Dear Lactnet Friends:

The research on this is vast:

1)  Clin Nurs Res. <http://www.ncbi.nlm.nih.gov/pubmed/23291315#> 2013
Aug;22(3):310-36. doi: 10.1177/1054773812468316. Epub 2013 Jan 3.
Influence of skin-to-skin contact and rooming-in on early mother-infant
interaction: a randomized controlled trial.
Dumas L
<http://www.ncbi.nlm.nih.gov/pubmed?term=Dumas%20L%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
1, Lepage M
<http://www.ncbi.nlm.nih.gov/pubmed?term=Lepage%20M%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
, Bystrova K
<http://www.ncbi.nlm.nih.gov/pubmed?term=Bystrova%20K%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
, Matthiesen AS
<http://www.ncbi.nlm.nih.gov/pubmed?term=Matthiesen%20AS%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
, Welles-Nyström B
<http://www.ncbi.nlm.nih.gov/pubmed?term=Welles-Nystr%C3%B6m%20B%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
, Widström AM
<http://www.ncbi.nlm.nih.gov/pubmed?term=Widstr%C3%B6m%20AM%5BAuthor%5D&cauthor=true&cauthor_uid=23291315>
.
 Abstract

The objective of this research was to study influence of birth routines on
mother-infant interaction at Day 4. The present research is part of a
longitudinal study where mother-infant pairs were randomized by infant
location and apparel. We intended to assess mother-infant interaction from
videos filmed at Day 4.

A protocol for the assessment/coding of the affective quality of maternal
behaviors indicative of early mother-infant interaction was developed and
interculturally validated. Results were compared with birth randomization,
as to explain impact of birth practices. Findings indicate that separation
and swaddling at birth interfered with mother-infant interaction during a
breastfeeding session at Day 4; these mothers significantly demonstrated
more roughness in their behaviors with their infants at Day 4.

Results also show evidences of a sensitive period for separation after
birth. Implications are to encourage immediate and uninterrupted
skin-to-skin contact at birth, and rooming-in during postpartum, as
recommended in World Health Organization/UNICEF Ten Steps for Successful
Breastfeeding.


2) http://www.internationalbreastfeedingjournal.com/content/8/1/1

Skin-to-skin contact during breastfeeding seems to immediately enhance
maternal positive feelings and shorten the time it takes to resolve severe
latch-on problems in the infants who started to latch. An underlying
mechanism may be that skin-to-skin contact with the mother during
breastfeeding may calm infants with earlier strong reaction to "hands on
latch intervention" and relieve the stress which may have blocked the
infant's inborn biological program to find the breast and latch on.


3) Women Birth. 2014 Mar;27(1):37-40. doi: 10.1016/j.wombi.2013.09.004.
Epub 2013 Nov 9.

Effect of immediate and continuous mother-infant skin-to-skin contact on
breastfeeding self-efficacy of primiparous women: a randomised control
trial.

Aghdas K1, Talat K2, Sepideh B3.

Author information

Abstract

OBJECTIVE:

To evaluate the effect of mother-infant immediate skin-to-skin contact on
primiparous mother's breastfeeding self-efficacy.

STUDY DESIGN:

A randomised control trial.

SETTINGS:

The study was conducted in Omolbanin obstetrics hospital (large tertiary
hospital), Mashhad, Iran.

PARTICIPANTS:

114 18-35 year-old primiparous, Iranian, healthy and full term mothers who
anticipated normal vaginal delivery and intended to breastfeed their babies.

INTERVENTION:

Skin-to-skin contact immediately after birth and then controlling
breastfeeding self-efficacy at 28 days postpartum.

MAIN OUTCOME MEASURE:

Maternal breastfeeding self-efficacy at 28 days postpartum and success in
first breastfeeding and mean time of first breastfeeding initiation.

RESULTS:

A total of 92 mother-infant dyads (47 dyads in skin-to-skin care
skin-to-skin contact group and 45 dyads in routine care group) were
monitored and analysed. In skin-to-skin contact group, breastfeeding
self-efficacy was 53.42±8.57 SD as compared to 49.85±5.50 SD in routine
care group which is significantly higher in skin-to-skin contact group
(p=0.0003). Successful breastfeeding initiation rate was 56.6% in
skin-to-skin contact group as compared to 35.6% in routine care group
(p=0.02). Time to initiate first feed was 21.98±9.10 SD min in SSC group
vs. 66.55±20.76 min in routine care group (p<0.001).

CONCLUSION:
Mother-infant immediate skin-to-skin contact is an easy and available
method of enhancing maternal breastfeeding self-efficacy. High
breastfeeding self-efficacy increases exclusive breastfeeding duration.

4) Early Contact versus Separation: Effects on Mother-Infant Interaction
One Year Later

Bystrova K, Ivanova V, Edhborg M et al (2009)

Early Contact versus Separation: Effects on Mother-Infant Interaction One
Year Later. Birth:36; 97-1081

Background: A tradition of separation of the mother and baby after birth
still persists in many parts of the world, including some parts of Russia,
and often is combined with swaddling of the baby. The aim of this study was
to evaluate and compare possible long-term effects on mother-infant
interaction of practices used in the delivery and maternity wards,
including practices relating to mother-infant closeness versus separation.

Methods:A total of 176 mother-infant pairs were randomized into four
experimental groups: Group I infants were placed skin-to-skin with their
mothers after birth, and had rooming-in while in the maternity ward. Group
II infants were dressed and placed in their mothers' arms after birth, and
roomed-in with their mothers in the maternity ward. Group III infants were
kept in the nursery both after birth and while their mothers were in the
maternity ward. Group IV infants were kept in the nursery after birth, but
roomed-in with their mothers in the maternity ward. Equal numbers of
infants were either swaddled or dressed in baby clothes. Episodes of early
suckling in the delivery ward were noted. The mother-infant interaction was
videotaped according to the Parent-Child Early Relational Assessment
(PCERA) 1 year after birth.

Results:The practice of skin-to-skin contact, early suckling, or both
during the first 2 hours after birth when compared with separation between
the mothers and their infants positively affected the PCERA variables
maternal sensitivity, infant's self-regulation, and dyadic mutuality and
reciprocity at 1 year after birth. The negative effect of a 2-hour
separation after birth was not compensated for by the practice of
rooming-in.

These findings support the presence of a period after birth (the early
"sensitive period") during which close contact between mother and infant
may induce long-term positive effect on mother-infant interaction. In
addition, swaddling of the infant was found to decrease the mother's
responsiveness to the infant, her ability for positive affective
involvement with the infant, and the mutuality and reciprocity in the dyad.

Conclusions:Skin-to-skin contact, for 25 to 120 minutes after birth, early
suckling, or both positively influenced mother-infant interaction 1 year
later when compared with routines involving separation of mother and infant.


I hope this is helpful.

warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Author:* Complementary and Alternative Medicine in Breastfeeding Therapy*
www.nikkileehealth.com
https://www.facebook.com/nikkileehealth

*Get my FREE webinar series*

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