The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

Mother and newborn skin-to-skin contact (SSC) after birth brings about numerous protective effects; however, it is an intervention that is underutilized in Iraq where a globally considerable rate of maternal and child death has been reported. The present study was conducted in order to assess the effects of SCC on initiation of breastfeeding, newborn temperature, and duration of the third stage of labor.

Methods

A quasi-experimental study was conducted on 108 healthy women and their neonates (56 in the intervention group who received SSC and 52 in the routine care group) at Hawler maternity teaching hospital of Erbil, Iraq from February to May, 2017. Data were collected via structured interviews and the LATCH scale to document breastfeeding sessions.

Results

The mean age of the mothers in the SSC and routine care groups were 26.29 ± 6.13 (M ± SD) and 26.02 ± 5.94 (M ± SD) respectively. Based on the LATCH scores, 48% of mothers who received SSC and 46% with routine care had successful breastfeeding. Newborns who received SSC initiated breastfeeding within 2.41 ± 1.38 (M ± SD) minutes after birth; however, newborns who received routine care started breastfeeding in 5.48 ± 5.7 (M ± SD) minutes. Duration of the third stage of labor in mothers who practiced SSC after birth was 6 ± 1.7 min, compared to 8.02 ± 3.6 min for mothers who were provided with routine care ( p < 0.001). Moreover, the prevalence of hypothermia in the newborns who received SSC and routine care was 2 and 42% respectively. Results remained unchanged after using regression modelling to adjust for potential factors and background characteristics.

Conclusion

Skin-to-skin contact provides an appropriate and affordable yet high quality alternative to technology. It is easily implemented, even in small hospitals of very low-income countries, and has the potential to save newborns’ and mothers’ lives. It is necessary to prioritize training of health providers to implement essential newborn care including SSC. Community engagement is also needed to ensure that all women and their families understand the benefits of SSC and early initiation of breastfeeding.

Trial registration

ClinicalTrials.gov: NCT03548389.

Related collections

Most cited references 22

Record: found
Abstract: found
Article: not found

Evidence-based, cost-effective interventions: how many newborn babies can we save?

Gary Darmstadt, Zulfiqar Bhutta, Simon Cousens … (2005)

In this second article of the neonatal survival series, we identify 16 interventions with proven efficacy (implementation under ideal conditions) for neonatal survival and combine them into packages for scaling up in health systems, according to three service delivery modes (outreach, family-community, and facility-based clinical care). All the packages of care are cost effective compared with single interventions. Universal (99%) coverage of these interventions could avert an estimated 41-72% of neonatal deaths worldwide. At 90% coverage, intrapartum and postnatal packages have similar effects on neonatal mortality--two-fold to three-fold greater than that of antenatal care. However, running costs are two-fold higher for intrapartum than for postnatal care. A combination of universal--ie, for all settings--outreach and family-community care at 90% coverage averts 18-37% of neonatal deaths. Most of this benefit is derived from family-community care, and greater effect is seen in settings with very high neonatal mortality. Reductions in neonatal mortality that exceed 50% can be achieved with an integrated, high-coverage programme of universal outreach and family-community care, consisting of 12% and 26%, respectively, of total running costs, plus universal facility-based clinical services, which make up 62% of the total cost. Early success in averting neonatal deaths is possible in settings with high mortality and weak health systems through outreach and family-community care, including health education to improve home-care practices, to create demand for skilled care, and to improve care seeking. Simultaneous expansion of clinical care for babies and mothers is essential to achieve the reduction in neonatal deaths needed to meet the Millennium Development Goal for child survival.

0 comments Cited 573 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Effect of delivery room routines on success of first breast-feed.

C O Alade, L Righard (1990)

72 infants delivered normally were observed for 2 h after birth. In the separation group (n = 34), the infant was placed on the mother's abdomen immediately after birth but removed after about 20 min for measuring and dressing. In the contact group (n = 38) contact between mother and infant was uninterrupted for at least 1 h. After about 20 min the infants began to make crawling movements towards the breast; the rooting reflex soon came into play, and at an average of 50 min after birth most of the infants were sucking at the breast. More infants in the contact group than in the separation group showed the correct sucking technique (24/38 vs 7/34). 40 (56%) of the 72 mothers had received pethidine during labour; the infants were also sedated and most of them (25/40) did not suck at all. It is suggested that contact between mother and infant should be uninterrupted during the first hour after birth or until the first breast-feed has been accomplished, and that use of drugs such as pethidine should be restricted.

0 comments Cited 65 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial.

Karimi Aghdas, Khadivzadeh Talat, Bagheri Sepideh (2014)

To evaluate the effect of mother-infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy.

0 comments Cited 51 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Kolsoom Safari:

ORCID: http://orcid.org/0000-0002-3203-2459

kolsum.safary@gmail.com

Awaz Aziz Saeed: Awaz_zz@yahoo.com

Shukir Saleem Hasan: Shukirh@gmail.com

Lida Moghaddam-Banaem: Moghaddamb@modares.ac.ir

Journal

Journal ID (nlm-ta): Int Breastfeed J

Journal ID (iso-abbrev): Int Breastfeed J

Title: International Breastfeeding Journal

Publisher: BioMed Central (London )

ISSN (Electronic): 1746-4358

Publication date (Electronic): 16 July 2018

Publication date PMC-release: 16 July 2018

Publication date Collection: 2018

Volume: 13

Electronic Location Identifier: 32

Affiliations

[1 ]ISNI 0000 0004 0417 5553, GRID grid.412012.4, Department of Nursing, College of Nursing, , Hawler Medical University, ; Erbil, Iraq

[2 ]ISNI 0000 0001 1781 3962, GRID grid.412266.5, Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, , Tarbiat Modares University, ; Tehran, Iran

Author information

Kolsoom Safari http://orcid.org/0000-0002-3203-2459

Article

Publisher ID: 174

DOI: 10.1186/s13006-018-0174-9

PMC ID: 6048813

PubMed ID: 30026787

SO-VID: 409babf4-7a89-458a-821b-3d631f8953f0

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 20 December 2017

Date accepted : 9 July 2018

Custom metadata

ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: early skin-to-skin contact,temperature,third stage of labor,initiation of breastfeeding

Data availability:

ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: early skin-to-skin contact, temperature, third stage of labor, initiation of breastfeeding

Comments

Comment on this article

scite_

Smart Citations

Citing PublicationsSupportingMentioningContrasting

View Citations

See how this article has been cited at scite.ai

scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

Cited by 45

See all cited by

Most referenced authors 333

See all reference authors

The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor

Read this article at

Abstract

Background

Methods

Results

Conclusion

Trial registration

Related collections

Karger: Oncology

Most cited references 22

Evidence-based, cost-effective interventions: how many newborn babies can we save?

Effect of delivery room routines on success of first breast-feed.

Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial.

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 87

Cited by 45

Most referenced authors 333