then note it on the related checklist.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Shahid Sadoughi of University of Medical Sciences
Street address
Ghadir Alley 18, Ghadir Street,Imam Street
City
Mybod
Province
Yazd
Postal code
8964155345
Approval date
2018-06-26, 1397/04/05
Ethics committee reference number
IR.SSU.REC.1397.048
Health conditions studied
1
Description of health condition studied
Mothers of preterm infants
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Attachment
Timepoint
Before the intervention, the third day and the fifth day after the intervention
Method of measurement
Observation questionnaire on maternal attachment behaviors
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: To do massage, the hands are washed in accordance with the WHO Handbook of Hygiene provided to the mothers, and after drying hands, rubbing several times to warming hands using some palm oil, massage are done (sweet almond oil is used for all samples from a commercial brand called FADAK). Massage technique (field technique) consisted of three 5-minute steps and lasted a total of 15 minutes are applied. In the first and third stages, the baby is placed in the abdomen and massage is done as follows: 1- Upper head to neck and vice versa, 2- From neck to shoulders and vice versa, 3- From top to back and vice versa, 4- From shoulders to hand, then in reverse direction in both hands, 5- From thigh to ankle and foot then back in both legs. Massage is performed in each of the areas mentioned in 12 seconds. In the second stage, the baby is placed in an open arched position, and the inactive movements of the flexion and extension of the arms and legs separately, both legs together, in 5 stages of a minute, each containing 6 steps of 10 seconds , is done. In the test group, in addition to receiving regular care, each mother carries out massage for her baby for 24 hours, once daily for 30 to 40 minutes after lactation, when the baby is pricked for 5 days.
Category
Behavior
2
Description
Control group: In the control group, mothers and infants receive only the usual care of the department. This care includes: doctor's examination, daily baby weighing, medication, serum therapy, teaching breastfeeding to mothers, controlling the absorption and discharge of the baby, and evaluating the correct nutrition of the baby. Attachment assessment is performed on the first, third and fifth day when the mother is on the infant's bedside to feed her baby, being with or interact with her baby.