RecruitingNot ApplicableNCT07331168

EVALUATION OF THE EFFECT OF ACTIVE WARMING APPLIED TO THE MOTHER DURING CESAREAN SECTION ON POST-BREASTFEEDING OUTCOMES: A RANDOMIZED CONTROLLED STUDY

Sponsor

Kutahya Health Sciences University

Enrollment

68 participants

Start Date

Oct 1, 2025

Study Type

INTERVENTIONAL

Conditions

thermal comfort Breastfeeding Cesarean Resection

Summary

Hypothermia is a complication of cesarean section and a cause of breastfeeding problems. Preventing maternal hypothermia is one of the goals of the enhanced postoperative recovery (ERAS) protocol and is important for the health of both mother and baby. This clinical trial aims to determine the effects of active warming during and after cesarean delivery on breastfeeding outcomes, thermal comfort, and perceived insufficient milk supply. The primary questions it aims to answer are: 1. To evaluate the effect of active warming during cesarean delivery on mothers' perception of thermal comfort. 2. To evaluate the effect of active warming after cesarean delivery on mothers' perceived insufficient milk supply. 3. To determine the effect of active warming after cesarean delivery on breastfeeding success. Participants: Warming will be provided using an active warming bed during cesarean delivery (45 minutes). Warming will continue in the postpartum care unit (45 minutes). The control group will not receive any warming and will receive the hospital's standard care procedure.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 49 Years

Inclusion Criteria5

Over 18 years of age
Primiparous, singleton pregnancy
Gestational age >37 weeks, elective cesarean section under spinal anesthesia
No issues with breastfeeding the baby or herself during the postpartum period
Voluntarily participating

Exclusion Criteria8

Those with a gestational age of less than 37 weeks,
Those with an urgent delivery decision or those with accompanying comorbidities (severe preeclampsia, placenta previa, placental abruption, umbilical cord prolapse, fetal distress),
those with multiple pregnancies,
those with a core body temperature above 37.5 °C,
those who started cesarean delivery with spinal anesthesia and later switched to general anesthesia due to complications,
those with known impaired thermoregulation or thyroid disorder
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Interventions

OTHERactive warming

During the cesarean section, heating will be applied at 37 degrees. (45 minutes) Carbon fiber resistive heating pads are reusable, where a low-voltage electric current flows, causing heat to accumulate in the carbon fibers that make up the blanket's filling. A heating pad will be used to warm participants. This pad has a control unit, is 120 cm long, and is suitable for operating room conditions. It is safe and operates at low voltage. It heats to a maximum of 40 degrees Celsius. In this study, heating will be used to a temperature of 37 degrees Celsius.

OTHERactive warming II

After the cesarean section, heating will be applied to the recovery area at 37 degrees. (45 minutes) Carbon fiber resistive heating pads are reusable, where a low-voltage electric current flows, causing heat to accumulate in the carbon fibers that make up the blanket's filling. A heating pad will be used to warm participants. This pad has a control unit, is 120 cm long, and is suitable for operating room conditions. It is safe and operates at low voltage. It heats to a maximum of 40 degrees Celsius. In this study, heating will be used to a temperature of 37 degrees Celsius.