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Early essential newborn care for cesarean section newborns in China: study protocol for a multi-centered randomized
Xueyin Wang1, Xiaosong Zhang1, Howard Lawrence Sobel2
1Department of Obstetrics and Gynecology, Peking University First Hospital, No. 1 Xi'anmen Street, Beijing, 100034, China.
Trials
|August 19, 2022
Summary
This study investigates early essential newborn care (EENC) for cesarean newborns in China, focusing on skin-to-skin contact duration to improve breastfeeding initiation and exclusivity.
Area of Science:
- Neonatal care
- Maternal-child health
- Public health interventions
Background:
- Early essential newborn care (EENC) encompasses delayed cord clamping, immediate skin-to-skin contact, and early breastfeeding initiation.
- EENC is recognized for enhancing maternal and newborn health and promoting breastfeeding.
- Limited data exists on EENC implementation for cesarean-born infants in China.
Purpose of the Study:
- To evaluate the effectiveness of EENC interventions on exclusive breastfeeding and early breastfeeding initiation rates in newborns delivered via cesarean section in China.
- To determine the optimal duration of skin-to-skin contact within EENC for cesarean deliveries.
Main Methods:
- A multi-centered randomized controlled trial involving 720 women undergoing cesarean section in 4 Chinese tertiary hospitals.
- Participants were randomized into a control group (routine care) and three intervention groups receiving EENC with 30, 60, or 90 minutes of skin-to-skin contact.
- Primary outcomes included rates of exclusive breastfeeding and early initiation of breastfeeding; secondary outcomes involved maternal and neonatal morbidity and hospital admissions.
Main Results:
- Data collection is ongoing for demographic characteristics, clinical information, and breastfeeding outcomes.
- The study aims to provide robust data on the impact of varying skin-to-skin contact durations on breastfeeding success.
- Analysis will also assess effects on maternal and neonatal health indicators.
Conclusions:
- This research will offer crucial evidence on the benefits of EENC for cesarean-born infants in China.
- Findings will guide the development of evidence-based recommendations for optimal skin-to-skin contact duration in EENC protocols for cesarean deliveries.
- The study's results have the potential to influence national guidelines and policies for improving newborn care after cesarean birth.
