Pregnancy, Skin to Skin Contact
Conditions
Keywords
Breastfeeding, Newborn, Formula, Temperature, Initial Bath
Brief summary
This study will compare standard methods of stabilizing a newborn's temperature after birth with mother-infant skin-to-skin contact for stabilizing newborn temperature. The study will look at the effects of each warming method on the timing of newborns' initial bath and the effects on newborn initiation and percent weight loss by discharge. The study will use a randomized controlled trial (RCT) design to test a clinical intervention at TriHealth Good Samaritan Hospital. Study participants will be randomized to the intervention group (IG), which will implement mother-baby Skin-to-Skin (STS) immediately after vaginal birth, or to the control group (CG), which will receive standard care for newborn and mother immediately after vaginal birth. This study will test the hypothesis that mother-baby STS contact implemented immediately after delivery for a minimum of the newborn's first 60 minutes and with a resumption of STS (if a 15-minute break in STS occurs at some point after the first hour) until the newborn's temperature stabilizes after the initial bath will result in: 1. Improved newborn temperature stability and thermoregulation for newborns whether breast or formula-fed. 2. Initiation of effective breastfeeding behavior within 90 minutes of birth and the addition of at least one more breastfeeding within four hours of birth for breastfed newborns. 3. Avoidance of newborn weight loss of 10% or greater.
Interventions
BEHAVIORALSkin-to-Skin Contact
Sponsors
Rachel Baker
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Woman in labor presenting with * An uncomplicated pregnancy * Full-term gestation: 38 0/7 weeks * Single gestation * Vertex presentation * Plans to deliver without general anesthesia * Likelihood of a vaginal delivery
Exclusion criteria
* A complication of pregnancy at the time of admission * An inability to speak or understand English language * Preterm gestation: 37 6/7 weeks * A multiple gestation * Non-vertex presentation * Plan for delivery with general anesthesia * Planned Cesarean delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to temperature stabilization until initial bath | one minute to 60 minutes after birth |
Secondary
| Measure | Time frame |
|---|---|
| Time required for temperature re-stabilization after initial bath | on minute after initial bath until baby reaches desired temperature |
Other
| Measure | Time frame |
|---|---|
| Time to first breastfeeding | 30 to 90 minutes after birth |
| Percentage of Weight Loss During Hospitalization | 24-72 hours |
Countries
United States
Outcome results
None listed