About this trial
This randomized controlled trial aims to evaluate the effect of a midwife-led digital follow-up program on postpartum depression, perceived social support, and breastfeeding self-efficacy in women who will undergo cesarean section.
Participants will be randomly assigned to either an intervention group that will receive structured face-to-face education followed by a 4-week digital follow-up program, or a control group that will receive routine postpartum care.
Data will be collected at baseline (postpartum day 1), at 1 week, and at 4 weeks postpartum using validated measurement tools.
The study will provide evidence on the effectiveness of continuous, midwife-led digital support in improving maternal psychological well-being and breastfeeding outcomes in the early postpartum period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged between 18 and 45 years
Women who have undergone cesarean section
Within the first 24 hours postpartum
Able to communicate in Turkish
Disqualifiers
History of psychiatric disorders
Presence of severe maternal complications
Newborn requiring intensive care unit admission
Women with communication difficulties
Trial design
Parallel
Treatments tested in this trial
Midwife-Led Digital Follow-Up Program
BehavioralParticipants will receive a structured face-to-face education session on the first postpartum day followed by a 4-week digital follow-up program including weekly educational messages, individualized counseling, and continuous support via mobile communication platforms.
Treatment groups
Trial outcomes
Primary outcomes
Postpartum Depression
Postpartum depression will be measured using the Edinburgh Postnatal Depression Scale (EPDS), a 10-item self-report scale with total scores ranging from 0 to 30. Higher scores will indicate more severe depressive symptoms.
Perceived Social Support
Perceived social support will be measured using the Multidimensional Scale of Perceived Social Support (MSPSS), a 12-item scale with total scores ranging from 12 to 84. Higher scores will indicate greater perceived social support.
Breastfeeding Self-Efficacy
Breastfeeding self-efficacy will be measured using the Breastfeeding Self-Efficacy Scale (BSES), a 33-item scale with total scores ranging from 33 to 165. Higher scores will indicate higher breastfeeding self-efficacy.
Sponsors and contacts
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Inonu University
Lead sponsor
Giresun University
Sponsor institution
Kahramanmaras Sutcu Imam University
Collaborator