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Early skin-to-skin contact and breast-feeding behavior in term neonates: a randomized controlled trial.
Neonatology. 2012; 102(2):114-9.N

Abstract

AIM

To evaluate if early skin-to-skin contact (SSC) improves breast-feeding (BF) behavior and exclusive BF (EBF) rates in term infants at 48 h of age.

METHODS

Term infants born by normal delivery were randomized at birth to either early SSC (n = 20) or conventional care (controls; n = 21). SSC was continued for at least 2 h after birth. Subsequently, one BF session of the infants was video recorded at about 48 h of life. The primary outcome, infants' BF behavior at 48 h of life, was assessed using the modified infant Breast-Feeding Assessment Tool (BAT; a score consisting of infant's readiness to feed, sucking, rooting and latching, each item scored from 0 to 3) by three independent masked observers. The secondary outcomes were EBF rates at 48 h and 6 weeks of age and salivary cortisol level of infants at 6 h of age.

RESULTS

Baseline characteristics including birth weight and gestation were comparable between the two groups. There was no significant difference in the BAT scores between the groups [median: 8, interquartile range (IQR) 5-10 vs. median 9, IQR 5-10; p = 0.6]. EBF rates at 48 h and at 6 weeks were, however, significantly higher in the early-SSC group than in the control group [95.0 vs. 38.1%; relative risk (RR): 2.5, 95% confidence interval (95% CI): 1.4-4.3 and 90 vs. 28.6%; RR: 3.2, 95% CI: 1.6-6.3].

INTERPRETATION

Early SSC did not improve BF behavior at discharge but significantly improved the EBF rates of term neonates.

Links

Publisher Full Text

Authors+Show Affiliations

Thukral A
Division of Neonatology, Department of Pediatrics, WHO Collaborating Center for Training and Research in Newborn Care, All India Institute of Medical Sciences, New Delhi, India.
Sankar MJ
No affiliation info available
Agarwal R
No affiliation info available
Gupta N
No affiliation info available
Deorari AK
No affiliation info available
Paul VK
No affiliation info available

MeSH

AdultBreast FeedingChi-Square DistributionFemaleHumansHydrocortisoneIndiaInfant BehaviorInfant, NewbornMaleMother-Child RelationsObject AttachmentPatient DischargePregnancySalivaSkinTime FactorsTouchVideo RecordingYoung Adult

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22699241

Clinical Trial Links

Clinical trial which this article describes
The Effect of Kangaroo Mother Care Applied to the Healthy Newborns on Breastfeeding

Citation

Thukral, Anu, et al. "Early Skin-to-skin Contact and Breast-feeding Behavior in Term Neonates: a Randomized Controlled Trial." Neonatology, vol. 102, no. 2, 2012, pp. 114-9.
Thukral A, Sankar MJ, Agarwal R, et al. Early skin-to-skin contact and breast-feeding behavior in term neonates: a randomized controlled trial. Neonatology. 2012;102(2):114-9.
Thukral, A., Sankar, M. J., Agarwal, R., Gupta, N., Deorari, A. K., & Paul, V. K. (2012). Early skin-to-skin contact and breast-feeding behavior in term neonates: a randomized controlled trial. Neonatology, 102(2), 114-9. https://doi.org/10.1159/000337839
Thukral A, et al. Early Skin-to-skin Contact and Breast-feeding Behavior in Term Neonates: a Randomized Controlled Trial. Neonatology. 2012;102(2):114-9. PubMed PMID: 22699241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early skin-to-skin contact and breast-feeding behavior in term neonates: a randomized controlled trial. AU - Thukral,Anu, AU - Sankar,Mari Jeeva, AU - Agarwal,Ramesh, AU - Gupta,Nandita, AU - Deorari,Ashok K, AU - Paul,Vinod K, Y1 - 2012/06/14/ PY - 2011/05/29/received PY - 2012/02/26/accepted PY - 2012/6/16/entrez PY - 2012/6/16/pubmed PY - 2012/12/28/medline SP - 114 EP - 9 JF - Neonatology JO - Neonatology VL - 102 IS - 2 N2 - AIM: To evaluate if early skin-to-skin contact (SSC) improves breast-feeding (BF) behavior and exclusive BF (EBF) rates in term infants at 48 h of age. METHODS: Term infants born by normal delivery were randomized at birth to either early SSC (n = 20) or conventional care (controls; n = 21). SSC was continued for at least 2 h after birth. Subsequently, one BF session of the infants was video recorded at about 48 h of life. The primary outcome, infants' BF behavior at 48 h of life, was assessed using the modified infant Breast-Feeding Assessment Tool (BAT; a score consisting of infant's readiness to feed, sucking, rooting and latching, each item scored from 0 to 3) by three independent masked observers. The secondary outcomes were EBF rates at 48 h and 6 weeks of age and salivary cortisol level of infants at 6 h of age. RESULTS: Baseline characteristics including birth weight and gestation were comparable between the two groups. There was no significant difference in the BAT scores between the groups [median: 8, interquartile range (IQR) 5-10 vs. median 9, IQR 5-10; p = 0.6]. EBF rates at 48 h and at 6 weeks were, however, significantly higher in the early-SSC group than in the control group [95.0 vs. 38.1%; relative risk (RR): 2.5, 95% confidence interval (95% CI): 1.4-4.3 and 90 vs. 28.6%; RR: 3.2, 95% CI: 1.6-6.3]. INTERPRETATION: Early SSC did not improve BF behavior at discharge but significantly improved the EBF rates of term neonates. SN - 1661-7819 UR - https://www.unboundmedicine.com/medline/citation/22699241/Early_skin_to_skin_contact_and_breast_feeding_behavior_in_term_neonates:_a_randomized_controlled_trial_ L2 - https://www.karger.com?DOI=10.1159/000337839 DB - PRIME DP - Unbound Medicine ER -