Effects of Mother-Infant Skin to Skin Contact on Successful Breastfeeding in Postpartum Mother-Infant Separation: A Randomized Controlled Trial
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Abstract
Objective: To compare successful infant sucking between skin-to-skin contact and non-skin-to-skin contact in postpartum mother–infant separations of 6-24 hours.
Methods: A randomized-controlled trial in 64 mother-infant dyads with normal vaginal delivery and separation of 6-24 hours. Samples were randomized and equally allocated to skin-to-skin contact (SSC) and conventional care (CC). The primary outcome was successful infant sucking rate at the first breastfeed and the second assessment at 6-12 hours later using the Infant Breast-Feeding Assessment Tool (IBFAT). The secondary outcomes were exclusive breastfeeding rate at discharge day, one month and three months postpartum.
Results: Baseline characteristics were similar between groups. The mean IBFAT scores at the first and second breastfeed in the SSC group were significantly higher than the CC group (10.47±1.41 vs. 8.00±1.42 and 11.94±0.25 vs. 10.53±1.11, p < 0.001 respectively). The exclusive breastfeeding rate at discharge was significantly higher in the SSC group (96.9% in SSC group and 65.6% in CC group, p < 0.001), but not significantly different at one and three months postpartum.
Conclusions: postpartum mother-infant separation with SSC significantly enhanced successful infant sucking and the rate of exclusive breastfeeding at discharge.
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References
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