Skip to main content
OpenTrials
Completed

NCT Number: NCT07149766

Breast Crawling and Breastfeeding Success

Breast crawling, also referred to as the newborn's self-attachment, was first observed in 1977 and described as the "first important sucking behavior". During the first hour after birth, the newborn exhibits instinctive movements aimed at locating and attaching to the breast. In 1987, Swedish researchers Widström et al., and later in 1990, Righard and Alade, detailed these behaviors through systematic observation.

They found that when a newborn is placed prone on the mother's abdomen immediately after birth-while the mother is in a supine position-the baby begins to engage rooting and stepping reflexes. These reflexes typically lead the baby to begin crawling toward the breast around 29 minutes after birth, with effective suckling starting approximately 50 minutes postpartum.This instinctual behavior, observed in the first hour of life when the newborn is most alert and active, has been well documented in the literature as "the breast crawl." It demonstrates the neonate's innate capacity to find and latch onto the mother's breast using biological reflexes when uninterrupted.

Righard and Alade emphasized that routine hospital practices often interrupt this natural sequence, which may negatively impact the breastfeeding process. They underlined the importance of preserving the immediate postnatal hour, a critical window in which these behaviors are most likely to occur and support early breastfeeding success.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Sakarya University

Sakarya, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being over 18 years of age,
  • Volunteering to participate in the study,
  • Ability to speak, write, and understand Turkish,
  • No communication difficulties,
  • Having had a spontaneous vaginal delivery,
  • Primigravida giving birth for the first time,
  • The baby was given to the mother within the first hour after birth,
  • Having a full-term, singleton, and healthy newborn,
  • No condition preventing breastfeeding in either mother or baby.
  • The baby was born with an APGAR score of 7 or higher,
  • The baby had no tongue, lip, or mouth anomalies,
  • Coordination of sucking, rooting, and swallowing was present.

Exclusion criteria

  • The mother did not want to participate in the study or wished to terminate the study,
  • The mother had a postpartum emergency requiring medical intervention.

Treatment and study plan

Breast crawling

Other

The newborn will be placed on the mother's abdomen for no more than 60 minutes, during which breast crawling and suckling behaviors will be observed. Throughout this period, the researcher will maintain active communication with the mother, providing information on the importance of breastfeeding.

The mother will be gently guided to support the baby when necessary, without interfering with the baby's natural instincts. The newborn's heart rate, respiratory rate, and body temperature will be recorded at birth and at the 60th minute.

Primary outcomes

  1. Postpartum Comfort Scale

    Time frame: Within the first 24 hours postpartum

    Description: Measures physical, psychological, and environmental comfort after childbirth. (The scale is a 34-item Likert-type scale. The lowest possible score is 34, and the highest is 170. A higher score indicates higher postpartum comfort.)

  2. Postpartum Breastfeeding Self-Efficacy Scale

    Time frame: At 24 hours postpartum

    Description: Evaluates the mother's confidence in her ability to breastfeed successfully. The minimum score that can be obtained from the scale is 14, and the maximum score is 70. The scale has no cut-off point, and a higher score indicates higher breastfeeding self-efficacy.

Secondary outcomes

  1. Demographic Information Form

    Time frame: baseline

    Tool: Mother and Infant Demographic Information Form

    Description: Includes maternal age, parity, delivery mode, gestational week, newborn Apgar scores, birth weight, and gender.

    Purpose: To identify potential confounding variables and describe the study population.

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Sep 2, 2025
Registry last updated
Jan 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.