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 the infant's body temperature (thermoregulation), particularly in the first hour after birth, is critical for the newborn's survival and adaptation to the environment. It is hypothesized that the implementation of a thermoregulation bundle will lead to a faster stabilization of physiological parameters and will positively influence the initiation and overall success of breastfeeding. To this end, this study will examine the effects of a thermoregulation bundle applied at birth on the physiological parameters of newborns (vital signs such as body temperature, respiratory rate, heart rate, and oxygen saturation) and its impact on breastfeeding.
Eligibility
Inclusion Criteria1
- 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 Criteria1
- 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