Main Article Content
Purpose: To examine the effects of early maternal-neonate skin to skin contact after birth on effective suckling at discharge and exclusive breastfeeding for 1 month.
Design: Randomized controlled trial design (double blind trails).
Methods: The participants were 59 dyads of mothers and their healthy neonates. Eligible mothers included: being primiparous women aged 18 years and above but below 35 years, having full-term pregnancy, and having normal delivery at a public hospital in Bangkok. Sixty-four mother-infant dyads were randomly assigned into two study groups but finally 30 dyads remained in the control group and 29 in the experimental group. The control group received routine nursing care. The experimental group received early maternal-neonate skin to skin contact within 5 minutes after birth for at least 1 hour. Data collection used five research instruments including the Demographics Interview Form, Labor Record Form, the Infant’s Feeding Record Form, the Effective Suckling Assessment Form, and the Infant’s Feeding Interview Form. Data were analyzed using descriptive statistics and chi-square test.
Main findings: The experimental group had a proportion of neonates with effective suckling at discharge statistically and significantly higher than that of the control group (p < .05). However, exclusive breastfeeding rate for 1 month in experimental group was not significantly different.
Conclusion and recommendations: Midwifes should apply early maternal-neonate skin to skin contact for at least 1 hour to initiate breastfeeding in order to enhance effective suckling at discharge.
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