出生后更长时间的皮肤接触可提高母乳喂养的质量和持续时间：一项队列研究。

Longer skin-to-skin contact after birth enhances breastfeeding quality and duration: A cohort study.

机构信息

Azrieli Faculty of Medicine, Bar Ilan University, Ramat Gan, Israel.

Department of Neonatology, Ziv Medical Center, Safed, Israel.

出版信息

Acta Paediatr. 2024 Dec;113(12):2637-2642. doi: 10.1111/apa.17388. Epub 2024 Aug 23.

DOI:10.1111/apa.17388

PMID:39180237

Abstract

AIM

Skin-to-skin contact (SSC) immediately after birth may improve breastfeeding outcomes. This study explored the effect of the duration of SSC in the delivery room on breastfeeding quality and duration.

METHODS

In this prospective observational cohort study, mother-infant pairs practising SSC were categorised into two groups based on SSC duration (≤45 or >45 min). Outcomes included breastfeeding quality in the delivery room and at 24 h of age assessed by the Infant-Breastfeeding Assessment Tool (IBFAT) score, and long-term breastfeeding duration up to 6 months while accounting for potential confounding variables.

RESULTS

The study included 72 mother-infant pairs. SSC for more than 45 min was significantly correlated with longer immediate breastfeeding (65 vs. 19 min, p < 0.001) and higher breastfeeding quality scores immediately after birth (IBFAT score of 10 vs. 7, p < 0.001). Regarding the long-term effect, infants in the extended SSC group were breastfed longer (5.2 vs. 3.7 months, p = 0.005) and had exclusive breastfeeding (4.7 vs. 2.7 months, p > 0.001). No significant confounding variables were identified.

CONCLUSION

Extended SSC (>45 min) correlated with prolonged, higher-quality breastfeeding after birth and longer successful breastfeeding.

摘要

目的

出生后立即进行皮肤接触（SSC）可能会改善母乳喂养的结果。本研究探讨了分娩室中 SSC 持续时间对母乳喂养质量和持续时间的影响。

方法

在这项前瞻性观察队列研究中，根据 SSC 持续时间（≤45 分钟或>45 分钟）将进行 SSC 的母婴对分为两组。结果包括通过婴儿母乳喂养评估工具（IBFAT）评分评估的分娩室和 24 小时时的母乳喂养质量，以及在考虑潜在混杂变量的情况下长达 6 个月的长期母乳喂养持续时间。

结果

该研究纳入了 72 对母婴。SSC 持续时间超过 45 分钟与立即开始的母乳喂养时间更长（65 分钟与 19 分钟，p<0.001）和出生后母乳喂养质量评分更高（10 分与 7 分，p<0.001）显著相关。关于长期效果，在延长 SSC 组中，婴儿母乳喂养时间更长（5.2 个月与 3.7 个月，p=0.005），且纯母乳喂养时间更长（4.7 个月与 2.7 个月，p>0.001）。未发现显著的混杂变量。