Effect of a Respectful Maternity Care-Based Action Plan in Postpartum Care on Maternal and Neonatal Outcomes

NCT ID: NCT07280000

Last Updated: 2025-12-12

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 500 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-12-10
• Study Completion Date: 2026-12-01

Brief Summary

This study will examine whether a Respectful Maternity Care-based action plan can improve the quality of postpartum care and maternal and newborn outcomes. Nurses and midwives will receive a three-day interactive training about respectful, evidence-based postpartum care. After training, a unit-level action plan will be implemented, including supportive visits, educational materials, and feedback meetings. Women receiving routine postpartum care before the intervention will be compared with women receiving care after implementation. Outcomes will include respectful maternity care experiences, maternal satisfaction, exclusive breastfeeding at 6-8 weeks, maternal mental health, mother-infant bonding, and postpartum complications. The goal of this study is to promote respectful, high-quality postpartum care and improve the health and well-being of mothers and newborns.

Conditions

Postpartum Care; Maternal Health Care; Newborn Health; Postpartum Depression (PPD); Breastfeeding; Quality of Care; Maternal Satisfaction

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Control: Routine Postpartum Care

Participants in this arm will receive routine postpartum care practices currently provided at the study site, without exposure to the respectful maternity care training or action plan components. Usual clinical care protocols and standard postpartum follow-up procedures will be applied.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Intervention: Respectful Maternity Care Action Plan

Participants in this arm will receive postpartum care delivered by nurses and midwives trained in the Respectful Maternity Care (RMC) Action Plan. The intervention includes structured training for postpartum professionals, implementation of evidence-based respectful maternity practices, and application of the developed RMC program content and postpartum care forms. Care will emphasize dignity, privacy, informed consent, emotional support, newborn bonding, breastfeeding support, and person-centered communication.

Group Type: EXPERIMENTAL

Respectful Maternity Care Training and Action Plan

Intervention Type: BEHAVIORAL

This intervention involves a structured Respectful Maternity Care (RMC) training program for nurses and midwives, followed by the implementation of an evidence-based RMC action plan during postpartum care. The training includes modules on dignity, privacy, informed consent, effective communication, emotional support, newborn bonding and breastfeeding support, and person-centered postpartum practices. Participants in the intervention arm will receive postpartum care according to the RMC guidelines and structured care forms developed for the study.

Interventions

Respectful Maternity Care Training and Action Plan

This intervention involves a structured Respectful Maternity Care (RMC) training program for nurses and midwives, followed by the implementation of an evidence-based RMC action plan during postpartum care. The training includes modules on dignity, privacy, informed consent, effective communication, emotional support, newborn bonding and breastfeeding support, and person-centered postpartum practices. Participants in the intervention arm will receive postpartum care according to the RMC guidelines and structured care forms developed for the study.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Postpartum women aged 18 years and older
• Gave birth at 37-42 gestational weeks (vaginal or cesarean)
• Have a single, healthy newborn
• No chronic medical conditions
• No history of high-risk pregnancy or fetal complications
• No communication barriers (e.g., visual or hearing impairment)
• Able to speak and understand Turkish
• Literate and able to read and write in Turkish

Exclusion Criteria

• Development of maternal or neonatal complications during the postpartum follow-up period
• Inability to reach the mother at the 8-week postpartum follow-up

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 49 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

ilayda sel

OTHER

Sponsor Role: lead

Responsible Party

ilayda sel

Research Assistant (Women Health and Diseases Nursing)

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

İlayda Sel Bilim, MSc, RN

Role: PRINCIPAL_INVESTIGATOR

Istanbul University - Cerrahpasa

İlkay Güngör Satılmış, Prof.

Role: STUDY_CHAIR

Istanbul University - Cerrahpasa

Locations

Bakırköy Dr. Sadi Konuk Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

İlayda Sel Bilim, MSc, RN

Role: CONTACT

ilayda.sel@iuc.edu.tr

+90 530 844 95 27

İlkay Güngör Satılmış, Prof.

Role: CONTACT

ilkay.gungorsatilmis@iuc.edu.tr

+90 212 224 2618 ext. 27205

Facility Contacts

Bakırköy Dr. Sadi Konuk Training and Research Hospital

Role: primary

istanbuleah3.biis@saglik.gov.tr

+90 212 414 71 71

References

Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, Aguiar C, Saraiva Coneglian F, Diniz AL, Tuncalp O, Javadi D, Oladapo OT, Khosla R, Hindin MJ, Gulmezoglu AM. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847. doi: 10.1371/journal.pmed.1001847. eCollection 2015 Jun.

Reference Type: RESULT

PMID: 26126110 (View on PubMed)

Other Identifiers

ISB-WH-02

Identifier Type: -

Identifier Source: org_study_id