Evaluation of the Effect of Active Warming Applied to the Mother During Cesarean Section on Post-Breastfeeding Outcomes: A Randomized Controlled Study

Evaluation of the Effect of Active Warming Applied to the Mother During Cesarean Section on Post-Breastfeeding Outcomes: A Randomized Controlled Study

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.

Inclusion Criteria:

• 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 Criteria:

• 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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