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临床试验/NCT07149766
NCT07149766已完成不适用

Breast Crawling and Breastfeeding Success

Sakarya University1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2025年8月25日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
80
试验地点
1
主要终点
Postpartum Comfort Scale

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
Female
接受健康志愿者
是

入选标准

  • •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.

排除标准

  • •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.

研究组 & 干预措施

intervention group

Experimental

干预措施: Breast crawling (Other)

Control group

No Intervention

结局指标

主要结局

Postpartum Comfort Scale

时间窗: 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

时间窗: 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.

次要结局

  • Demographic Information Form(baseline)

研究者

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

öznur tiryaki

Associate Professor

Sakarya University

研究点 (1)

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