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临床试验/NCT05059574
NCT05059574Unknown不适用

The Effect of Breast Crawling After Vaginal Delivery on Breastfeeding Success and Mothers' Attitudes to Feeding Their Babies

Sakarya University2 个研究点 分布在 2 个国家目标入组 68 人开始时间: 2021年10月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
68
试验地点
2
主要终点
Breastfeeding success measurement

研究概览

简要总结

It has been clearly demonstrated by the literature that the way of initiation of breastfeeding is highly correlated with the success and continuation of breastfeeding and the level of breastfeeding intention. Crawling to the breast is the reflex of seeking the breast by smelling the breastmilk of the newborn as the first form of breastfeeding. Although crawling to the breast is a studied subject in the international literature, it has remained only in the compilation stage in the national literature. The fact that research on breast crawling has not yet been conducted in our country constitutes the original value of this study. This study was planned to examine the effect of crawling to the breast after vaginal delivery compared to biological breastfeeding on breastfeeding success and mothers' attitude to feed their babies.

详细描述

Breastfeeding is one of the most effective ways to ensure child health and survival. Breast milk is the ideal food for babies. It is safe and clean. It contains antibodies that help protect against many common childhood diseases. Breast milk provides all the energy and nutrients a baby needs in the first months of life. However, about 2 out of 3 babies cannot be exclusively breastfed for the recommended 6 months.

WHO and UNICEF,

  • early start of breastfeeding within 1 hour after birth,
  • exclusive breastfeeding for the first 6 months of life
  • Providing nutritionally sufficient and safe complementary (solid) foods in the 6th month, It recommends continuing breastfeeding up to 2 years of age. Early initiation of breastfeeding within 1 hour after birth protects the newborn from infection and reduces neonatal mortality. However, many infants and children do not receive optimal nutrition. For example, only about 44% of infants aged 0-6 months worldwide were exclusively breastfed during the 2015-2020 period.

Breastfeeding Success The most important reason for breastfeeding failure is the inability to start breastfeeding. For this reason, it is necessary to provide the necessary comfort of the mother in order to ensure breastfeeding success. In order to initiate and maintain a successful breastfeeding, mothers should be educated about being physically and mentally healthy, have a balanced diet, and be able to give breast milk with the right technique during pregnancy and the period following birth. Many mothers need help, especially when starting to breastfeed their first baby. A good start to breastfeeding affects the mother's determination to continue breastfeeding. However, difficulties encountered in breastfeeding during this period may lead to anxiety, causing mothers to lose their self-confidence and thus to a decrease in breastfeeding. Therefore, if the mother and baby are suitable, it is very important to initiate the first breastfeeding in this period called the 1st Stage (1st Reactive Period) after the birth.

Odent talked about the ability of a newborn to search for the breast for "that important first sucking action" within the first hour of opening his eyes to the world and to use the search reflex to find it. Widström et al. Crawling to the breast is defined as an organized, spontaneous behavior sequence of newborns to seek and move towards the nipple and initiate breastfeeding. In order to find the breast, newborns first use the stepping reflex to climb into the mother's belly, and then the search reflex to find the nipple, catch and suck. This is called newborn attachment or crawling to the breast. They stated that this behavior of the newborn can be observed in its most intact form within the first few hours of its birth.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

盲法说明

Since there is no placebo group, masking will not be done.

入排标准

年龄范围
18 Years 至 45 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Volunteer to participate in the research,
  • Vaginal birth,
  • Over 18 years old,
  • Able to read and write
  • Can speak Turkish,
  • Having a full-term and healthy birth (38-42 weeks old, born 2500-4000gr, born with a 5th minute apgar of 7 and above, no known congenital disease),
  • Does not have a disease that prevents breastfeeding

排除标准

  • Not voluntarily to participate in the research,
  • Cesarean delivery,
  • Having a health problem in which the mother or baby is at risk,
  • Those who have a disease that prevents breastfeeding.

结局指标

主要结局

Breastfeeding success measurement

时间窗: 2 years

Determining the success of breastfeeding by getting a higher score on the LATCH Breastfeeding Diagnostic Scale in the experimental group, in which the first breast-feeding was applied by crawling to the breast compared to the control group.

Measuring mothers' feeding attitudes of their babies

时间窗: 2 years

In the experimental group in which the first breast-feeding was applied by crawling to the breast, the mothers' milk feeding behavior increased by getting a higher score on the "The Iowa Infant Feeding Attitude Scale" compared to the control group.

次要结局

未报告次要终点

研究者

发起方
Sakarya University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Dr. Kevser Ozdemir

PhD

Sakarya University

研究点 (2)

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