Breast Crawling and Breastfeeding Success

Sakarya University

Status: Completed

Conditions: Pregnacy; Breastfeeding; Newborn

Treatments: Other: Breast crawling

Study type: Interventional

Funder types: Other

Identifiers

NCT07149766

Zehra Tostanoğlu

Details and patient eligibility

About

Breast crawling, also referred to as the newborn's self-attachment, was first observed in 1977 and described as the "first important sucking behavior". During the first hour after birth, the newborn exhibits instinctive movements aimed at locating and attaching to the breast. In 1987, Swedish researchers Widström et al., and later in 1990, Righard and Alade, detailed these behaviors through systematic observation.

They found that when a newborn is placed prone on the mother's abdomen immediately after birth-while the mother is in a supine position-the baby begins to engage rooting and stepping reflexes. These reflexes typically lead the baby to begin crawling toward the breast around 29 minutes after birth, with effective suckling starting approximately 50 minutes postpartum.This instinctual behavior, observed in the first hour of life when the newborn is most alert and active, has been well documented in the literature as "the breast crawl." It demonstrates the neonate's innate capacity to find and latch onto the mother's breast using biological reflexes when uninterrupted.

Righard and Alade emphasized that routine hospital practices often interrupt this natural sequence, which may negatively impact the breastfeeding process. They underlined the importance of preserving the immediate postnatal hour, a critical window in which these behaviors are most likely to occur and support early breastfeeding success.

Enrollment: 80 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being over 18 years of age,
• Volunteering to participate in the study,
• Ability to speak, write, and understand Turkish,
• No communication difficulties,
• Having had a spontaneous vaginal delivery,
• Primigravida giving birth for the first time,
• The baby was given to the mother within the first hour after birth,
• Having a full-term, singleton, and healthy newborn,
• No condition preventing breastfeeding in either mother or baby.
• The baby was born with an APGAR score of 7 or higher,
• The baby had no tongue, lip, or mouth anomalies,
• Coordination of sucking, rooting, and swallowing was present.

Exclusion criteria

• The mother did not want to participate in the study or wished to terminate the study,
• The mother had a postpartum emergency requiring medical intervention.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups

intervention group

Experimental group

Treatment:

Other: Breast crawling

Control group

No Intervention group