Effect of Skin to Skin Contact on Sucking Efficiency of Newborns and Breastfeeding Self Efficacy of Mothers in Cesarean Deliveries

NCT05697653 | Completed

• 1 other identifier: Nursing123
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Due to the separation of the mother and the baby after the cesarean section, initiation of breastfeeding by the mother of the newborn in the first hour of life is delayed. The rate of cesarean section in Turkey has increased to 52%, according to the 2019 data of the Center for Disease Control and Prevention, the rate of cesarean section has increased to 31.7% in the world and up to 65% in the USA. It has been reported in the literature that cesarean deliveries are performed with general, spinal and epidural anesthesia types, and the Apgar scores of newborns after cesarean section performed with spinal and epidural anesthesia are high. In this context, the nurse has a key role in initiating and maintaining breastfeeding after early SSC between the mother and the newborn within the first hour following the cesarean section performed with spinal anesthesia. In the literature, there are studies reporting that skin-to-skin contact applied after normal delivery increases the sucking success of newborns, the successful breastfeeding rate, and the rate of exclusive breastfeeding. There are studies examining the effect of early skin-to-skin contact applied after cesarean section on the suckling success of the newborn and only breastfeeding. Breastfeeding self-efficacy refers to a woman's confidence in her ability to breastfeed her baby. It is reported in the literature that skin-to-skin contact and only breastfeeding education have an effect on breastfeeding self-efficacy.

Conditions

Nurse's Role; Breastfeeding

Keywords

skin-to-skin contact; cesarean; newborn; breastfeeding self-efficacy

Outcome Measures

Primary Outcomes (2)

• The effect of skin-to-skin contact on breastfeeding self efficacy of mothers

  "Breastfeeding Self-Efficacy Scale Short Form" was used to determine mothers' breastfeeding self-efficacy. A high score from the scale indicates that the mother's breastfeeding self-efficacy is high.

  through study completion, an average of 1 year

• The effect of skin-to-skin contact on breastfeeding success of mothers and sucking success of newborns.

  "LATCH Breastfeeding Diagnostic Scale" was used to determine the effect of skin-to-skin contact on breastfeeding success of mothers and breastfeeding success of newborns. A high score from the scale shows that mothers have good breastfeeding success and newborns have good sucking success. The name of the "LATCH Breastfeeding Diagnostic Scale" consists of the English initials of the 5 assessment criteria; \[L (Latch on the breast), A (Audible swallowing), T (Type of the nipple), C (Comfort breast/nipple), H (Hold)\].

  through study completion, an average of 1 year

Study Arms (2)

intervention group (skin-to-skin contact group)

EXPERIMENTAL

skin-to-skin contact: It is the laying of the newborn in the prone position on the mother's bare chest area with only a diaper on.

Behavioral: Skin-to-Skin contact.

control group

NO INTERVENTION

The routine applications of the hospital were applied to the pregnant women in the control group.

Interventions

Skin-to-Skin contact. BEHAVIORAL

Skin to skin contact: It is the laying of the newborn in the prone position on the mother's bare chest with only a diaper on.

intervention group (skin-to-skin contact group)

Eligibility Criteria

• Age: 1 Hour - 30 Days
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Mothers;
• Planning of cesarean section with spinal anesthesia
• Being between the ages of 18- 45
• Having a singleton pregnancy
• Gestational week is between 37-40 weeks
• Absence of any known health problems (diabetes, gestational diabetes, hypertension, preeclampsia, renal failure, cardiac problems, psychiatric disorders, etc.)
• Agreeing to participate in the study
• Before the skin-to-skin contact procedure, their general condition and vital signs should be checked to be stable
• Being a resident of Kütahya
• Newborns (0-28 days);
• Gestational age between 37-40 weeks
• Birth weight between 2500-4500 g
• minute Apgar Score ≥ 7
• Absence of any health problems, anomalies or congenital diseases
• Absence of obstacles to sucking such as frenulum (tongue-tie) or palate problem

Sponsors & Collaborators

• Kutahya Health Sciences University: lead

Study Sites (1)

Kutahya Health Sciences University

Kütahya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: intervention group and control group, randomized controlled trial.

Study Record Dates

• First Submitted: December 21, 2022
• First Posted: January 26, 2023
• Study Start: November 18, 2019
• Primary Completion: March 13, 2020
• Study Completion: May 5, 2021
• Last Updated: April 4, 2023

Record last verified: 2022-12

Locations

TU (1)