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Women Birth. 2014 Mar;27(1):37-40. doi: 10.1016/j.wombi.2013.09.004. Epub 2013 Nov 9.

Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial.

Author information

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:

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.

KEYWORDS:

BSES; Breast feeding initiation; Breastfeeding self-efficacy; Routine care; Skin-to-skin contact

PMID:
24216342
DOI:
10.1016/j.wombi.2013.09.004
[Indexed for MEDLINE]

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