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IRCT20190718044259N1 IRCT 2019-10-08 Sabzevar University of Medical Sciences The effect of support through telephone counseling on breastfeeding problems and exclusive breastfeeding The effect of post-natal counseling on breastfeeding problems and exclusive breastfeeding 2017-09-01 anticipated 85 Complete https://irct.ir/trial/40953 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance, Other design features: The content of telephone counseling is based on ministerial instructions, the WHO and other sources and each telephone consultation is divided into two parts: In the first part, the counselor questions the mother during the week and notes on the checklist The existing problem of consultation is to the extent that it is in line with the objectives of the research. The second part is dedicated advice on supporting exclusive breastfeeding, consulting with mothers and referrals to specialist centers, Randomization description: Block randomization was used for randomization. Sample allocation in the study was based on a random sequence provided by the statistics consultant (using statistical software). The sequence used was quadruple blocks. N/A Condition 1: Exclusive breastfeeding. Condition 2: breastfeeding problems. Condition 3: Cracked nipple. Intervention 1: The intervention group will receive regular telephone counseling. The first phone call will be made within the first 48 hours after hospital discharge (day 3 to 5 after delivery). According to WHO studies and information, these days are the most important time, and mothers have the least access to health centers and hospitals because of their problems and child support.The second consultation is at 13-15 days postpartum.It takes an average of 20 minutes depending on the individual's needs. Each telephone consultation has two parts: In the first section, the counselor questions the mother during the week and notes in the checklist, based on the existing problem to the extent that it is in line with the research objectives. The second part is dedicated advice on supporting exclusive breastfeeding. Counseling is provided by a midwifery graduate student with specialized short-term training in postpartum counseling. The telephone is also provided to mothers so that they can contact the counselor if needed.Both groups will receive routine postpartum education and care (usually three times in 42-60 days) from the delivery site and the health care centers covered on a routine basis. Intervention 2: Control group: Care can be received from health centers according to the protocol of the Ministry of Health. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Its release schedule is still unclear.
public Parastoo Amiri
Tohidshahr Blvd
Sabzevar Iran (Islamic Republic of) 9617913112 +98 51 4401 8319 Amiri.Parasto@gmail.com Sabzevar University of Medical Sciences scientific Parastoo Amiri
Tohidshahr Blvd
Sabzevar Iran (Islamic Republic of) 9617913114 +98 51 4401 8319 Amiri.Parasto@gmail.com Sabzevar University of Medical Sciences Iran (Islamic Republic of) Iranian nationality No underlying disease The singleton fetuses with normal birth weight and without congenital anomalies No drugs and drugs that are contraindicated in lactation Residence in the area Phone access No problem with speech and hearing 18 years 45 years Female Infant death for any reason during the study Maternal or neonatal illnesses that lead to discontinuation of breastfeeding by a specialist doctor P92 O91 O92.1 Feeding problems of newborn Infections of breast associated with pregnancy, the puerperium and lactation Cracked nipple associated with pregnancy, the puerperium, and lactation Prevention Other The intervention group will receive regular telephone counseling. The first phone call will be made within the first 48 hours after hospital discharge (day 3 to 5 after delivery). According to WHO studies and information, these days are the most important time, and mothers have the least access to health centers and hospitals because of their problems and child support.The second consultation is at 13-15 days postpartum.It takes an average of 20 minutes depending on the individual's needs. Each telephone consultation has two parts: In the first section, the counselor questions the mother during the week and notes in the checklist, based on the existing problem to the extent that it is in line with the research objectives. The second part is dedicated advice on supporting exclusive breastfeeding. Counseling is provided by a midwifery graduate student with specialized short-term training in postpartum counseling. The telephone is also provided to mothers so that they can contact the counselor if needed.Both groups will receive routine postpartum education and care (usually three times in 42-60 days) from the delivery site and the health care centers covered on a routine basis. Control group: Care can be received from health centers according to the protocol of the Ministry of Health. Mastitis. Timepoint: 13-15 days after childbirth. Method of measurement: Checklist, Ask the mother. Cracked nipple. Timepoint: 13-15 days after childbirth. Method of measurement: Checklist, Ask the mother. Exclusive breastfeeding In the last 24 hours(Human milk intake by infant without any supplements (water, fruit, non-human milk and food) except vitamins, minerals and medicines). Timepoint: 60 days after childbirth. Method of measurement: Checklist, Ask the mother. Sabzevar University of Medical Sciences Approved 2017-08-28 ٍEthics Committee of Sabzevar University of Medical Sciences Tohidshahr Blvd Sabzevar Razavi Khorasan Iran (Islamic Republic of)