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NCT Number: NCT07280000

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

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.

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Key information

Conditions

Postpartum Care Behavior Breast Feeding Breastfeeding Depression, Postpartum Depressive Disorder Feeding Behavior Female Urogenital Diseases and Pregnancy Complications Maternal Health Care Maternal Satisfaction Mental Disorders Mood Disorders Newborn Health Postpartum Depression (PPD) Pregnancy Complications Puerperal Disorders Quality Of Care Urogenital Diseases

Age range

18 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Bakırköy Dr. Sadi Konuk Training and Research Hospital

Istanbul, Turkey (Türkiye)

Location contact

Bakırköy Dr. Sadi Konuk Training and Research Hospital

CONTACT

[email protected]

+90 212 414 71 71

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Respectful Maternity Care Training and Action Plan

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.

Primary outcomes

  1. Respectful Maternity Care Score

    Time frame: Baseline (within 24 hours postpartum) and 6 weeks postpartum

    Respectful maternity care will be assessed using the Respectful Maternity Care (RMC) scale, which evaluates dignity, privacy, informed consent, emotional support, communication, and person-centered postpartum practices. Higher scores indicate higher levels of respectful maternity care.

Secondary outcomes

  1. Maternal Satisfaction with Postpartum Care

    Time frame: At discharge (within 48 hours postpartum)

    Maternal satisfaction with postpartum care will be assessed using a validated postpartum satisfaction questionnaire, measuring perceptions of communication, emotional support, involvement in care, and overall satisfaction with hospital postpartum services. Higher scores indicate greater satisfaction.

  2. Postpartum Depression Score

    Time frame: 6 weeks postpartum

    Depressive symptoms will be evaluated using the Edinburgh Postpartum Depression Scale (EPDS). Higher scores indicate higher depressive symptoms. A cutoff score of ≥13 suggests risk of postpartum depression.

  3. Adherence to Evidence-Based Postpartum Care Practices

    Time frame: Immediately postpartum (within 24 hours)

    A structured postpartum care checklist will be used to evaluate compliance with respectful and evidence-based postpartum care practices (privacy, informed consent, emotional support, newborn bonding, breastfeeding support, early mobilization, postpartum monitoring). Higher scores indicate greater adherence to evidence-based guidelines.

Study contacts

Contact information is provided by the study sponsor or research team.

İlayda Sel Bilim, MSc, RN

CONTACT

[email protected]

+90 530 844 95 27

İlkay Güngör Satılmış, Prof.

CONTACT

[email protected]

+90 212 224 2618 ext. 27205

Sponsors and collaborators

Lead sponsor

ilayda sel

Other

Registry information

Official study title

The Effect of the Action Plan Developed Within the Framework of Respectful Maternity Care in Postpartum Care on Maternal and Neonatal Outcomes

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 12, 2025
Registry last updated
Dec 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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