Effect of immediate vs early skin to skin contact of mother and newborn on initiation of breast feeding,newborn temperature and duration of third stage of labor A randomized control trial

This randomized controlled double blinded study will be conducted in the Department of Paediatrics, Sri manakula vinayagar medical college and hospital (SMVMCH) a teritiary care hospital in puducherry after the approval of Research Committee and Institutional Ethics Committee. Newborns who fulfill the criteria will be included in the study after the informed and written consent which is being obtained during antenatal checkups or from the father/blood relative prior to the delivery.

Sequentially numbered sealed opaque envelope will be opened by Post graduate or Intern and the intervention which is written in the card will be administered. Baseline sociodemographic details will be recorded in proforma.

After explaining the procedure and obtaining the consent, Newborns in the immediate skin to skin contact (Group A) will be placed on the mothers bare chest in a prone position immediately after birth even before placental delivery and episiotomy after which the Apgar score was determined and the newborn was dried and covered with prewarmed blanket . Newborns in the early skin to skin contact (Group B) were wrapped in sterile towels and placed under a warmer and then dried. The Apgar score will be calculated soon after the clamping of umbilical cord , after which newborn were weighed and then handed to the mother to initiate breast feeding.

A principal investigator blinded to interventions will assess successful of breastfeeding using LATCH score, duration of third stage of labor, and newborn temperature.