Mahmood Iqbal, Jamal Mahmood, Khan Nusrat
Department of Neonatology, Pakistan Institute of Medical Sciences, Islamabad.
J Coll Physicians Surg Pak. 2011 Oct;21(10):601-5. doi: 10.2011/JCPSP.601605.
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants.
A randomized controlled trial.
The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009.
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 X2 and t-test. Significant p-value was taken as < 0.05.
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).
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.
评估母婴早期皮肤接触对婴儿母乳喂养行为的影响。
一项随机对照试验。
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妇产科进行。
使用国际母乳喂养行动联盟工具对符合条件的母亲进行成功母乳喂养评估。还记录了首次喂奶时间、有效母乳喂养时间、母亲对所提供护理的满意度、未来对相同护理的偏好以及婴儿1个月时的纯母乳喂养水平。数据采用X2检验和t检验进行比较。显著p值取<0.05。
共对183对母婴（皮肤接触护理[SSC]组92对，传统护理[CC]组91对）的婴儿母乳喂养行为进行了分析。SSC组首次母乳喂养成功率高出26.25%（SSC组为58.8%，CC组为32.5%，p值为0.001）。在SSC组，首次母乳喂养的平均时间比CC组短61.6分钟（40.62对101.88；p<0.001）。SSC组实现有效母乳喂养的平均时间早207分钟（149.69对357.50；p<0.001）。与对照组相比，SSC组母亲的满意度显著更高（56%对6.2%）。同样，SSC组53.8%的母亲表示未来更喜欢类似护理，而CC组为5%。SSC组85.3%的婴儿在1个月时纯母乳喂养，而CC组为65.7%（p=0.025）。
母婴早期皮肤接触显著提高了首次母乳喂养的成功率以及纯母乳喂养持续到1个月龄的比例。它还缩短了首次喂奶时间和实现有效母乳喂养的时间。
