Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns
Abstract Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13006-021-00379-z |
| _version_ | 1819087624338407424 |
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| author | Sergio I Agudelo Oscar A Gamboa Eduardo Acuña Lina Aguirre Sarah Bastidas Jennifer Guijarro María Jaller María Valderrama María Lucia Padrón Nathalie Gualdrón Evelyn Obando Fabio Rodríguez Lina Buitrago |
| author_facet | Sergio I Agudelo Oscar A Gamboa Eduardo Acuña Lina Aguirre Sarah Bastidas Jennifer Guijarro María Jaller María Valderrama María Lucia Padrón Nathalie Gualdrón Evelyn Obando Fabio Rodríguez Lina Buitrago |
| author_sort | Sergio I Agudelo |
| collection | DOAJ |
| description | Abstract Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding. Methods A randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate’s breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration. Results A total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28). Conclusions The percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators. Trial registration ClinicalTrials.gov NCT02687685 . |
| first_indexed | 2024-12-21T21:39:06Z |
| format | Article |
| id | doaj.art-05c1877d07dc4967aa1212ed706fd639 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-21T21:39:06Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-05c1877d07dc4967aa1212ed706fd6392022-12-21T18:49:24ZengBMCInternational Breastfeeding Journal1746-43582021-04-0116111010.1186/s13006-021-00379-zRandomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newbornsSergio I Agudelo0Oscar A Gamboa1Eduardo Acuña2Lina Aguirre3Sarah Bastidas4Jennifer Guijarro5María Jaller6María Valderrama7María Lucia Padrón8Nathalie Gualdrón9Evelyn Obando10Fabio Rodríguez11Lina Buitrago12Facultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaDepartamento de Pediatría, Hospital Universitario de La Samaritana – Unidad Funcional de ZipaquiráFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaFacultad de Medicina, Universidad de La SabanaAbstract Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding. Methods A randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate’s breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration. Results A total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28). Conclusions The percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators. Trial registration ClinicalTrials.gov NCT02687685 .https://doi.org/10.1186/s13006-021-00379-zInfantNewbornSkin-to-skin contactBreastfeedingNeonatal careKangaroo mother care |
| spellingShingle | Sergio I Agudelo Oscar A Gamboa Eduardo Acuña Lina Aguirre Sarah Bastidas Jennifer Guijarro María Jaller María Valderrama María Lucia Padrón Nathalie Gualdrón Evelyn Obando Fabio Rodríguez Lina Buitrago Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns International Breastfeeding Journal Infant Newborn Skin-to-skin contact Breastfeeding Neonatal care Kangaroo mother care |
| title | Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns |
| title_full | Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns |
| title_fullStr | Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns |
| title_full_unstemmed | Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns |
| title_short | Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns |
| title_sort | randomized clinical trial of the effect of the onset time of skin to skin contact at birth immediate compared to early on the duration of breastfeeding in full term newborns |
| topic | Infant Newborn Skin-to-skin contact Breastfeeding Neonatal care Kangaroo mother care |
| url | https://doi.org/10.1186/s13006-021-00379-z |
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