Immediate Skin-To-Skin Contact and Early Breastfeeding During Caesarean Section

NACompletedINTERVENTIONAL
Enrollment

336

Participants

Timeline

Start Date

July 1, 2023

Primary Completion Date

May 15, 2024

Study Completion Date

July 20, 2024

Conditions
Neonatal Hypoglycemia
Interventions
OTHER

Immediate SSC and early breastfeeding during CS

Upon birth, the neonate is promptly placed prone on the mother's chest, with their head turned to one side for optimal skin contact. The drying process begins within 5 seconds and is completed within 20 to 30 seconds while the neonate remains on the mother's chest. Delayed cord clamping is practiced, with the cord clamped approximately 1-3 minutes after birth. Breastfeeding cues such as tongue movements or head turning are monitored, and the obstetric nurse assists the mother in initiating breastfeeding as soon as possible. SSC continues throughout the cesarean procedure, and upon completion, the newborn is temporarily separated from the mother for safety during transfer to the surgical cart. SSC is resumed immediately post-transfer and continues for a cumulative duration of at least 90 minutes. The neonate's skin color, breathing, and feeding responses are continuously observed.

OTHER

Delayed SSC and breastfeeding after CS

The neonate is dried within 20-30 seconds after birth, the cord is clamped after 1-3 minutes, and then the neonate is sent to the ward to wait for the mother to complete the surgery. Immediate SSC is initiated within one hour after birth and maintained with the mother for at least 90 minutes post-surgery, during which the neonate's skin color and breathing are continuously monitored. The obstetric nurse supports the mother in initiating breastfeeding at the earliest opportunity.

OTHER

Routine newborn care

Newborn eye care, vitamin K1 administration, immunizations, weighing, and standard examinations are conducted before the neonate is transferred to the ward.

Trial Locations (1)

266000

Qingdao Municipal Hospital, Qingdao

All Listed Sponsors
lead

Qingdao Municipal Hospital

OTHER