Ayala Ana, Erlandsson Kerstin, Christensson Kyllike, Christensson Eva, Cavada Gabriel, Velandia Marianne
Department of Women's and Children's Health, Division Reproductive Health, Karolinska Institutet, Stockholm, Sweden.
Ministry of Health, Santiago de Chile, Chile.
Birth. 2025 Mar;52(1):138-145. doi: 10.1111/birt.12880. Epub 2024 Oct 6.
The purpose of this study was to compare the effects of two caregiving models on full-term healthy infants' wakefulness, rooting and sucking reflexes, initiation of breastfeeding, and physiological parameters when reunited with their mothers after a mother-infant separation of 130 min after elective cesarean birth.
Ninety-five mother-infant pairs participated in a randomized controlled trial, in which full-term healthy infants were allocated to be either dressed in their mothers' arms (n = 56) or skin-to-skin with their mother (n = 39) when reunited with the mother within 130 min after cesarean birth. Data were collected by the Neonatal Behavioral Assessment Scale (NBAS) to assess the infants' wakefulness and prebreastfeeding behaviors. Physiological parameters were assessed at 15 min intervals, from 130 to 205 min after birth. Time to first breastfeed was measured in minutes from the reunion with the mother.
The primary finding was that physiologic parameters did not differ but time for initiation of breastfeeding after the reunion with the mother was significantly faster in the skin-to-skin group compared to the infants in the mothers' arms group (p = 0.005). Over the full study period, a more relaxed state and drowsy were found in the skin-to-skin group compared to the infants in the mothers' arms group.
Healthy full-term infants born by elective cesarean, who were cared for by their mothers when reunited within 130 min of separation and cared for by their fathers during the mother-infant separation, initiated breastfeeding successfully and showed stable physiological patterns.
本研究的目的是比较两种护理模式对足月健康婴儿的清醒状态、觅食和吸吮反射、开始母乳喂养以及在择期剖宫产术后母婴分离130分钟后与母亲团聚时的生理参数的影响。
95对母婴参与了一项随机对照试验，其中足月健康婴儿在剖宫产术后130分钟内与母亲团聚时，被分配为要么在母亲怀中穿衣（n = 56），要么与母亲进行皮肤接触（n = 39）。通过新生儿行为评估量表（NBAS）收集数据，以评估婴儿的清醒状态和母乳喂养前行为。在出生后130至205分钟期间，每隔15分钟评估一次生理参数。从与母亲团聚开始计时，测量首次母乳喂养的时间（以分钟为单位）。
主要发现是，生理参数没有差异，但与在母亲怀中的婴儿相比，皮肤接触组与母亲团聚后开始母乳喂养的时间明显更快（p = 0.005）。在整个研究期间，与在母亲怀中的婴儿相比，皮肤接触组的婴儿状态更放松、更困倦。
择期剖宫产出生的足月健康婴儿，在分离130分钟内与母亲团聚时由母亲照顾，在母婴分离期间由父亲照顾，能够成功开始母乳喂养，并表现出稳定的生理模式。
