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CTRI Number  CTRI/2019/09/021401 [Registered on: 24/09/2019] Trial Registered Prospectively
Last Modified On: 18/09/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Outcomes of Different Positions of Breastfeeding among cesarean mothers 
Scientific Title of Study   A Randomized controlled trial to assess the outcomes of different positions of breastfeeding among cesarean mothers in IPD, AIIMS, Rishikesh 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Gunjot 
Designation  M.Sc. Nursing 2nd year 
Affiliation  AIIMS, Rishikesh 
Address  College of Nursing. AIIMS, Rishikesh

Dehradun
UTTARANCHAL
249201
India 
Phone  9760496844  
Fax    
Email  gunjotarora95@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs Prasuna Jelly 
Designation  Assistant Professor 
Affiliation  AIIMS, Rishikesh 
Address  College of Nursing AIIMS,Rishikesh

Dehradun
UTTARANCHAL
249201
India 
Phone  9410103390  
Fax    
Email  prasunajelly@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Gunjot 
Designation  M.Sc. nursing 2nd year 
Affiliation  AIIMS, Rishikesh 
Address  Coolege of Nursing, AIIMS,Rishikesh

Dehradun
UTTARANCHAL
249201
India 
Phone  9760496844  
Fax    
Email  gunjotarora95@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Gunjot 
Address  College of Nursing, AIIMS,Rishikesh 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Gunjot  AIIMS, Rishikesh  Inpatient department(IPD) obstetric and gynecology ward
Dehradun
UTTARANCHAL 
9760496844

gunjotarora95@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee AIIMS, Rishikesh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O99||Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  “L” shape high fowler position (between 60 to 90 degree) with extended legs and placing pillow beneath elbow  Subjects randomly allocated in experimental group A will be provided with the intervention “L” shape high fowler position (between 60 to 90 degree) with extended legs and placing pillow beneath elbow. Primi mother shifted to the ward after caesarean section will be provided with the “L” shape position starting on post of day 1 (2nd day of operation). Depending on the demand of the neonate for the breastfeed position will be provided minimal 6 times a day and mother will also be encouraged to continue the same position in every breastfeed. This will be ensured everyday by the researcher till the discharge of the patient. 
Comparator Agent  Side Lying” position in which women lie on the either side next to the baby and placing head on the pillow, one at back and one between the legs.  Subjects randomly allocated in experimental group B will be provided with the intervention “Side Lying” position in which women lie on the either side next to the baby and placing head on the pillow, one at back and one between the legs. Primi mother shifted to the ward after caesarean section will be provided with the “side lying” position starting on post of day 1 (2nd day of operation) Depending on the demand of the neonate for the breastfeed position will be provided minimal 6 times a day and mother will also be encouraged to continue the same position in every breastfeed. This will be ensured everyday by the researcher till the discharge of the patient. 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Planned or emergency primipara mothers undergone cesarean section
Primipara mothers underwent cesarean section without any maternal and fetal complications. 
 
ExclusionCriteria 
Details  Primipara mothers with cesarean section who are not willing to sign the informed consent.
Mothers who are not able to follow the instruction due to psychological illness.
Neonate with any abnormality such as cleft palate, cleft lips or any medical condition. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the outcomes of different positions of the mothers underwent ceasrean section   1 week 
 
Secondary Outcome  
Outcome  TimePoints 
Breastfeeding outcome,maternal satisfaction,maternal comfort  1 week 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2019 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

A Randomized Controlled trial to assess the outcomes of Different Positions of Breastfeeding among Caesarean  Mothers in IPD, AIIMS, Rishikesh. Objectives of the study are to compare the breastfeeding outcomes in different positions among mothers underwent caesarean section.To compare the level of comfort in different positions among mothers underwent caesarean section. and to compare the level of  maternal satisfaction during breastfeeding in different positions among mothers underwent caesarean section. Need of the study is as in cesarean section mothers having poor latch scoring due to maternal positioning need to have alternative methods of nurturing the infants for effective breastfeeding as effective breastfeeding depends on the proper positioning of mother and baby and attachment of baby to the mother’s breast. Most difficulties can be avoided altogether if good attachment and positioning are achieved at the first and early feeds. Methodology is Quantiative approach, Randomized control trial design. Study setting  is Postantal ward AIIMS,Rishikesh with target population Primipara caesarean mothers having convience sampling techniques.

 



 
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