[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cesarean-section-wound\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cesarean-section-wound":32},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":20,"enrollmentInfo":21,"targetDuration":4,"studyType":24,"phases":25,"briefSummary":27,"conditions":28,"keywords":33,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":43,"lastUpdatePostDateStruct":44,"startDateStruct":47,"completionDateStruct":49,"leadSponsor":51,"locationsCount":5},"100613873","narrative-nursing-for-cesarean-mothers-anxiety-and-breastfeeding-confidence-100613873",false,"NCT07272252","Narrative Nursing for Cesarean Mothers' Anxiety and Breastfeeding Confidence","Psychological Effects and Breastfeeding Self-Efficacy of a Structured Four-Step Narrative Nursing Intervention in Cesarean Mothers: A Randomized Controlled Mixed-Methods Study","NARRCARE","Inclusion Criteria:\n\n1. Women aged 18-50 years\n2. Scheduled for elective or non-emergency cesarean section at ≥37 weeks\n3. Able to communicate in Mandarin and provide written informed consent\n4. Expected hospital stay ≥24 h\n5. Singleton pregnancy with stable maternal and neonatal condition allowing routine mother-baby contact\n\nExclusion Criteria:\n\n1. Severe psychiatric disorders (schizophrenia, bipolar disorder, active suicidal ideation)\n2. Maternal or neonatal need for ICU\u002FNICU admission\n3. Emergency cesarean section preventing baseline assessment\n4. Communication or cognitive impairment precluding interview",true,"FEMALE","18 Years","50 Years",{"count":22,"type":23},160,"ESTIMATED","INTERVENTIONAL",[26],"NA","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.\n\nWhat 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.\n\nWhat will we do?\n\nWe will randomly assign 160 mothers (1:1) to either:\n\nUsual care - standard education and ward care, or\n\nUsual care plus narrative nursing - four short (10-20 min) conversations with a trained nurse:\n\nBefore 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.\n\nBefore discharge - guide her to find positive moments and build a \"strong-mom\" story.\n\nTwo 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.\n\nPossible benefits:\n\nLower anxiety, better mood, higher breastfeeding rates. No drugs or extra procedures are involved, only talking.\n\nRisks:\n\nMinimal; some mothers may feel emotional during conversations, but nurses can pause or refer to counselling if needed.",[29,30,31,32],"Postpartum Anxiety","Postpartum Depression (PPD)","Breastfeeding Self-Efficacy","Cesarean Section Wound",[34,35,36,37,38,39,40,41],"narrative nursing","storytelling intervention","cesarean section","postpartum anxiety","breastfeeding confidence","mixed-methods","randomized controlled trial","China","RECRUITING","2025-12-11",{"date":45,"type":46},"2025-12-18","ACTUAL",{"date":48,"type":46},"2025-10-01",{"date":50,"type":23},"2026-03-01",{"name":52,"class":53},"Xi Huang","OTHER"]