The Effect of Early Skin-to-Skin Contact in Normal Births on Suction Sufficiency, Stress and Bilirubin Levels of Newborns
Condition: Nurse's Role; Breastfeeding
Study type: Interventional

Summary: 
      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.
    

Detailed 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.
    

Intervention name(s): Skin-to-Skin contact.
Intervention type(s): Behavioral
Intervention description(s): Skin to skin contact: It is the laying of the newborn in the prone position on the mother's bare chest with only a diaper on.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Intervention group and control group, randomized controlled, experimental study.
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: skin-to-skin contact; normal delivery; stress; breastfeeding; jaundice