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Clinical Trials/NCT07149766
NCT07149766CompletedNot Applicable

Breast Crawling and Breastfeeding Success

Sakarya University1 site in 1 country80 target enrollmentStarted: August 25, 2025Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
80
Locations
1
Primary Endpoint
Postpartum Comfort Scale

Study Overview

Brief Summary

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.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Health Services Research
Masking
Single (Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 40 Years (Adult)
Sex
Female
Accepts Healthy Volunteers
Yes

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.

Arms & Interventions

intervention group

Experimental

Intervention: Breast crawling (Other)

Control group

No Intervention

Outcomes

Primary Outcomes

Postpartum Comfort Scale

Time Frame: Within the first 24 hours postpartum

Description: Measures physical, psychological, and environmental comfort after childbirth. (The scale is a 34-item Likert-type scale. The lowest possible score is 34, and the highest is 170. A higher score indicates higher postpartum comfort.)

Postpartum Breastfeeding Self-Efficacy Scale

Time Frame: At 24 hours postpartum

Description: Evaluates the mother's confidence in her ability to breastfeed successfully. The minimum score that can be obtained from the scale is 14, and the maximum score is 70. The scale has no cut-off point, and a higher score indicates higher breastfeeding self-efficacy.

Secondary Outcomes

  • Demographic Information Form(baseline)

Investigators

Sponsor
Sakarya University
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

öznur tiryaki

Associate Professor

Sakarya University

Study Sites (1)

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