The Effect of Skin-to-skin Contact on Placental Separation Time, Type, Postpartum Hemorrhage and Comfort
Condition: Patient Comfort; Postpartum Hemorrhage; Midwifery; Placenta
MeSH terms: Postpartum Hemorrhage; Abruptio Placentae; Hemorrhage
Study type: Interventional

Summary: 
      It is aimed to determine the late cord clamping with early skin-to-skin contact in
      primiparous pregnant women who delivered vaginally, according to placental separation time,
      separation method, amount of postpartum bleeding and postpartum comfort.
    

Detailed description: 
      The research is an experimental type randomized controlled trial. The data of the research
      gathered in the delivery room clinic of Erzurum City Hospital affiliated to the Ministry of
      Health in Erzurum city center between 02.11.2022 and 10.06.2023. The study was completed with
      126 primiparous pregnants, 63 of whom were controls and 63 of whom were experimental,
      randomized in the clinic. "Personal Information Form" and "Postpartum Comfort Scale" prepared
      by the researcher were used to collect the data of the study.

      control group

        -  Pregnant women who met the criteria for admission to the delivery room were selected,
           the institution's routine policies were implemented.

        -  The mother was informed about the study and written consent was obtained.

        -  Hospital routine practices continued until birth.

        -  The stopwatch is started the moment the baby is born.

        -  After birth, the umbilical cord was clamped immediately without skin-to-skin contact
           between the mother and the baby, and the baby was taken to routine care.

        -  Signs of placental separation were monitored with a stopwatch, and it was noted at what
           minute the symptoms were seen.

        -  Placental delivery time and separation type were noted in the relevant part of the form.

        -  According to the routines taken from each hospitalized patient in institutional
           policies, the volunteer's entry hemoglobin and hematocrit values were noted on the form.

        -  The Personal Information Form consisting of 22 questions and the Postpartum Comfort
           scale were administered to the mother at the end of the follow-up period in the delivery
           room (2 hours later).

        -  From the 6th hour blood values found in the hospital routine, the mother's hemoglobin
           and hematocrit values were noted on the form.

      Experimental group

        -  Pregnant women who met the criteria for admission to the delivery room were selected,
           the institution's routine policies were implemented.

        -  The mother was informed about the study and written consent was obtained.

        -  Hospital routine practices continued until birth.

        -  The stopwatch is started the moment the baby is born.

        -  The baby was placed on the mother's chest, it was waited for 60-90 seconds in
           skin-to-skin contact, and breastfeeding was tried. At the end of the period, the
           umbilical cord was clamped and the baby was placed under a radiant heater and routine
           care was continued.

        -  Signs of placental separation were monitored with a stopwatch, and it was noted at what
           minute the symptoms were seen.

        -  Placental delivery time and separation type were noted in the relevant part of the form.

        -  According to the routines taken from each hospitalized patient in institutional
           policies, the volunteer's entry hemoglobin and hematocrit values were noted on the form.

        -  During the repair of episiotomy or desuria, if any, in the mother, skin-to-skin contact
           was made between the baby and the mother for 1 hour without disrupting the procedures.

        -  The Personal Information Form consisting of 22 questions and the Postpartum Comfort
           scale were administered to the mother at the end of the follow-up period in the delivery
           room (2 hours later).

        -  From the 6th hour blood values found in the hospital routine, the mother's hemoglobin
           and hematocrit values were noted on the form.
    

Intervention name(s): skin-to-skin contact and delayed cord clamping; avoiding skin-to-skin contact and early cord clamping
Intervention type(s): Other; Other
Intervention description(s): Placental separation time, separation method, amount of postpartum bleeding and postpartum comfort were evaluated with skin-to-skin contact and late cord clamping after delivery.; After delivery, placental separation time, separation method, amount of postpartum bleeding and postpartum comfort were evaluated without skin-to-skin contact and late cord clamping.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Health Services Research
Keywords: skin-to-skin contact; placental separation time; Postpartum Comfort; placental separation method; delayed clamping of the umbilical cord; midwife