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Vol. 102, No. 2, 2012
Issue release date: August 2012
Section title: Original Paper
Neonatology 2012;102:114–119
(DOI:10.1159/000337839)

Early Skin-to-Skin Contact and Breast-Feeding Behavior in Term Neonates: A Randomized Controlled Trial

Thukral A. · Sankar M.J. · Agarwal R. · Gupta N. · Deorari A.K. · Paul V.K.
aDivision of Neonatology, Department of Pediatrics, WHO Collaborating Center for Training and Research in Newborn Care, and bDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/29/2011 1:47:19 PM
Accepted: 2/26/2012
Published online: 6/14/2012

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 4

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: http://www.karger.com/NEO

Abstract

Aim: To evaluate if early skin-to-skin contact (SSC) improves breast-feeding (BF) behavior and exclusive BF (EBF) rates in term infants at 48 h of age. Methods: Term infants born by normal delivery were randomized at birth to either early SSC (n = 20) or conventional care (controls; n = 21). SSC was continued for at least 2 h after birth. Subsequently, one BF session of the infants was video recorded at about 48 h of life. The primary outcome, infants’ BF behavior at 48 h of life, was assessed using the modified infant Breast-Feeding Assessment Tool (BAT; a score consisting of infant’s readiness to feed, sucking, rooting and latching, each item scored from 0 to 3) by three independent masked observers. The secondary outcomes were EBF rates at 48 h and 6 weeks of age and salivary cortisol level of infants at 6 h of age. Results: Baseline characteristics including birth weight and gestation were comparable between the two groups. There was no significant difference in the BAT scores between the groups [median: 8, interquartile range (IQR) 5–10 vs. median 9, IQR 5–10; p = 0.6]. EBF rates at 48 h and at 6 weeks were, however, significantly higher in the early-SSC group than in the control group [95.0 vs. 38.1%; relative risk (RR): 2.5, 95% confidence interval (95% CI): 1.4–4.3 and 90 vs. 28.6%; RR: 3.2, 95% CI: 1.6–6.3]. Interpretation: Early SSC did not improve BF behavior at discharge but significantly improved the EBF rates of term neonates.


  

Author Contacts

Prof. Dr. Vinod K. Paul, Division of Neonatology, Department of Pediatrics
WHO Collaborating Center for Training and Research in Newborn Care
All India Institute of Medical Sciences
New Delhi 110029 (India)
Tel. +91 11 2659 3209, E-Mail vinodkpaul@hotmail.com

  

Article Information

Received: May 29, 2011
Accepted after revision: February 26, 2012
Published online: June 14, 2012
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 4, Number of References : 13

  

Publication Details

Neonatology (Fetal and Neonatal Research)

Vol. 102, No. 2, Year 2012 (Cover Date: August 2012)

Journal Editor: Halliday H.L. (Belfast), Speer C.P. (Würzburg)
ISSN: 1661-7800 (Print), eISSN: 1661-7819 (Online)

For additional information: http://www.karger.com/NEO


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/29/2011 1:47:19 PM
Accepted: 2/26/2012
Published online: 6/14/2012

Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 4

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: http://www.karger.com/NEO


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