Elizabeth Moore, RNC, PhD, IBCLC, is an instructor at Vanderbilt University School of Nursing and a lactation consultant at Vanderbilt University Medical Center, Nashville, TN.
Randomized Controlled Trial of Very Early Mother-Infant Skin-to-Skin Contact and Breastfeeding Status
Article first published online: 24 DEC 2010
2007 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 52, Issue 2, pages 116–125, March-April 2007
How to Cite
Moore, E. R. and Anderson, G. C. (2007), Randomized Controlled Trial of Very Early Mother-Infant Skin-to-Skin Contact and Breastfeeding Status. Journal of Midwifery & Womens Health, 52: 116–125. doi: 10.1016/j.jmwh.2006.12.002
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- breastfeeding exclusivity;
- early postpartum;
- newborn suckling;
- skin-to-skin contact
This study was done to evaluate effects of maternal-infant skin-to-skin contact during the first 2 hours postbirth compared to standard care (holding the infant swaddled in blankets) on breastfeeding outcomes through 1 month follow-up. Healthy primiparous mother-infant dyads were randomly assigned by computerized minimization to skin-to-skin contact (n = 10) or standard care (n = 10). The Infant Breastfeeding Assessment Tool was used to measure success of first breastfeeding and time to effective breastfeeding (time of the first of three consecutive scores of 10–12). Intervention dyads experienced a mean of 1.66 hours of skin-to-skin contact. These infants, compared to swaddled infants, had higher mean sucking competency during the first breastfeeding (8.7 ± 2.1 vs 6.3 ± 2.6; P < .02) and achieved effective breastfeeding sooner (935 ± 721 minutes vs 1737 ± 1001; P < .04). No significant differences were found in number of breastfeeding problems encountered during follow-up (30.9 ± 5.51 vs 32.7 ± 5.84; P < .25) or in breastfeeding exclusivity (1.50 ± 1.1 vs 2.10 ± 2.2; P < .45). Sucking competency was also related to maternal nipple protractility (r = .48; P < .03). Very early skin-to-skin contact enhanced breastfeeding success during the early postpartum period. No significant differences were found at 1 month.