The Effect of Skin to Skin Contact on Postpartum Hemorrhage, Pain And Breastfeeding
Condition: Skin to Skin Contact
MeSH terms: Postpartum Hemorrhage; Hemorrhage
Study type: Interventional

Summary: 
      The aim of this study was to determine the effect of postpartum hemorrhage, pain and onset of
      early breastfeeding so that the skin applied at the third stage of birth is in contact with
      the skin. Material and Method: The study was carried out as a randomized controlled
      single-blind experimental study. The sample consists of 68 healthy mother and baby pairs.
      Skin contact with mothers and babies in the experimental group will be applied for 34 minutes
      immediately after birth. Routine care will be applied to the babies in the control group.
      Data will be collected using Personal Information Form, Visual Analogue Scale, LATCH
      Breastfeeding Diagnostic Scale, Breastfeeding Self-Efficacy Scale, postpartum hemorrhage
      follow-up bag, pad and oxytocin, ᵦ endorphine analysis results.

      were collected using Personal Information Form, Visual Analogue Scale, LATCH Breastfeeding
      Diagnostic Scale, Breastfeeding Self-Efficacy Scale, postpartum bleeding follow-up bag, pad
      and oxytocin, ᵦ endorphin analysis results.
    

Detailed description: 
      Implementation of the Practice of the Study; In the standard practice of the delivery room
      clinic, where the study was planned, babies are clamped as soon as they are born, and their
      routine care (such as K vit and hepatitis B vaccine application) is taken under the radiant
      heater. The skin contact can not be applied between the baby and the mother. After the baby
      is cared, until the mother is transferred to the postpartum clinic, the baby is wrapped in a
      clean cotton sterile cloth under a radiant heater in the baby room.

      Routine care was applied to the babies of the control group mothers. No physical contact with
      the babies of the control group mothers was performed, standard applications were applied in
      the clinic (placing the baby under the radiant heater for clamping the umbilical cord as soon
      as it was born, K-vit application, Hepatitis B vaccine application etc.).

      As soon as the babies of the mothers in the experimental group were born, the babies were
      placed in a prone position with skin contact on their mothers' bare belly. The baby was
      gently dried, covered with a blanket and a beret was worn. The umbilical cord of the baby was
      clamped late (approximately 1-3 minutes). The baby was kept in this position for 30 minutes
      and then taken under the radiant heater for routine care.

      Blood was collected from women in the experimental and control groups for the 1st and 30th
      minutes after the birth of the baby for oxytocin and ᵦ endorphin analysis. After for both
      groups, VAS was applied after 2nd and 6th hours after birth, LATCH Breastfeeding Assessment
      and BSS were applied in 24th hour and 1 week later of the birth. Immediately after birth, a
      postpartum hemorrhage follow-up bag was placed on the gynecological table and followed by a
      bleeding bag until the mother got up from the gynecological table. When women were taken to
      bed from gynecological table, bleeding was followed up with a perineal pad. Weights of pad
      and mattress protections of women were weighed at 24 hours because normal women were
      discharged at 24 hours after delivery.
    

Intervention name(s): Skin to skin contact
Intervention type(s): Other
Intervention description(s): Skin to skin contact
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled single-blind experimental study.
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Postpartum Pain; Breastfeeding; Beta Endorphin; Oxytocin; Postpartum Hemorrhage; Skin to Skin Contact