Díaz-Ogallar María Antonia, Hernández-Martínez Antonio, Linares-Abad Manuel, Martínez-Galiano Juan Miguel
San Agustin Hospital, Andalusian Health Service, 23700 Linares, Spain.
Nursing Department, University of Jaen, 23071 Jaen, Spain.
Children (Basel). 2024 May 10;11(5):577. doi: 10.3390/children11050577.
The aim of this study was to develop and validate a predictive model for the establishment of skin-to-skin contact immediately after birth. A descriptive cross-sectional study was conducted during the last trimester of 2022 and the first trimester of 2023 with women who had given birth in Spain. A questionnaire containing sociodemographic, psychosocial, and health variables referring to the mother and the newborn, as well as the Bond and Attachment questionnaire (VAMF, ) for the analysis of the mother-child bond and attachment, were administered. A multivariate analysis was performed, and areas under the ROC curve (AUC) with their 95% confidence intervals (CI) and the predictive characteristics of these models were estimated. In total, 1077 women participated. The prevalence of early skin-to-skin contact after delivery was 50.2% (468) in the derivation cohort and 49.8% (464) in the validation cohort. Multivariate analysis showed that prematurity, type of delivery, and birth experience were statistically significant, so they were included in the model ( ≤ 0.05). The predictive ability (AUC ROC) was good in both the derivation cohort, yielding 0.92 (95% CI: 0.89-0.95), and in the validation cohort, yielding 0.89 (95% CI: 0.85-0.93). This study developed a predictive model identifying factors facilitating early skin-to-skin contact between a mother and her newborn immediately after birth.
本研究的目的是开发并验证一个用于预测出生后立即进行皮肤接触的模型。2022年最后一个孕期和2023年第一个孕期对在西班牙分娩的女性进行了一项描述性横断面研究。采用了一份包含母亲和新生儿社会人口学、心理社会及健康变量的问卷，以及用于分析母婴关系和依恋的母婴关系与依恋问卷（VAMF）。进行了多变量分析，并估计了ROC曲线下面积（AUC）及其95%置信区间（CI）以及这些模型的预测特征。共有1077名女性参与。在推导队列中，分娩后早期皮肤接触的患病率为50.2%（468例），在验证队列中为49.8%（464例）。多变量分析显示，早产、分娩方式和分娩经历具有统计学意义，因此将其纳入模型（P≤0.05）。推导队列和验证队列的预测能力（AUC ROC）均良好，推导队列的AUC为0.92（95%CI：0.89 - 0.95），验证队列的AUC为0.89（95%CI：0.85 - 0.93）。本研究开发了一个预测模型，确定了有助于母亲和新生儿在出生后立即进行早期皮肤接触的因素。
