The effect of thermoregulation bundle applied at birth on newborn physiological parameters and breastfeeding: A randomi̇zed controlled trial

Aim: This study was conducted in a randomized controlled experimental design to determine the effect of the thermoregulation package applied at birth on the physiological parameters and breastfeeding of newborns. Methods: A total of 140 mother–newborn dyads, including 70 in the intervention group and 70 in the control group, were included in the study. While the thermoregulation package developed in accordance with the literature was applied to the intervention group, routine clinical care was provided to the control group. Data were collected using the Descriptive Information Form and the LATCH Breastfeeding Assessment Tool. Results: No statistically significant difference was found between the groups in terms of delivery room temperature (p>0.05). The body temperature of newborns in the intervention group at the 30th and 60th minutes after birth was found to be significantly higher than that of the control group (p<0.001). Oxygen saturation values of newborns in the intervention group were significantly higher than those of the control group at the 1st, 5th, and 30th minutes, whereas the respiratory rate at the 30th and 60th minutes was significantly higher in the control group (p<0.05). The heart rate of newborns in the intervention group was found to be higher than that of the control group at the 5th and 30th minutes (p<0.05). Within the first hour after birth, newborns in the intervention group were breastfed at a higher rate than those in the control group (p<0.001). Newborns in the intervention group were breastfed more effectively than those in the control group at the 30th and 60th minutes (p<0.001). Conclusion: It was determined that the physiological parameters of newborns who received the thermoregulation package were positively affected and that they were breastfed more effectively. The implementation of a continuous first-hour thermoregulation package for newborns in delivery rooms may be recommended.