Breast Feeding, Caesarean Section;Stillbirth
Conditions
Keywords
Skin-to-skin contact, Caesarean section, Breastfeeding success, Newborn physiological weight loss, Sling
Brief summary
The first hours after birth are critical for the physiological and psychological adaptation process of the newborn from intrauterine to extrauterine life. The World Health Organization (WHO) recommends skin-to-skin contact as a routine part of care to stabilize the newborn's vital signs and strengthen the mother-infant bond. However, the rate of skin-to-skin contact in women who give birth by cesarean section is lower compared to vaginal deliveries. Considering the global increase in cesarean birth rates, it is necessary to develop appropriate and practical care methods for mothers and newborns who deliver by cesarean section. The literature has examined the effects of the duration of skin-to-skin contact on breastfeeding initiation, neonatal hypothermia, and cardiopulmonary stability. However, studies aimed at increasing the duration of skin-to-skin contact are limited. This study compares the effects of standard skin-to-skin contact and skin-to-skin contact using a sling on the duration of skin-to-skin contact, postpartum breastfeeding success, and physiological weight loss of the newborn in primiparous mothers who delivered by cesarean section.
Interventions
OTHERskin to skin with sling
In the intervention group, skin-to-skin contact will be facilitated using a specially designed sling. This approach aims to enhance the quality and duration of skin-to-skin contact between the mother and the newborn.
Sponsors
Acibadem University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
In the single-blind method, subjects do not know which of the experimental or control groups they were selected and therefore which method was applied to them. The researcher knows the subjects selected for the experimental and control groups, and therefore which method was applied to which subjects.
Intervention model description
Randomized Controlled Experimental Design
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* Healthy mothers who gave birth by cesarean section * Primiparous mothers * Healthy newborns
Exclusion criteria
* Mothers who gave birth vaginally * Newborns using formula milk * Mothers with breastfeeding difficulties * Preterm newborns * Multiple births * Mothers and newborns with unstable health conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Introductory Information Form | Baseline (to both groups before the intervention) | The introductory characteristics of the mother and newborn are documented in forms used by the institution during patient care and in records. These forms are created by the researchers to systematize the information used in this study. |
| Skin-to-Skin Contact Tracking Form | To be completed during patient follow-up (postpartum days 0, 1, and 2) | This form is created by the researchers to determine the duration of skin-to-skin contact for each participant. |
| Breastfeeding Assessment Scale (LATCH) | To be completed during patient follow-up, once a day (postpartum days 0, 1, and 2) | The scale, developed by Jensen and Wallace in 1993, aims to objectively assess breastfeeding, identify breastfeeding problems, plan education, establish a common language among healthcare professionals, and be used in research (Jensen et al., 1994). The scale was adapted into Turkish by Yenal and Okumuş in 2003 and consists of five assessment steps. It is modeled after the APGAR scoring system and is quick and easy to use. The acronym LATCH stands for the English terms of these assessment steps: "L = Latch on breast," "A = Audible swallowing," "T = Type of nipple," "C = Comfort breast/nipple," "H = Hold." Each item is scored between 0-2 points. The total possible score from the measurement tool is 10. There is no cut-off point for the tool. As the LATCH score increases, the success of breastfeeding is understood to be higher. The scale has a Cronbach alpha value of .95 (Yenal and Okumuş, 2003). |
Countries
Turkey (Türkiye)
Outcome results
None listed