Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial.
OBJECTIVE
To evaluate the effect of mother-infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy.


METHODS
A randomised control trial.


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


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


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


METHODS
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).


CONCLUSIONS
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.
Student Research Committee, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mashhad University of Medical Science, Mashhad, Iran.
Karimi
K
Aghdas
School of Nursing and Midwifery and Women Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Khadivzadeh
K
Talat
School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: bagheris@mums.sc.ir.
Bagheri
B
Sepideh
D000293:Adolescent; D000328:Adult; D001942:Breast Feeding / Q000379:methods / Q000523:psychology*; D005260:Female; D006801:Humans; D007492:Iran; D008425:Maternal Behavior / Q000523:psychology; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D010298:Parity; D010549:Personal Satisfaction; D049590:Postpartum Period; D011247:Pregnancy; D020377:Self Efficacy; D012959:Socioeconomic Factors; D055815:Young Adult
BSES; Breast feeding initiation; Breastfeeding self-efficacy; Routine care; Skin-to-skin contact