Actively Recruiting
Psychological Effects and Breastfeeding Self-Efficacy of a Structured Four-Step Narrative Nursing Intervention in Cesarean Mothers: A Randomized Controlled Mixed-Methods Study
Led by Xi Huang · Updated on 2025-12-18
160
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
Sponsors
X
Xi Huang
Lead Sponsor
X
Xiamen University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a nurse-led "4-step narrative nursing" program to see if it can reduce anxiety and improve breastfeeding confidence in mothers having planned or non-emergency cesarean sections. The study addresses common issues among Chinese cesarean mothers, including high anxiety and risk of postpartum depression, as well as low confidence in breastfeeding. Participants will be randomly assigned to one of two groups: usual care or usual care plus the narrative nursing program. The narrative nursing involves four short conversations with a trained nurse at specific times: before surgery to discuss fears, 24-48 hours after surgery to separate pain or worries from the self, before discharge to build a positive "strong-mom" story, and a phone call two weeks later to reinforce the story and review feeding success. During the study, mothers will be assessed for anxiety at 48 hours after surgery using the STAI scale, as well as for depression risk, breastfeeding confidence, pain, and breastfeeding continuation up to three months postpartum. The nurses will monitor emotional responses during conversations and can pause or refer to counseling if needed. The total follow-up includes phone assessments and routine care over three months.
CONDITIONS
Brief Title
Narrative Nursing for Cesarean Mothers' Anxiety and Breastfeeding Confidence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women aged 18 to 50 years
- Scheduled for elective or non-emergency cesarean section at 37 weeks or later
- Able to communicate in Mandarin and provide written informed consent
- Expected hospital stay of at least 24 hours
- Singleton pregnancy with stable maternal and neonatal condition allowing routine mother-baby contact
You will not qualify if you...
- Severe psychiatric disorders such as schizophrenia, bipolar disorder, or active suicidal ideation
- Maternal or neonatal need for ICU or NICU admission
- Emergency cesarean section preventing baseline assessment
- Communication or cognitive impairment precluding interview
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - From pre-operative period through 2 weeks postpartum
Participants receive routine perinatal care, and those in the intervention group participate in four nurse-led storytelling sessions to reduce anxiety and improve breastfeeding confidence.
4 nurse-led narrative sessions plus routine care visits
Trial Site Locations
Total: 1 location
1
Yilong County Maternal and Child Health Hospital
Nanchong, Sichuan, China, 637600
Actively Recruiting
Research Team
X
X i Huang
Y
Yinchun Tan
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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