Informations et ressources scientifiques
sur le développement des zones arides et semi-arides

Titre : A pilot randomised controlled trial to explore Telephone Support Intervention as a means of supporting young mothers in the immediate postnatal period in western Kenya

Auteur : Kirop, Elijah

Université de soutenance : University of Manchester

Grade : Doctor of Philosophy (PhD) in the Faculty of Biology, Medicine and Health 2018

Résumé partiel
Globally, pregnancy among the young/adolescent women is a growing public health issue of concern. This group of women are often socially and economically disadvantaged due to their age and low status, including low level of education. Most young/adolescent women (and/or mothers) are less likely to attend the recommended antenatal and/or postnatal visits. Consequently, this puts them and their babies/infants at a considerable health risk. Evidence suggests that adolescent mothers have exhibited lower self-esteem and more depressive symptoms, including low breastfeeding and general self-efficacy compared to older mothers. Trials and systematic review evidence on telephone support intervention (TSI), however, suggest a promising opportunity to offer supportive maternity care. Aim(s) : To explore the feasibility of conducting a main trial comparing telephone support versus no support for young mothers in improving maternal physical, psychological and social wellbeing during the immediate postnatal period. Methods : A pilot randomised-controlled trial of a telephone support intervention was conducted between October 2016 and August 2017 using a mixed-methods approach. A sample of 52 young mothers (12-19years) were recruited in two referral hospitals and randomised into intervention and usual care groups, with n=43 retained in the pilot trial and analysed. The usual care group received standard postnatal care while the intervention group received an additional telephone support (weekly SMS, and telephone call after every 3 weeks) for 10 weeks postpartum.

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