Narrative Nursing for Cesarean Mothers' Anxiety and Breastfeeding Confidence
NCT ID: NCT07272252
Last Updated: 2025-12-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
160 participants
INTERVENTIONAL
2025-10-01
2026-03-01
Brief Summary
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What is the problem? About 30-40% of Chinese cesarean mothers feel high anxiety after surgery, and 1 in 5 is at risk for postpartum depression. Low confidence in breastfeeding is also common.
What will we do?
We will randomly assign 160 mothers (1:1) to either:
Usual care - standard education and ward care, or
Usual care plus narrative nursing - four short (10-20 min) conversations with a trained nurse:
Before surgery - help the mother talk about her fears. 24-48 h after surgery - encourage her to "name" pain or worries and separate them from herself.
Before discharge - guide her to find positive moments and build a "strong-mom" story.
Two weeks later by phone - strengthen the new story and review feeding success. What will we measure? Main result: anxiety score at 48 h (STAI scale). Other results: depression risk, breastfeeding confidence, pain, and feeding rates up to 3 months.
Possible benefits:
Lower anxiety, better mood, higher breastfeeding rates. No drugs or extra procedures are involved, only talking.
Risks:
Minimal; some mothers may feel emotional during conversations, but nurses can pause or refer to counselling if needed.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Routine perinatal care
Participants receive standard ward education, nursing care, discharge instructions, and routine telephone follow-up without any additional narrative sessions.
No interventions assigned to this group
4-step narrative nursing
Participants receive usual care plus four nurse-led narrative sessions (pre-op externalization, post-op deconstruction, pre-discharge reconstruction, and 2-week meaning-reconstruction phone call) aimed at reducing anxiety and enhancing breastfeeding confidence.
4-step narrative nursing program
Four nurse-led storytelling sessions (pre-operative externalization, post-operative deconstruction, pre-discharge reconstruction, and 2-week meaning-reconstruction phone call) aimed at reducing anxiety and increasing breastfeeding self-efficacy.
Interventions
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4-step narrative nursing program
Four nurse-led storytelling sessions (pre-operative externalization, post-operative deconstruction, pre-discharge reconstruction, and 2-week meaning-reconstruction phone call) aimed at reducing anxiety and increasing breastfeeding self-efficacy.
Eligibility Criteria
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Inclusion Criteria
2. Scheduled for elective or non-emergency cesarean section at ≥37 weeks
3. Able to communicate in Mandarin and provide written informed consent
4. Expected hospital stay ≥24 h
5. Singleton pregnancy with stable maternal and neonatal condition allowing routine mother-baby contact
Exclusion Criteria
2. Maternal or neonatal need for ICU/NICU admission
3. Emergency cesarean section preventing baseline assessment
4. Communication or cognitive impairment precluding interview
18 Years
50 Years
FEMALE
Yes
Sponsors
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Xiamen University
OTHER
Yilong People's Hospital
UNKNOWN
Xi Huang
OTHER
Responsible Party
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Xi Huang
Master's student
Locations
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Yilong County Maternal and Child Health Hospital
Nanchong, Sichuan, China
Countries
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Central Contacts
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Facility Contacts
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Yinchun Tan
Role: primary
Xi Huang
Role: backup
Other Identifiers
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FJ2022B061
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
XMSHLXH2320
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
Basic Nursing II
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
XMUNARRCARE2025
Identifier Type: -
Identifier Source: org_study_id