Karimi Fatemeh Zahra, Sadeghi Ramin, Maleki-Saghooni Nahid, Khadivzadeh Talat
Evidence-Based Health Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Taiwan J Obstet Gynecol. 2019 Jan;58(1):1-9. doi: 10.1016/j.tjog.2018.11.002.
Breast-feeding initiation within the first half hour after birth is one of the World Health Organization recommendations. However, in most hospitals, mother-infant contact and breast-feeding initiation are delayed due to routine mother and infant care. This study aimed to determine the effect of mother-infant skin to skin contact (SSC) immediately after birth on the success rate and duration of the first breast-feeding. In this review, databases of PubMed, Scopus, Cochrane, Google Scholar, SID and Magiran and reference sections of relevant articles were searched for both Persian and English randomized clinical trials from 2000 to December 2017, using the keywords of "(Breast-feeding OR Lactation) AND (mother-infant SSC OR KMC) AND (breast-feeding success OR breast-feeding duration)". A total of nine trials were ultimately included. Data analysis was performed with Comprehensive Meta-analysis (CMA) software version 2. In total 597 participants were assigned to the intervention group and 553 participants were assigned to the comparison group. Quantitative analysis Based on mean differences or odds ratio showed that Mother-Infant SSC had a significantly positive effect on success in first breast-feeding (MD:1.90, 95%; CI 0.958-2.856; p = 0.00, OR: 2.771 95%; CI 1.587-4.838; p = 0.00) and first breast-feeding duration (MD:26.627 95%; CI 1.070-52.184; p = 0.041). Mother-infant SSC after birth has beneficial effects on breast-feeding and can increase the success rate and duration of the first lactation. Therefore, the results of this study can be used by healthcare providers in evidence-based decision-making about ways to increase breast-feeding rates.
产后半小时内开始母乳喂养是世界卫生组织的建议之一。然而，在大多数医院，由于常规母婴护理，母婴接触和母乳喂养的开始时间会延迟。本研究旨在确定出生后立即进行母婴皮肤接触（SSC）对首次母乳喂养成功率和持续时间的影响。在本综述中，通过搜索PubMed、Scopus、Cochrane、谷歌学术、SID和Magiran数据库以及相关文章的参考文献部分，查找2000年至2017年12月期间的波斯语和英语随机临床试验，使用关键词“（母乳喂养或哺乳） AND （母婴SSC或KMC） AND （母乳喂养成功或母乳喂养持续时间）”。最终共纳入9项试验。使用综合荟萃分析（CMA）软件版本2进行数据分析。总共597名参与者被分配到干预组，553名参与者被分配到对照组。基于均值差异或比值比的定量分析表明，母婴SSC对首次母乳喂养的成功有显著的积极影响（MD：1.90，95%；CI 0.958 - 2.856；p = 0.00，OR：2.771 95%；CI 1.587 - 4.838；p = 0.00）以及首次母乳喂养的持续时间（MD：26.627 95%；CI 1.070 - 52.184；p = 0.041）。出生后母婴SSC对母乳喂养有有益影响，并可提高首次哺乳的成功率和持续时间。因此，本研究结果可供医疗保健提供者用于基于证据的决策，以提高母乳喂养率。
