Skin-to-Skin Contact With a Sling in Primipar Mothers Who Delivered by Cesarean Section

Acibadem University

Status: Completed

Conditions: Breast Feeding; Caesarean Section;Stillbirth

Treatments: Other: skin to skin with sling

Study type: Interventional

Funder types: Other

Identifiers

NCT06502860

2024-5/171

Details and patient eligibility

About

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.

Enrollment: 78 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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78 participants in 2 patient groups

Experimental Group

Experimental group

Description:

The intervention group will receive skin-to-skin contact facilitated by the use of a sling. Immediately after the cesarean section and stabilization, the newborn will be placed against the mother's bare chest using a specially designed sling. This sling will secure the baby in a safe and comfortable position, allowing for continuous close contact. The duration of skin-to-skin contact will be encouraged to last as long as the mother and baby are comfortable, without any set time limits.

Treatment:

Other: skin to skin with sling

Control Group

No Intervention group

Description:

The control group will receive standard skin-to-skin contact without the use of a sling. Immediately after the cesarean section and stabilization, the newborn will be placed directly on the mother's bare chest. This traditional method will involve holding the baby manually to maintain skin-to-skin contact. The duration of skin-to-skin contact will be encouraged to last as long as the mother and baby are comfortable, without any set time limits.