Clinical Trial Summary
The goal of this [type of study: The study, which was carried out within the framework of
mixed method, is a research using an explanatory sequential design, and its quantitative
dimension is a randomized controlled experimental design] is to [The aim of this study is to
determine the effect of breastfeeding support given to mothers with inadequate milk
perception through telehealth application on mothers' giving only breast milk to their babies
for the first six months] in [consisting of primiparous mothers, mothers who had normal
vaginal deliveries and mothers with perceived inadequate milk, healthy term babies]. The main
question[s] it aims to answer are:
- [What are the experiences of mothers with insufficient milk perception about the
breastfeeding support given to their babies with telehealth application and their
mothers' experiences about giving only breast milk to their babies for the first six
months? ]
- [What is the satisfaction status of mothers with insufficient milk perception towards
the breastfeeding support provided by telehealth application? ] Hypotheses of the Study
- [H0: Breastfeeding support provided to mothers with insufficient milk perception through
telehealth application has no effect on the mother's exclusive breastfeeding in the
first six months. ]
- [H1: Breastfeeding support provided to mothers with insufficient milk perception through
telehealth application has an effect on the mother's exclusive breastfeeding for the
first six months.]
- [H2: There is a difference between the mean breastfeeding self-efficacy and
breastfeeding cessation tendency scale scores of the mothers in the control group and
the intervention group with insufficient milk perception.]
- [H3: Mothers have a high level of satisfaction with the breastfeeding support provided
by telehealth application.]
Intervention Group: The Inadequate Milk Perception Scale was applied to determine the mothers
who thought that their milk was inadequate by face-to-face interview method before discharge
from the hospital after delivery. Mothers with low scale scores were assigned to the control
group in the first set and to the intervention group in the second set with the help of
Research Randomiser (https://www.randomizer.org/). Then, Personal Information Form-1,
Tendency to Discontinue Breastfeeding Scale, and Breastfeeding Self-Efficacy Scale were
applied to the mothers. After discharge, training videos on the importance of breast milk and
breastfeeding and written documents (e-brochure, prose version of breastfeeding trainings)
prepared in line with the literature and explained by experts in accordance with the
puerperium week between 10.00-14.00 hours were sent to the mothers individually with
telehealth application once a week. At the same time intervals, visualised messages
explaining breastfeeding and that breast milk is sufficient for the baby were sent via
telehealth application five days a week. In addition, if the mothers requested at 10.00-17.00
on weekdays, they were given live support by the researcher for the issues they were curious
about breastfeeding by calling the researcher via telehealth application. The mothers in the
intervention group were called via telehealth application between the 2nd-5th postpartum
days, 13th-17th days, 38th-40th days, 2nd-3rd months, 4th-5th months and at the end of the
6th month and the relevant forms were applied again (at the time period convenient for the
mother).
Control Group: The Inadequate Milk Perception Scale was administered to the mothers to
determine the mothers who thought that their milk was inadequate by face-to-face interview
method before discharge from the hospital after delivery. Then, Personal Information Form-1,
Tendency to Discontinue Breastfeeding Scale and Breastfeeding Self-Efficacy Scale were
applied to the mothers. The mothers determined as the control group were called by the
researcher via telehealth application between the 2nd-5th postpartum days, 13th-17th days,
38th-40th days, 2nd-3rd months, 4th-5th months and at the end of the 6th month by telehealth
application and the relevant forms were applied again (at the time period convenient for the
mother). No intervention was made to the mothers in the control group, and the woman
benefited from routine outpatient clinic services if she requested.
