Effect of Thermoregulation Bundle Applied at Birth on Neonatal Physiological Parameters and Breastfeeding
Effect of Thermoregulation Bundle Applied at Birth on Neonatal Physiological Parameters and Breastfeeding: A Randomized Controlled Trial
Istanbul University - Cerrahpasa
140 participants
Nov 1, 2025
INTERVENTIONAL
Conditions
Summary
Maintaining neonatal body temperature (thermoregulation), particularly during the first hour after birth, is critical for survival and successful adaptation to the extrauterine environment. Implementation of a thermoregulation bundle is expected to facilitate faster stabilization of physiological parameters and to positively influence the initiation of breastfeeding as well as overall breastfeeding success. The effects of a thermoregulation bundle applied at birth on neonatal physiological parameters-including body temperature, respiratory rate, heart rate, and oxygen saturation-and on breastfeeding outcomes will be evaluated.
Eligibility
Inclusion Criteria9
- The baby is born vaginally
- It is a singleton pregnancy,
- The baby is born at term (gestational age 38-42 weeks),
- The baby's Apgar score is ≥ 7 at 1 minute,
- The baby's birth weight is between 2500-4000 grams,
- The baby is exclusively breastfed,
- The baby has no problems preventing breastfeeding,
- The mother has no problems preventing breastfeeding,
- There are no maternal or fetal complications.
Exclusion Criteria4
- The baby being preterm/postterm,
- Starting formula feeding,
- The baby having special care needs (intensive care, etc.),
- The baby having intrauterine growth restriction (IUGR), genetic disease, etc.
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Interventions
A structured set of evidence-based thermal care interventions applied immediately after birth, including maintaining appropriate delivery room temperature, immediate drying with warm linens, removal of wet towels, application of a hat, early skin-to-skin contact for the first hour, and covering the newborn with a warm blanket. The bundle is implemented using an all-or-nothing approach.
Standard delivery room care according to institutional protocol.
Locations(1)
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NCT07453264