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Date: | Thu, 1 Mar 2007 17:04:18 -0500 |
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Carol asks: "Do babies feed frequently in the first 24 hours of life if they are
mainly in close contact with the mother...skin to skin?"
We have found that mother-infant proximity is very important to feed
frequency in the initial hours and days of life, and also appears to have
consequences for breastfeeding continuation.
In a recently published study of breastfeeding frequency on the 1st 2
postnatal nights with 64 infants randomised to 3 locations (in mom's hospital
bed, in side-car crib attached to mom's bed; in standard bassinette alongside
mom's bed) we found feed frequency in the 1st two locations (both in
prolonged contact with mom) was double that in the third -- bed and side-car
infants fed an average of at least once per hour (determined via all night
video). Bassinette infants fed on average only once per 2 hours, with some
infants not feeding at all.
Ref: Ball, HL. et al 2006. Randomised trial of mother-infant sleep proximity on
the post-natal ward: implications for breastfeeding initiation and infant safety.
Archives of Disease in Childhood 91(Dec): 1005-1010.
We followed up these mothers and infants for 4 months. The proportion of
dyads still engaged in any breastfeeding at 16 weeks by randomised condition
(on postnatal ward) were: bassinette = 43%; crib = 73%; bed = 79%.
Proportions exclusively breastfeeding to 16 weeks were: bassinette = 20%,
crib = 40%; bed = 50%. The data on breastfeeding continuation were not
published in the above paper (not a primary outcome measure of the RCT) but
currently are in press in a follow-up publication.
Regards,
Helen Ball (PhD), Parent-Infant Sleep Lab, Dept Anthropology, Durham
University, UK. (www.dur.ac.uk/sleep.lab)
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