Effect of Mother-Infant Early Skin-to-Skin Contact on Breastfeeding Status: A Randomized Controlled Trial
Effect of Mother-Infant Early Skin-to-Skin Contact on Breastfeeding Status: A Randomized Controlled Trial
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DOI：
10.2011/jcpsp.601605
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发表时间：
2011-10-01
影响因子：
1
通讯作者：
Khan, Nusrat
中科院分区：
文献类型：
--
作者：
Mahmood, Iqbal;Jamal, Mahmood;Khan, Nusrat
目的：评估母婴早期皮肤接触对婴儿母乳喂养行为的影响。研究设计：随机对照试验。研究地点和持续时间：该研究于2009年11月至12月在伊斯兰堡巴基斯坦医学科学研究所产科进行。方法：使用IBFAT工具对符合条件的母亲进行成功母乳喂养的评估。还记录了开始第一次喂养的时间、有效母乳喂养的时间、母亲对所提供护理的满意度、未来对相同护理的偏好以及一个月龄时纯母乳喂养的水平。数据比较采用X-2和t检验。显着性 p 值取为 < 0.05。 结果：总共对 183 对母婴（92 对皮肤接触护理 [SSC] 组和 91 对传统护理 [CC] 组）的婴儿母乳喂养行为进行了分析。 SSC 组首次母乳喂养的成功率高出 26.25%（SSC 组为 58.8%，而 CC 组为 32.5%，p 值为 0.001）。在 SSC 组中，开始第一次母乳喂养的平均时间比 CC 组短 61.6 分钟（40.62 vs. 101.88；p < 0.001）。 SSC 组实现有效母乳喂养的平均时间提前了 207 分钟（149.69 vs. 357.50；p < 0.001）。 SSC 组母亲的满意度显着高于对照组（56% vs. 6.2%）。同样，SSC 组中 53.8% 的母亲表现出对未来类似护理的偏好，而 CC 组中这一比例为 5%。 SSC 组有 85.3% 的婴儿在一个月内接受纯母乳喂养，而 CC 组为 65.7% (p=0.025)。结论：母婴早期皮肤接触显着提高了第一次母乳喂养的成功率，并持续纯母乳喂养至一个月龄。它还减少了第一次喂养的时间和有效母乳喂养的时间。
Objective: To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants.Study Design: A randomized controlled trial.Place and Duration of Study: The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009.Methodology: Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X-2 and t-test. Significant p-value was taken as < 0.05.Results: A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [ CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In SSC group, the mean time to initiate first breastfeed was 61.6 minutes shorter than CC group (40.62 vs. 101.88; p < 0.001). Mean time to achieve effective breastfeeding was 207 minutes earlier in SSC group (149.69 vs. 357.50; p < 0.001). The level of satisfaction in the mothers of SSC group was significantly high as compared to controls (56% vs. 6.2%). Similarly, 53.8% mothers of SSC group showed preference for similar care in future as compared to 5% in CC group. In SSC group 85.3% infants were exclusively breastfed at one month as compared to 65.7% in CC group (p=0.025).Conclusion: Maternal-infant early skin-to-skin contact significantly enhanced the success of first breastfeed and continuation of exclusive breastfeeding till one month of age. It also reduced the time to initiate first feed and time to effective breastfeeding.