The Effect of Early Skin-to-Skin Contact in Normal Births on Suction Sufficiency, Stress and Bilirubin Levels of Newborns

Kutahya Health Sciences University

Status: Completed

Conditions: Breastfeeding; Nurse's Role

Treatments: Behavioral: Skin-to-Skin contact.

Study type: Interventional

Funder types: Other

Identifiers

NCT05812222

Nursing123456

Details and patient eligibility

About

Breastfeeding is one of the most effective ways to ensure a baby's health and survival, and breast milk is the ideal food for babies. It is recommended to start breastfeeding within the first hour of life, following skin-to-skin contact between the mother and the newborn immediately after birth.

Newborns transition from the dark, narrow and fluid-filled intrauterine environment to the wide, bright, cold and dry extrauterine life during the birth process. Thus, in addition to invasive procedures such as heel lance, vascular access, etc., including the birth process, simple and routine procedures such as separation from its mother in a short time to measure body weight cause stress for the newborn. For this reason, it is recommended that newborns should not be separated from their mothers except for important medical reasons, and that skin-to-skin contact should be initiated as soon as possible after birth so that the newborn can cope with the "birth stress".

Hyperbilirubinemia, as physiological jaundice, usually begins in the first 24-72 hours of life in term newborns. It peaks in the following days and starts to decrease in the following days. Colostrum, which is a natural laxative found in breast milk, facilitates the removal of meconium in the newborn and provides bilirubin excretion with stool. With early skin-to-skin contact between mother and newborn in the first minutes of life after birth; Nurses have a key role in reducing the level of "birth stress" experienced by the newborn and in reducing the severity of hyperbilirubinemia by starting breastfeeding early.

Full description

The aim of this study; The aim of this study is to examine the effect of early SSC applied after normal delivery on the newborn's sucking efficiency, postnatal stress and bilirubin levels.

Study hypotheses:

H1: Early skin-to-skin contact applied immediately after normal birth has an effect on the sucking efficiency of the newborn.

H2: Normal doğumdan hemen sonra uygulanan erken erken ten tene temasın yenidoğanın stres düzeyine etkisi vardır.

H3: Early skin-to-skin contact applied immediately after normal delivery has an effect on the newborn's bilirubin level.

Type of the research: The research was conducted in a randomized controlled experimental type. Mothers and newborns who met the inclusion criteria were randomly selected by tossing a coin and assigned to the intervention or control groups. The data were collected by the researcher by face-to-face interview method.

Enrollment: 60 patients

Sex: All

Ages: 2 minutes to 5 days old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

For mothers;

• Vaginal delivery planning,
• Be between the ages of 18-45,
• Having a singleton pregnancy
• Having completed the 37th week of gestation,
• Agreeing to participate in the research,
• Absence of breastfeeding barriers [without human T-cell lymphotropic virus (HTLV-1), human Immunodeficiency virus (HIV) and active tuberculosis]
• Absence of any known health problems (such as diabetes, gestational diabetes, hypertension, Preeclampsia, renal failure, cardiac problems, psychiatric disorders)
• There was no ABO and Rh incompatibility. For newborns;
• Absence of conditions that prevent sucking such as frenulum or palate problem,
• Absence of any health problems or congenital diseases,
• Apgar Score ≥ 8
• No need for resuscitation after birth.

Exclusion criteria

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

intervention group (skin-to-skin contact group)

Experimental group

Description:

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. The stress levels of newborns were determined using the "Neonatal Stress Scale" immediately after birth, under a radiant heater, 5 minutes after SSC administration, and during IM K vit injection while SSC was administered (4 different time periods). The suction sufficiency of newborns was evaluated by the investigator using the "LATCH Breastfeeding Assessment Tool", 5 minutes after the initiation of early SSC immediately after birth, within the first hour after birth in the maternity ward, and 24 hours after birth.

Treatment:

Behavioral: Skin-to-Skin contact.

control group

No Intervention group

Description:

The routine applications of the hospital were applied to the mothers and newborns in the control group. The stress level of newborns was determined immediately after birth, under a radiant heater, and during IM K vit injection (3 different time periods) using the "Neonatal Stress Scale". The suction sufficiency of newborns within the first hour after birth and 24 hours after birth was evaluated by the researcher using the "LATCH Breastfeeding Assessment Tool".