Karimi Aghdas1, Khadivzadeh Talat2, Bagheri Sepideh3. 1. Student Research Committee, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mashhad University of Medical Science, Mashhad, Iran. 2. School of Nursing and Midwifery and Women Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. 3. School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: bagheris@mums.sc.ir.
Abstract
OBJECTIVE: To evaluate the effect of mother-infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy. STUDY DESIGN: A randomised control trial. SETTINGS: The study was conducted in Omolbanin obstetrics hospital (large tertiary hospital), Mashhad, Iran. PARTICIPANTS: 11418-35 year-old primiparous, Iranian, healthy and full term mothers who anticipated normal vaginal delivery and intended to breastfeed their babies. INTERVENTION: Skin-to-skin contact immediately after birth and then controlling breastfeeding self-efficacy at 28 days postpartum. MAIN OUTCOME MEASURE: Maternal breastfeeding self-efficacy at 28 days postpartum and success in first breastfeeding and mean time of first breastfeeding initiation. RESULTS: A total of 92 mother-infant dyads (47 dyads in skin-to-skin care skin-to-skin contact group and 45 dyads in routine care group) were monitored and analysed. In skin-to-skin contact group, breastfeeding self-efficacy was 53.42±8.57 SD as compared to 49.85±5.50 SD in routine care group which is significantly higher in skin-to-skin contact group (p=0.0003). Successful breastfeeding initiation rate was 56.6% in skin-to-skin contact group as compared to 35.6% in routine care group (p=0.02). Time to initiate first feed was 21.98±9.10 SD min in SSC group vs. 66.55±20.76 min in routine care group (p<0.001). CONCLUSION:Mother-infant immediate skin-to-skin contact is an easy and available method of enhancing maternal breastfeeding self-efficacy. High breastfeeding self-efficacy increases exclusive breastfeeding duration.
RCT Entities:
OBJECTIVE: To evaluate the effect of mother-infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy. STUDY DESIGN: A randomised control trial. SETTINGS: The study was conducted in Omolbanin obstetrics hospital (large tertiary hospital), Mashhad, Iran. PARTICIPANTS: 114 18-35 year-old primiparous, Iranian, healthy and full term mothers who anticipated normal vaginal delivery and intended to breastfeed their babies. INTERVENTION: Skin-to-skin contact immediately after birth and then controlling breastfeeding self-efficacy at 28 days postpartum. MAIN OUTCOME MEASURE: Maternal breastfeeding self-efficacy at 28 days postpartum and success in first breastfeeding and mean time of first breastfeeding initiation. RESULTS: A total of 92 mother-infant dyads (47 dyads in skin-to-skin care skin-to-skin contact group and 45 dyads in routine care group) were monitored and analysed. In skin-to-skin contact group, breastfeeding self-efficacy was 53.42±8.57 SD as compared to 49.85±5.50 SD in routine care group which is significantly higher in skin-to-skin contact group (p=0.0003). Successful breastfeeding initiation rate was 56.6% in skin-to-skin contact group as compared to 35.6% in routine care group (p=0.02). Time to initiate first feed was 21.98±9.10 SD min in SSC group vs. 66.55±20.76 min in routine care group (p<0.001). CONCLUSION: Mother-infant immediate skin-to-skin contact is an easy and available method of enhancing maternal breastfeeding self-efficacy. High breastfeeding self-efficacy increases exclusive breastfeeding duration.
Authors: Ellen O Boundy; Roya Dastjerdi; Donna Spiegelman; Wafaie W Fawzi; Stacey A Missmer; Ellice Lieberman; Sandhya Kajeepeta; Stephen Wall; Grace J Chan Journal: Pediatrics Date: 2015-12-23 Impact factor: 7.124
Authors: Erin B Kennedy; Michele R Hacker; David Miedema; DeWayne M Pursley; Anna M Modest; Toni H Golen; Heather H Burris Journal: Hosp Pediatr Date: 2018-11