Skin to Skin

3289 Words Nov 10th, 2015 14 Pages
Women and Birth 27 (2014) 37–40

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Women and Birth journal homepage: www.elsevier.com/locate/wombi

Effect of immediate and continuous mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women:
A randomised control trial
Karimi Aghdas a, Khadivzadeh Talat b, Bagheri Sepideh c,* a Student Research Committee, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mashhad University of Medical Science,
Mashhad, Iran
School of Nursing and Midwifery and Women Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran c School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran b A R T I C L E I N F
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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 Æ 9.10 SD min in SSC group vs. 66.55 Æ 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. ß 2013 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International
Books Australia Pty Ltd). All rights reserved.

1. Introduction
Breast milk is the optimal nutritional source for infants1–4 and it provides species and age specific nutrients and the best nutritional balance for them.1–4 Despite breast milk’s great benefits for the health of infants, breastfeeding rates are declining all around the world,5,6 as well as in our country Iran.7 This decrease in exclusive

* Corresponding author at: Dr Sheikh Children’s Hospital, Mashhad, Iran.
Tel.: +98 915525545.
E-mail address: bagheris@mums.sc.ir (B. Sepideh).

breastfeeding rate is partly due to separating mother and the infant after birth.8
The first 2 h after birth is called the sensitive period9 and this is the best time for mother to initiate breastfeeding the infant.10 In
this

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