Skin-to-skin contact in the first hour of birth, breastfeeding success, third stage of labor.
Conditions
Interventions
Intervention 1: Intervention group: Participants will be randomly assigned to one of two intervention groups (skin-to-skin contact for 90 or 120 minutes) based on a block randomization method. After t
Sponsors
Saveh University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Term and near-term pregnancy (from 34 to 42 weeks of pregnancy) with any number of fetus is applicable 2. Prediction of no adverse outcomes in the course of labor 3. Desire to breastfeed the baby at birth by the mother 4. Absence of contraindications to breastfeeding according to national guidelines 5. Desire to participate in the study 6. Newborns with Apgar score >=7
Exclusion criteria
Exclusion criteria: 1. Preterm pregnancy (less than 34 weeks of pregnancy) 2. Predicted adverse course of labor 3. Reluctance of the mother to breastfeed the baby at birth 4. Contraindication to breastfeeding according to national guidelines 5. Receiving any painkillers 6. Reluctance to participate in the study 7. Newborns with Apgar score < 7 8. In case of any life-threatening complications for the mother and baby
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Skin-to-skin contact within the first hour of birth: The term skin-to-skin contact (SSC) is defined as placing the naked infant, with a diaper and a hat, on the mother's bare skin and covering the infant's side/back with a blanket or towel. Breastfeeding success: This is defined as the initiation and continuation of correct latching on of the infant. The LATCH Breastfeeding Assessment Tool is administered, which is a sensitive, reliable, and valid tool that assesses breastfeeding techniques based on observations and descriptions of effective breastfeeding. Third stage of labor: The third stage of labor, which includes the separation and expulsion of the placenta and membranes, begins immediately after delivery of the fetus. Timepoint: Skin-to-skin contact in the first hour of birth: Immediately after birth, depending on the assigned group, 1.5 and 2 hours. Breastfeeding success: Immediately after birth and the next birth. Third stage of labor: Right at the moment of placenta delivery. Method of measurement: Skin-to-skin contact within the first hour of birth, observed by midwife and recorded in questionnaireBreastfeeding success: Breastfeeding observation evaluation formThird stage of labor: by stopwatch and recorded in questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first effective suck (minutes from birth to start of suck). • Clinical status of the infant (hypothermia, stability of vital signs). • Exclusive breastfeeding until discharge from the hospital. • Exclusive breastfeeding in the first week after birth (telephone follow-up). • Occurrence of maternal complications (hemorrhage > 500 ml, retained placenta, need for medical/surgical intervention). Timepoint: • Time of first suckling of the newborn: From birth to first suckling of the newborn Clinical status of the newborn (hypothermia, stability of vital signs): Until completion of skin-to-skin exclusive breastfeeding until discharge from the hospital. Every day of exclusive breastfeeding in the first week after birth (telephone follow-up). Every day of occurrence of maternal complications (loss of more than 500 ml, retained placenta, need for medical/surgical intervention): Skin-to-skin cleansing. Method of measurement: Time of first effective suckling of the newborn: Observe and record in the chart Clinical status of the newborn (hypothermia, stability of vital signs): Observe and record in the chart Exclusive breastfeeding until discharge from the hospital. Every day – Observe and record in the chart Exclusive breastfeeding in the first week after birth (telephone follow-up). Every day Maternal complications (bleeding more than 500 ml, retained placenta, need for medical/surgical intervention): Examine and observe and record in the chart. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactArefeh Fayazi
Saveh University of Medical Sciences
Outcome results
None listed