African Health Sciences
Makerere University Medical School
Vol. 16, No. 3, 2016, pp. 790-797
Bioline Code: hs16100
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 16, No. 3, 2016, pp. 790-797
© Copyright 2016 - African Health Sciences
Efficacy of early skin-to-skin contact on the rate of exclusive breastfeeding in term neonates: a randomized controlled trial|
Background: Despite multiple benefits of breast milk, the rates of exclusive breastfeeding in developing countries are low.
Objective: To evaluate the efficacy of early skin -to -skin contact (SSC) on the rate of exclusive breastfeeding (EBF) at 6 weeks
of age among term neonates born by vaginal delivery.
Methods: Term neonates born by vaginal delivery and did not require any resuscitation were randomized at birth to SSC
(n=100) and control (n=100) group. Immediately after clamping the umbilical cord, SSC group neonates were placed on the
bare bosom of mother and control group neonates were placed under a radiant warmer for a period of 45 minutes each while
mothers underwent management of the third stage of labor and episiotomy repair. Pain experienced by mother during episiotomy
repair was recorded using a numerical pain scale The primary outcome evaluated was the rate of exclusive breastfeeding
at 6 weeks of postnatal age.
Results: A significantly higher proportion of neonates were exclusively breastfeed at 6 weeks of age in the SSC group than in
the control group (72% vs. 57.6%, p=0.04, relative risk: 1.3, 95% confidence interval: 1.0 -1.6). The pain score during episiotomy
repair in mothers of the SSC group was significantly lower than the control group (4.74±0.85 versus 5.34±0.81; P <0.01).
Conclusions: Early SSC significantly improved the rate of exclusively breastfeeding at 6 weeks of age among healthy term neonates.
An important additional effect was a decrease in the amount of pain that mothers in the SSC group experienced during
Early skin-to-skin contact; exclusive breastfeeding in term neonates; randomized controlled trial