Narrative Nursing for Cesarean Mothers' Anxiety and Breastfeeding Confidence
Recruiting · NCT07272252 · Interventional (participants receive a specific treatment) · Lead sponsor: Xi Huang
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This study tests whether a nurse-led "4-step narrative nursing" program can reduce anxiety and improve breastfeeding confidence in mothers who are having a planned or non-emergency cesarean section. 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.
Who can take part
Inclusion criteria
- Women aged 18-50 years
- Scheduled for elective or non-emergency cesarean section at ≥37 weeks
- Able to communicate in Mandarin and provide written informed consent
- Expected hospital stay ≥24 h
- Singleton pregnancy with stable maternal and neonatal condition allowing routine mother-baby contact
Exclusion criteria
- Severe psychiatric disorders (schizophrenia, bipolar disorder, active suicidal ideation)
- Maternal or neonatal need for ICU/NICU admission
- Emergency cesarean section preventing baseline assessment
- Communication or cognitive impairment precluding interview
Where it is running
1 location listed.
- Yilong County Maternal and Child Health Hospital - Nanchong, Sichuan, China