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Subject:
New article studying S2S and early breastfeeding status
From:
Natalie Parker <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 8 May 2007 13:58:30 -0500
Content-Type:
text/plain
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text/plain (42 lines) 
It is nice to see some 'evidenced based' proof for what many of us already
know!

-Natalie Parker SN

From Journal of Midwifery & Women's Health
Randomized Controlled Trial of Very Early Mother-Infant Skin-to-Skin Contact
and Breastfeeding Status
Posted 05/02/2007

Elizabeth R. Moore, RNC, PhD, IBCLC; Gene Cranston Anderson, RN, PhD

Abstract
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.

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