Skin-to-Skin Contact Start Time in Newborns Sucking and Mother's Breastfeeding Willingness and Parent-Infant Attachment Associated

Not Applicable

• Conditions: Mother-Child Relationship
• Interventions: Behavioral: skin to skin contact 20min group; Behavioral: skin to skin contact 60 min group

• Registration Number: NCT04142099
• Lead Sponsor: National Taiwan University Hospital Hsin-Chu Branch

Brief Summary

The maternal and child skin contact in the early postpartum period, so that the newborn can show effective sucking ability, will affect the self-confidence of the mother's feeding, and is also one of the factors affecting the mother's exclusive breastfeeding. The purpose of this study was to discuss the relationship between the onset of maternal and child skin contact and the relationship between neonatal milk, mother's willingness to breastfeed and parent-child attachment.

Detailed Description

To study the design of the mining experiment, the healthy full-term newborn and mother who gave birth by vaginal production in the delivery room of a teaching hospital in a northern region, and the maternal skin joints in the birth of the newborn, calculate the time to start execution, and According to the Infant Breastfeeding Assessment Tool (IBFAT), the time spent on spontaneous sucking behavior of newborns is estimated. The sample is estimated to take 20% sample loss rate. The number of cases received is 52 pairs. For 104 pairs, the researchers first filled 52 pairs of the control group and then received 52 pairs of the experimental group. The control group maintained routine treatment. The experimental group immediately contacted the mother and baby skin within 5 minutes of the birth of the newborn. The maternal and child skin contact process was carried out without forced or non-intervention, 48-72 hours after delivery.

The questionnaire was used to evaluate the mother's breastfeeding self-efficacy, breastfeeding social support, and maternal and child dependence relationships to estimate the difference. The results of the study will be based on the Generalized Estimating Equation (GEE) method to analyze the starting time of different groups of postpartum maternal and child skin contact, different time points for neonatal sucking ability, breastfeeding self-efficacy, breastfeeding social support, maternal and child Dependency changes.

On May 23, 2018, the researcher entered and left with the unit nursing director's promotion and consent, from June 1 to June 11.

In order to avoid interference with the interrogation of the subjects, the control group was first received and the experimental group was received. The control group of the pre-existing study was routine care, and no problems were found. The results of this experimental group showed that after the newborn was born, after 45 minutes of contact with the mother and baby, the milk-seeking reflex could occur and after 5 minutes. As a result of effective sucking, the mother expressed her happiness because of the sucking behavior of the newborn, and was willing to cooperate with the completion of the study to have the reference and basis before the study.

Study Timeline

• Study Start: 2019-01-01
• Primary Completion: 2019-07-01
• Status Verified: 2019-10
• Study First Submitted: 2019-10-25
• Study First Submitted QC: 2019-10-25
• Last Update Submitted: 2019-10-25
• Study First Posted: 2019-10-29
• Last Update Posted: 2019-10-29
• Study Completion: 2019-11-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 104

Inclusion Criteria

• 37 weeks to 40 weeks of gestation
• No high risk pregnancy
• No nipple abnormality
• Willing to breastfeed
• Newborn weight 2500-4000 grams

Exclusion Criteria

• High risk pregnancy
• 37 weeks ago
• Major bleeding during production
• Neonatal life signs abnormality
• Neonatal oral structure abnormalities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
skin to skin contact 20 min group	skin to skin contact 20min group	1. Newborns are exposed to maternal and child skin within five minutes of birth. 2. Observe the time of newborn spent in suctioning the maternal nipple in 20 minutes of skin to skin contact. 3. No intervention or forced neonatal suction.
skin to skin contact 60 min group	skin to skin contact 60 min group	1. Newborns are exposed to maternal and child skin within five minutes of birth. 2. Observe the time of newborn spent in suctioning the maternal nipple in 60 minutes of skin to skin contact. 3. No intervention or forced neonatal suction.

Primary Outcome Measures

Name	Time	Method
observational skin to skin contact start time in newborns sucking studies	for 20 minute	observational skin to skin contact start time in newborns sucking studies

Secondary Outcome Measures

Name	Time	Method
observational skin to skin contact start time in newborns sucking studies	for 60 minute	observational skin to skin contact start time in newborns sucking studies

Trial Locations

Locations (2)

National Taiwan University Hospital Hsinchu Branch; 🇨🇳 Hsinchu, Taiwan

National Taiwan University Hospital, Hsin-Chu Branch; 🇨🇳 Hsinchu, Taiwan