Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes

被引:4
作者
Juan, Juan [1 ]
Zhang, Xiaosong [1 ]
Wang, Xueyin [1 ]
Liu, Jun [1 ]
Cao, Yinli [2 ]
Tan, Ling [3 ]
Gao, Yan [3 ]
Qiu, Yinping [4 ]
Yang, Huixia [1 ]
机构
[1] Peking Univ First Hosp, Dept Obstet & Gynecol, Beijing 100034, Peoples R China
[2] Northwest Womens & Childrens Hosp, Dept Obstet & Gynecol, Xian 710003, Peoples R China
[3] Sichuan Prov Hosp Women & Children, Dept Obstet & Gynecol, Chengdu 610045, Peoples R China
[4] Ningxia Med Univ, Dept Neonatol, Gen Hosp, Yinchuan 750003, Peoples R China
来源
CHILDREN-BASEL | 2022年 / 9卷 / 11期
基金
中国国家自然科学基金;
关键词
skin-to-skin contact; caesarean section; early initiation of breastfeeding; exclusive breastfeeding; INITIATION; DELIVERY;
D O I
10.3390/children9111742
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We aimed to explore the association between skin-to-skin contact (SSC) duration after caesarean sections (CSs) and breastfeeding outcomes. A prospective study was conducted in four hospitals in China during January and August 2021. A total of 679 participants with singleton pregnancy who delivered by elective CS after 37 gestational weeks using epidural or spinal anesthesia were included. Logistic regression was applied to assess the association between SSC duration and early initiation of breastfeeding (EIBF), as well as the promoting factors for exclusive breastfeeding (EBF) at hospital discharge. Immediate SSC after CSs was strongly associated with higher rates of EIBF (p < 0.001) and EBF at hospital discharge (p = 0.002). The EIBF rates increased with longer duration of SSC, with the at least 90 min SSC group having the highest EIBF rate (74.5%). Skin-to-skin contact durations of at least 90 min, 60-89 min and 30-59 min were significantly associated with 8.53 times (OR = 8.53, 95%CI: 4.94-14.72, P-adj < 0.001), 8.04 times (95%CI: 4.68-13.80, P-adj < 0.001) and 6.28 times (95%CI: 3.75-10.51, P-adj < 0.001), respectively, higher EIBF rates compared to those without immediate SSC. After multiple-testing correction, the rates of EBF at hospital discharge were found to be independent of the duration of SSC (P-adj = 0.12). Early initiation of breastfeeding was not a significant predictor of EBF. Our results suggested that SSC is important for EIBF in Chinese baby-friendly hospitals. Skin-to-skin contact should be practiced after CS to promote breastfeeding and providing SSC with longer duration is encouraged to obtain the full benefit; if it is not feasible, a minimum of 30 min SSC could achieve improved EIBF and EBF at discharge.
引用
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页数:10
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