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Trial registered on ANZCTR
Registration number
ACTRN12615000682549
Ethics application status
Approved
Date submitted
28/05/2015
Date registered
1/07/2015
Date last updated
1/07/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of early breastfeeding on maternal oxidative stress.
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Scientific title
Does early breastfeeding in the operating room during cesarean section effect maternal oxidative stress and antioxidant capacity, a randomised controlled study
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Secondary ID [1]
286436
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nil known
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Universal Trial Number (UTN)
U1111-1168-7997
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Trial acronym
-
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
maternal oxidative stress
294606
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maternal antioxidant capacity
294607
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postoperative analgesic requirement
294609
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Condition category
Condition code
Reproductive Health and Childbirth
294908
294908
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0
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Breast feeding
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Anaesthesiology
294909
294909
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0
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Other anaesthesiology
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Metabolic and Endocrine
294910
294910
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0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Immediate skin to skin contact during ceserean section, right after the delivery of the baby, will be maintained for ten minutes between the mother and the child. The breastfeeding will be provided in the operating room during this contact.
In the postoperative period, maternal oxidative stress and antioxidant capacity will be measured.
The correlation between maternal oxidative stress and antioxidant capacity will be analysed.
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Intervention code [1]
291713
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Behaviour
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Intervention code [2]
292026
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Prevention
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Comparator / control treatment
The control behaviour will be the breastfeeding 1 hour after ceserean section in the ward.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean maternal total oxidant status levels
Serum total oxidant status (TOS) will be measured spectrophotometrically, by TOS assay kit according the manufacturer’s protocol.
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Assessment method [1]
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Timepoint [1]
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Baseline and at 15 minutes after ceserean section
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Primary outcome [2]
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Mean maternal total antioxidant capacity levels
Serum total antioxidant capacity (TAS) will be measured spectrophotometrically, by TAS assay kit according the manufacturer’s protocol.
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Assessment method [2]
294900
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Timepoint [2]
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Baseline and at 15 minutes after ceserean section
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Primary outcome [3]
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Mean maternal oxytocin levels and the correlation of these levels with total oxidant status and total antioxidant capacity.
Serum oxytocin levels will be measured with oxytocin assay kit according to the manufacturer’s protocol.
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Assessment method [3]
294901
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Timepoint [3]
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Baseline and at 15 minutes after ceserean section
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Secondary outcome [1]
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Total analgesic consumption in the postoperative period.
Patient's tramadol consumption after ceserean section will be recorded.
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Assessment method [1]
314310
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Timepoint [1]
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Postoperatively for 48 hours.
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Secondary outcome [2]
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Visual analog scoring for postoperative pain
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Assessment method [2]
314311
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Timepoint [2]
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48 hours after the operation.
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Eligibility
Key inclusion criteria
Healthy pregnant patients, between age 18 and 35, who will have an elective ceserean section with regional (spinal) anesthesia.
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Minimum age
18
Years
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Maximum age
35
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
The pregnant patients who have any systemic disease, cuagulation abnormalities, preeclampsia, eclampsia, acute or chronic fetal distress, multiple pregnancies or preterm labour.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Computer based randomisation
The allocation concealment will be provided with sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The number of participants needed is determined by referring to published data of studies similar to our concept . We chose the significance value as 0.05 and beta value 0.20 and the power 0.80. We estimated the difference of interest and the standard deviation based on results from previous studies. Based on these results, we calculated the sample size. We plan to performe statistical analysis using SPSS. We plan to use Student’s t test to evaluate comparisons between groups about demographic, clinical and biochemical values and express the results as the mean and standart deviation or median range.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/06/2015
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Actual
1/06/2015
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Date of last participant enrolment
Anticipated
1/08/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6845
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Turkey
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State/province [1]
6845
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Funding & Sponsors
Funding source category [1]
291488
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Self funded/Unfunded
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Name [1]
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Beril Yuksel
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Address [1]
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country [1]
291488
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Turkey
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Primary sponsor type
Individual
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Name
Beril Yuksel
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Address
Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country
Turkey
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Secondary sponsor category [1]
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Individual
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Name [1]
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Onur Balaban
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Address [1]
289838
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country [1]
289838
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Turkey
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Other collaborator category [1]
278441
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Individual
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Name [1]
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Ilker Ital
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Address [1]
278441
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country [1]
278441
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Turkey
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292927
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Dumlupinar University Clinical Research Ethics Committee
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Ethics committee address [1]
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Dumlupinar University Faculty of Medicine Okmeydani Street. PO:43050 Kutahya
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Ethics committee country [1]
292927
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Turkey
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Date submitted for ethics approval [1]
292927
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14/05/2015
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Approval date [1]
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28/05/2015
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Ethics approval number [1]
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2015-86/04
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Summary
Brief summary
After birth with cesarean section, mothers and neonates are exposed to oxidative stress. Human milk contains components that protect the infant from infections and the oxidative stress caused during transition from intrauterine to extrauterine life. Human milk is very well known to have antioxidative properties. Brest-fed children were shown to have higher antioxidative capacity in blood and lower oxidative stress compared to formula-fed infants (Szalagatys 2004, Korchazhkina 2006). In many hospitals in Turkey, our usual practice during cesarean section is handling the baby to a neonatal team, consisting of pediatricians or a mid-wife, who remove the baby to a radiant warmer right after birth and giving the baby back to mother in the ward, after one or two hours period of observation in the recovery room. Immediate skin to skin care and early breastfeeding, was shown to promote maternal-neonatal bonding and thermoregulation of the infants (Burke- Aaronson, 2015) as well as reducing the delay of lactation and the likelihood of formula supplementation (Stevens 2014). Implementing immediate skin to skin care is recommended in many latest international reports for the well being of the neonate (Crenshaw 2014, Burke-Aaronson 2015). Besides the well known positive effects on the infants, the effect of skin to skin contact and early breastfeeding on maternal oxidative stress and antioxidant capacity is not studied before. In this study, we aim to find whether or not early breastfeeding during cesarean section, prevents the maternal oxidative stress. In addition, we also aim to analyse whether there is any correlation between the maternal oxytocin levels and total antioxidant capacity or total oxidant status. Our secondary aim in this study is to evaluate the relation between postoperative pain and postoperative oxytocin levels.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Beril Yuksel
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Address
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country
56134
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Turkey
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Phone
56134
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+90 532 8852652
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Fax
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Email
56134
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[email protected]
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Contact person for public queries
Name
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Beril Yuksel
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Address
56135
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country
56135
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Turkey
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Phone
56135
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+90 532 8852652
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Fax
56135
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Email
56135
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[email protected]
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Contact person for scientific queries
Name
56136
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Beril Yuksel
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Address
56136
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Work Adress:
Dumlupinar University Faculty of Medicine
Okmeydani Street. PO:43050
Kutahya
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Country
56136
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Turkey
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Phone
56136
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+90 532 8852652
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Fax
56136
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Email
56136
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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