Carfoot Sue, Williamson Paula, Dickson Rumona
Women's Health Directorate, North Cheshire Hospitals NHS Trust, Warrington, UK.
Midwifery. 2005 Mar;21(1):71-9. doi: 10.1016/j.midw.2004.09.002.
to examine the effect of early skin-to-skin contact between mothers and their healthy full-term babies on initiation and duration of breast feeding.
a randomised controlled trial comparing skin-to-skin with routine care.
Warrington Hospital, Cheshire, UK.
204 mother and baby pairs; 102 randomised to each group.
success of first breast feed, maternal satisfaction with skin-to-skin care and preference for future post-delivery care, baby-body temperature 1 hr after birth, partial or exclusive breast feeding at 4 months.
in the skin-to-skin group, 89 out of 98 (91%) babies had a successful first feed compared with 82 out of 89 (83%) in the routine care group. The difference in the success rate was 8%, 95% confidence interval (CI) (-1.6%, 17.6%); chi(2)=2.7; df=1; P=0.10. Forty-two out of 97 (43%) babies given skin-to-skin were partially or exclusively breast feeding at 4 months compared with 40 out of 100 (40%) of babies in the routine care group. The difference in breast-feeding rate at 4 months was 3.3%, 95% CI (-10.3%, 16.7% ); chi(2)=0.22; df=1; P=0.64. The mean temperature 1 hr after birth was higher with skin-to-skin than routine care. The difference in means was 0.15 degrees C; 95% CI (0.03, 0.28); P=0.02. A larger proportion of mothers (87/97 [90%]) were very satisfied with skin-to-skin care, compared with 60 out of 102 (59%) in the control group; 83 out of 97 (86%) of the mothers in the intervention group said that they would prefer to receive the same care in the future compared with 31 out of 102 (30%) mothers in the control group.
the difference between the groups in the success rate for the first breast feed and rates at 4 months was not statistically significant. However, mothers who had skin-to-skin contact enjoyed the experience, and most reported that they would choose to have skin-to skin care in the future. In this, the largest trial to date, previous concerns about baby-body temperature after skin-to-skin care were dispelled.
探讨母亲与健康足月婴儿早期皮肤接触对母乳喂养开始时间和持续时间的影响。
一项将皮肤接触与常规护理进行比较的随机对照试验。
英国柴郡沃灵顿医院。
204对母婴；每组随机分配102对。
首次母乳喂养的成功率、母亲对皮肤接触护理的满意度及对未来产后护理的偏好、出生后1小时婴儿体温、4个月时部分或纯母乳喂养情况。
在皮肤接触组中，98名婴儿中有89名（91%）首次母乳喂养成功，而常规护理组89名婴儿中有82名（83%）成功。成功率差异为8%，95%置信区间（CI）（-1.6%，17.6%）；卡方=2.7；自由度=1；P=0.10。接受皮肤接触护理的97名婴儿中有42名（43%）在4个月时部分或纯母乳喂养，而常规护理组100名婴儿中有40名（40%）。4个月时母乳喂养率差异为3.3%，95%CI（-10.3%，16.7%）；卡方=0.22；自由度=1；P=0.64。出生后1小时皮肤接触组婴儿的平均体温高于常规护理组。平均差异为0.15摄氏度；95%CI（0.03，0.28）；P=0.02。与对照组102名母亲中的60名（59%）相比，更大比例的母亲（97名中的87名[90%]）对皮肤接触护理非常满意；干预组97名母亲中有83名（86%）表示她们希望未来接受相同的护理，而对照组102名母亲中有31名（30%）。
两组在首次母乳喂养成功率和4个月时的母乳喂养率方面的差异无统计学意义。然而，有过皮肤接触的母亲享受这种体验，且大多数人表示她们未来会选择接受皮肤接触护理。在这项迄今为止规模最大的试验中，此前对皮肤接触护理后婴儿体温的担忧消除了。
