Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes
We aimed to explore the association between skin-to-skin contact (SSC) duration after caesarean sections (CSs) and breastfeeding outcomes. A prospective study was conducted in four hospitals in China during January and August 2021. A total of 679 participants with singleton pregnancy who delivered b...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/11/1742 |
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| author | Juan Juan Xiaosong Zhang Xueyin Wang Jun Liu Yinli Cao Ling Tan Yan Gao Yinping Qiu Huixia Yang |
| author_facet | Juan Juan Xiaosong Zhang Xueyin Wang Jun Liu Yinli Cao Ling Tan Yan Gao Yinping Qiu Huixia Yang |
| author_sort | Juan Juan |
| collection | DOAJ |
| description | We aimed to explore the association between skin-to-skin contact (SSC) duration after caesarean sections (CSs) and breastfeeding outcomes. A prospective study was conducted in four hospitals in China during January and August 2021. A total of 679 participants with singleton pregnancy who delivered by elective CS after 37 gestational weeks using epidural or spinal anesthesia were included. Logistic regression was applied to assess the association between SSC duration and early initiation of breastfeeding (EIBF), as well as the promoting factors for exclusive breastfeeding (EBF) at hospital discharge. Immediate SSC after CSs was strongly associated with higher rates of EIBF (<i>p</i> < 0.001) and EBF at hospital discharge (<i>p</i> = 0.002). The EIBF rates increased with longer duration of SSC, with the at least 90 min SSC group having the highest EIBF rate (74.5%). Skin-to-skin contact durations of at least 90 min, 60–89 min and 30–59 min were significantly associated with 8.53 times (OR = 8.53, 95%CI: 4.94–14.72, <i>P<sub>adj</sub></i> < 0.001), 8.04 times (95%CI: 4.68–13.80, <i>P<sub>adj</sub></i> < 0.001) and 6.28 times (95%CI: 3.75–10.51, <i>P<sub>adj</sub></i> < 0.001), respectively, higher EIBF rates compared to those without immediate SSC. After multiple-testing correction, the rates of EBF at hospital discharge were found to be independent of the duration of SSC (<i>P<sub>adj</sub></i> = 0.12). Early initiation of breastfeeding was not a significant predictor of EBF. Our results suggested that SSC is important for EIBF in Chinese baby-friendly hospitals. Skin-to-skin contact should be practiced after CS to promote breastfeeding and providing SSC with longer duration is encouraged to obtain the full benefit; if it is not feasible, a minimum of 30 min SSC could achieve improved EIBF and EBF at discharge. |
| first_indexed | 2024-03-09T18:24:20Z |
| format | Article |
| id | doaj.art-4949c698efd44ba3b1da72ba5511beaa |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T18:24:20Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-4949c698efd44ba3b1da72ba5511beaa2023-11-24T08:00:16ZengMDPI AGChildren2227-90672022-11-01911174210.3390/children9111742Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding OutcomesJuan Juan0Xiaosong Zhang1Xueyin Wang2Jun Liu3Yinli Cao4Ling Tan5Yan Gao6Yinping Qiu7Huixia Yang8Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, ChinaDepartment of Obstetrics and Gynecology, Northwest Women’s and Children’s Hospital, Xi’an 710003,ChinaDepartment of Obstetrics and Gynecology, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, ChinaDepartment of Obstetrics and Gynecology, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, ChinaDepartment of Neonatology, General Hospital of Ningxia Medical University, Yinchuan 750003, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, ChinaWe aimed to explore the association between skin-to-skin contact (SSC) duration after caesarean sections (CSs) and breastfeeding outcomes. A prospective study was conducted in four hospitals in China during January and August 2021. A total of 679 participants with singleton pregnancy who delivered by elective CS after 37 gestational weeks using epidural or spinal anesthesia were included. Logistic regression was applied to assess the association between SSC duration and early initiation of breastfeeding (EIBF), as well as the promoting factors for exclusive breastfeeding (EBF) at hospital discharge. Immediate SSC after CSs was strongly associated with higher rates of EIBF (<i>p</i> < 0.001) and EBF at hospital discharge (<i>p</i> = 0.002). The EIBF rates increased with longer duration of SSC, with the at least 90 min SSC group having the highest EIBF rate (74.5%). Skin-to-skin contact durations of at least 90 min, 60–89 min and 30–59 min were significantly associated with 8.53 times (OR = 8.53, 95%CI: 4.94–14.72, <i>P<sub>adj</sub></i> < 0.001), 8.04 times (95%CI: 4.68–13.80, <i>P<sub>adj</sub></i> < 0.001) and 6.28 times (95%CI: 3.75–10.51, <i>P<sub>adj</sub></i> < 0.001), respectively, higher EIBF rates compared to those without immediate SSC. After multiple-testing correction, the rates of EBF at hospital discharge were found to be independent of the duration of SSC (<i>P<sub>adj</sub></i> = 0.12). Early initiation of breastfeeding was not a significant predictor of EBF. Our results suggested that SSC is important for EIBF in Chinese baby-friendly hospitals. Skin-to-skin contact should be practiced after CS to promote breastfeeding and providing SSC with longer duration is encouraged to obtain the full benefit; if it is not feasible, a minimum of 30 min SSC could achieve improved EIBF and EBF at discharge.https://www.mdpi.com/2227-9067/9/11/1742skin-to-skin contactcaesarean sectionearly initiation of breastfeedingexclusive breastfeeding |
| spellingShingle | Juan Juan Xiaosong Zhang Xueyin Wang Jun Liu Yinli Cao Ling Tan Yan Gao Yinping Qiu Huixia Yang Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes Children skin-to-skin contact caesarean section early initiation of breastfeeding exclusive breastfeeding |
| title | Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes |
| title_full | Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes |
| title_fullStr | Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes |
| title_full_unstemmed | Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes |
| title_short | Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes |
| title_sort | association between skin to skin contact duration after caesarean section and breastfeeding outcomes |
| topic | skin-to-skin contact caesarean section early initiation of breastfeeding exclusive breastfeeding |
| url | https://www.mdpi.com/2227-9067/9/11/1742 |
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