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Int J Nurs Stud. 2009 Sep;46(9):1168-80. doi: 10.1016/j.ijnurstu.2009.03.005. Epub 2009 Apr 10.

Effect of early skin-to-skin contact on mother-preterm infant interaction through 18 months: randomized controlled trial.

Author information

1
College of Nursing, University of Florida, Gainesville, FL, USA. schiu41@ufl.edu

Abstract

BACKGROUND:

Preterm birth often negatively influences mother-infant interaction. Skin-to-skin contact postbirth has positive effects on maternal feelings toward their preterm infants and on infant development and family interaction. However, little is known about the long-term effects of skin-to-skin contact on mother-late preterm infant interaction when skin-to-skin contact was experienced early postbirth and intermittently throughout the next five days.

OBJECTIVE:

The purpose of this report was to examine the effect of skin-to-skin contact on mother-late preterm infant interaction through 18 months.

DESIGN:

Randomized controlled trial with follow-up.

SETTING:

Two hospitals in the United States of America.

PARTICIPANTS:

100 mothers and their late preterm infants, 32 to <37 weeks' gestation, were recruited. Mother-preterm infant interactions were assessed in 69, 70, and 76 dyads at 6, 12, and 18 months.

METHODS:

Mothers and their preterm infants were videotaped during a feeding session at 6 and 12 months, and a teaching session at 6, 12, and 18 months. Their interactions were then scored using the Nursing Child Assessment Satellite Feeding Scale and Teaching Scale.

RESULTS:

Skin-to-skin contact and control dyads had comparable feeding scores at 6 and 12 months. Skin-to-skin contact infants had lower infant teaching scores at six months, a difference that disappeared thereafter.

CONCLUSIONS:

These inconclusive results call for additional studies with larger doses of skin-to-skin contact, larger sample sizes, and other outcome measures of mother-late preterm infant interactions. Such measures include the Parent-Child Early Relational Assessment and behavioral coding during play.

PMID:
19361802
PMCID:
PMC2818078
DOI:
10.1016/j.ijnurstu.2009.03.005
[Indexed for MEDLINE]
Free PMC Article
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