The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases

Introduction Breastfeeding to strengthen the immune system suggests allergy prevention as a possible option. The connection between breastfeeding and the development of atopic-allergic diseases is being discussed. The primary aim of this work was to investigate an association of the first early skin...

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Main Authors: Yvonne Stephan, Hans-Helge Müller, Maritta Kühnert, Ivo Meinhold-Heerlein, Gentiana Ibrahimi, Maleen Reitz, Hannah Schemmann, Frank Oehmke, Siegmund Köhler, Harald Renz
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:European Journal of Midwifery
Subjects:
Online Access:https://www.europeanjournalofmidwifery.eu/The-effect-of-early-skin-to-skin-contact-after-cesarean-nsection-on-breastfeeding,176213,0,2.html
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author Yvonne Stephan
Hans-Helge Müller
Maritta Kühnert
Ivo Meinhold-Heerlein
Gentiana Ibrahimi
Maleen Reitz
Hannah Schemmann
Frank Oehmke
Siegmund Köhler
Harald Renz
author_facet Yvonne Stephan
Hans-Helge Müller
Maritta Kühnert
Ivo Meinhold-Heerlein
Gentiana Ibrahimi
Maleen Reitz
Hannah Schemmann
Frank Oehmke
Siegmund Köhler
Harald Renz
author_sort Yvonne Stephan
collection DOAJ
description Introduction Breastfeeding to strengthen the immune system suggests allergy prevention as a possible option. The connection between breastfeeding and the development of atopic-allergic diseases is being discussed. The primary aim of this work was to investigate an association of the first early skin-to-skin contact following cesarean section with the development of atopic diseases within the 1st year of life. Methods The present study was conducted as a bicentric prospective cohort study in central Germany with a 15-month recruitment period. Data collection was by telephone interviews with a follow-up of 12 months. The statistical evaluation procedure was based on a hierarchical test of the association of early skin-to-skin contact between mother and child with the two main outcome measures. The primary outcome is the duration of breastfeeding. The second outcome is the onset of atopic-allergic disease within the 1st year of life. Results Mothers breastfed longer if they had skin-to-skin contact within the first 30 minutes postpartum [χ²(df=5) = 19.020, p=0.002], if they breastfed their newborns early immediately after birth (p<0.001), and if the first skin-to-skin contact lasted more than one hour [χ²(df=4) = 19.617, p<0.001]. Regarding atopic-allergic diseases, no significant effects of skin-to-skin contact were found in relation to disease development. Regarding breastfeeding, no significant effects of atopic-allergic diseases could be detected either. Conclusions The results of this study reflect the benefits of skin-to-skin contact in the context of breastfeeding and atopic disease. The current scientific knowledge regarding skin contact and the development of atopic-allergic diseases should be extended and deepened.
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spelling doaj.art-1d2ba3b157ca450d895a93d2f2819ccd2024-04-04T08:28:35ZengEuropean PublishingEuropean Journal of Midwifery2585-29062024-01-018January11110.18332/ejm/176213176213The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseasesYvonne Stephan0https://orcid.org/0009-0004-5396-314XHans-Helge Müller1Maritta Kühnert2Ivo Meinhold-Heerlein3Gentiana Ibrahimi4Maleen Reitz5Hannah Schemmann6Frank Oehmke7Siegmund Köhler8Harald Renz9Institute of Laboratory Medicine and Pathobiochemistry Molecular Diagnostics, Philipps University Marburg, Marburg, GermanyInstitute of Laboratory Medicine and Pathobiochemistry Molecular Diagnostics, Philipps University Marburg, Marburg, GermanyDepartment of Obstetrics and Gynecology, Division of Obstetrics, University Hospital Giessen and Marburg GmbH, Marburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Giessen and Marburg GmbH, Giessen, GermanyDepartment of Obstetrics and Gynecology, University Hospital Giessen and Marburg GmbH, Giessen, GermanyDepartment of Obstetrics and Gynecology, University Hospital Giessen and Marburg GmbH, Giessen, GermanyInstitute of Laboratory Medicine and Pathobiochemistry Molecular Diagnostics, Philipps University Marburg, Marburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Giessen and Marburg GmbH, Giessen, GermanyDepartment of Obstetrics and Gynecology, Division of Obstetrics, University Hospital Giessen and Marburg GmbH, Marburg, GermanyInstitute of Laboratory Medicine and Pathobiochemistry Molecular Diagnostics, Philipps University Marburg, Marburg, GermanyIntroduction Breastfeeding to strengthen the immune system suggests allergy prevention as a possible option. The connection between breastfeeding and the development of atopic-allergic diseases is being discussed. The primary aim of this work was to investigate an association of the first early skin-to-skin contact following cesarean section with the development of atopic diseases within the 1st year of life. Methods The present study was conducted as a bicentric prospective cohort study in central Germany with a 15-month recruitment period. Data collection was by telephone interviews with a follow-up of 12 months. The statistical evaluation procedure was based on a hierarchical test of the association of early skin-to-skin contact between mother and child with the two main outcome measures. The primary outcome is the duration of breastfeeding. The second outcome is the onset of atopic-allergic disease within the 1st year of life. Results Mothers breastfed longer if they had skin-to-skin contact within the first 30 minutes postpartum [χ²(df=5) = 19.020, p=0.002], if they breastfed their newborns early immediately after birth (p<0.001), and if the first skin-to-skin contact lasted more than one hour [χ²(df=4) = 19.617, p<0.001]. Regarding atopic-allergic diseases, no significant effects of skin-to-skin contact were found in relation to disease development. Regarding breastfeeding, no significant effects of atopic-allergic diseases could be detected either. Conclusions The results of this study reflect the benefits of skin-to-skin contact in the context of breastfeeding and atopic disease. The current scientific knowledge regarding skin contact and the development of atopic-allergic diseases should be extended and deepened.https://www.europeanjournalofmidwifery.eu/The-effect-of-early-skin-to-skin-contact-after-cesarean-nsection-on-breastfeeding,176213,0,2.htmlbreastfeedingcesarean sectionskin contactatopic-allergic diseasesskin-to-skin contactatopic dermatitis
spellingShingle Yvonne Stephan
Hans-Helge Müller
Maritta Kühnert
Ivo Meinhold-Heerlein
Gentiana Ibrahimi
Maleen Reitz
Hannah Schemmann
Frank Oehmke
Siegmund Köhler
Harald Renz
The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
European Journal of Midwifery
breastfeeding
cesarean section
skin contact
atopic-allergic diseases
skin-to-skin contact
atopic dermatitis
title The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
title_full The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
title_fullStr The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
title_full_unstemmed The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
title_short The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
title_sort effect of early skin to skin contact after cesarean section on breastfeeding duration and development of atopic allergic diseases
topic breastfeeding
cesarean section
skin contact
atopic-allergic diseases
skin-to-skin contact
atopic dermatitis
url https://www.europeanjournalofmidwifery.eu/The-effect-of-early-skin-to-skin-contact-after-cesarean-nsection-on-breastfeeding,176213,0,2.html
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