Plain English Summary
Background and study aims
Birth before completing 37 weeks of pregnancy is called preterm labor and these babies are called as premature babies. Premature babies may have risk of many health problems and complications because their organs and systems are less developed than those of full term babies. Today, one out of ten births results in preterm labor and majority of these babies do not survive longer the initial days of live their life. Therefore, care of the premature babies that is performed during their early days at the hospital and at home after hospital-discharge, is very important. Besides, it is reported that mothers with premature babies experience such psychological problems and worry more compared to those mothers who give birth to full term babies. Therefore, those mothers with premature babies should be supported on baby care through home visits after hospital-discharge in order to prevent possible health problems to the baby, to maintain good mother-baby relationship during this period and to decrease psychological problems. Research reports that home visits paid during early days after hospital-discharge offer many advantages in terms of mother and baby health. But, research on home care after child birth is very scarce. This study was conducted in order to find out how well planned home visits paid to the mothers with premature babies after hospital-discharge works.
Who can participate?
Mothers who gave birth before the 37th week of the pregnancy at the Corum State Hospital between the January 2011 and the June 2011.
What does the study involve?
Participants were randomly allocated to either intervention group or to control group. Women belonging to the intervention group received training during their stay in the hospital and when they got discharged, they were given consultation based on a handbook. The researcher visited them at home 4 times during their early days after discharge where they were given training and consultation about baby care. The control group did not receive any training.
What are the possible benefits and risks of participating?
Benefits include training about the newborn health, mothers and the babies health problem could be identified early, participants are directed to a health institution for the treating these problems. There is no risk of participating in the study as the methods are not invasive.
Where is the study run from?
The study was performed at the intensive care unit of the newborn, Corum State Hospital, Turkey.
When is the study starting and how long is it expected to run for?
The study started in January 2011 and ended in May 2011.
Who is funding the study?
This study is funded by the investigator.
Who is the main contact?
Dr Nuriye Buyukkayaci Duman
Dr Nuriye Büyükkayacý Duman
Hitit University School of Health
The effect of planned home visits made to the mothers with premature babies after hospital-discharge upon their postpartum depression, adaptation to motherhood role and newborns health: a semi-experimental case-control study
Hypothesis of the research
H 1.Home visits paid to mothers with premature babies after hospital-discharge may have a decreasing effect upon mean postpartum depression scores.
H 2.Home visits paid to mothers with premature babies after hospital-discharge may have a positive effect upon adaptation to motherhood role.
H 3.Home visits paid to mothers with premature babies after hospital-discharge may have a decreasing effect upon health problems of the newborn.
Ethical Committee of Medical Faculty of Erciyes University with approval number of 2011/233
Semi-experimental case-control study
Primary study design
Secondary study design
Quality of life
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Postpartum depression, adaptation to motherhood role and newborns health (nutritional problems, respiratory distress syndrome, anemia)
Women in the intervention group and control group were at the Intensive Care Unit of Newborn of Corum State Hospital. After all patients were informed of the purpose the study and their oral consents were obtained; both groups were given Descriptive Data Collection Form about mothers and their babies characteristics. The researcher provided training for the women in the intervention group during the period when they were treated at the hospital and while they were being discharged from the hospital, they were given consultation about baby care according to the handbook The Care of the Newborn Baby. The researcher did not provide the women in the control group with nursing intervention of any kind. After hospital-discharge (on the 7th day, 14th day, 28th day and 42nd day after birth), women in the intervention group were seen at their homes by the researcher. They were telephoned before the home visits and appointments were made and visit-day and hours were fixed. During each home visit, the researcher provided women in the intervention group with training about baby care according to the handbook and gave them consultation related to mothers needs. During the final home visit on the 42nd day after birth, women were given the Form to determine the Newborns Problems, Form of Adaptation to Motherhood Role (in order to determine mothers adaptation to motherhood) and Beck Depression Inventory (BDI) (in order to determine mothers postpartum depression).
Primary outcome measures
1. The Form to determine the Newborns Problems:
There are three questions in the form about the health problems of the newborn, status of visiting the health institution and the reasons for visiting the health institution during the six-week post-partum period after hospital-discharge in order to determine the problems experienced by the premature babies.
2. Form of Adaptation to Motherhood Role:
The form included two questions to inquire the problems experienced by mothers and babies in terms of the mother-baby relation and to explore the mothers adaptational status during the six week period.
3. Beck Depression Inventory (BDI):
BDI, developed by Beck et al. (1960), is one of the most used inventories in clinics and researches and can be administered for individuals aged between 13 and 80. The inventory is consisted of 21 statements and is used to objectively measure the degree of depression and physical, emotional, mental and motivational symptoms seen during depression. The Turkish adaptation of the inventory was performed by Hisli (1988) and its validity and reliability coefficients are rather good. It was found out that test-retest reliability coefficient was 0.65 and split-half reliability coefficient was 0.78 for students and 0.61 for depressive patients. Scores for the statements of the inventory range from 0 to 3. All of the scores are added and depression score is obtained. The highest score of the inventory is 63 (21 x 3). A higher total score means a higher level or severity of depression. Scores obtained from the inventory can be evaluated as follows:
10-15 Slight depression
16-23 Moderate depression
24-63 Severe depression
Secondary outcome measures
Descriptive Data Collection Form about Mothers and their babies Characteristics
The form includes a total of 16 questions in order to explore both demographic characteristics (such as age, educational status, monthly total income, etc.) and descriptive characteristics related to the mothers and their babies (such as parity, total gestational weeks, birth weight of the baby, state of breastfeeding and feeding the baby with supplement food, supplement food or foods eaten by the baby, problems experienced by the baby during early postpartum period and hospital-discharge time).
Overall trial start date
Overall trial end date
Participant inclusion criteria
Women who lived in the city center of Corum, gave birth before the 37th gestational week and accepted to participate in the research voluntarily were included in the research.
Target number of participants
Participant exclusion criteria
Those women and/or their babies who developed complications (mothers: postpartum hemorrhage, infection, etc.; babies: respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, neonatal asphyxia, etc.) and the women who had chronic diseases (heart diseases, hypertension, diabetes, renal diseases) were excluded from the study due to the idea that they may be affecting the results of the study.
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Hitit University School of Health
Hitit University (Turkey)
c/o Nuriye Büyükkayacý Duman
School of Health
Investigator initiated and funded (Turkey)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting