Prevalence of early skin-to-skin contact and its impact on exclusive breastfeeding during the maternity hospitalization

Abstract

Background Early essential newborn care has been implemented in countries regardless high or low neonatal mortality. This study aims to investigate the current practice of skin-to-skin contact (SSC) and its effect on exclusive breastfeeding during the hospital stay. Methods This is a cross-sectional study of 1812 Vietnamese mothers in multicenter. A questionnaire answered by the mothers was used to assess the duration of both SSC and breastfeeding practices. Multivariable logistic regression was used to identify a dose–response relationship between early SSC and prevalence of exclusive breastfeeding in hospital. Results There were 88.7% of mothers experiencing SSC with their infants right after birth and the highest prevalence of SSC was found in district hospitals. Among those experiencing SSC, 18.8% of the infants received more than 90 min of SSC and completed the first breastfeeding during SSC time. Prevalence of exclusive breastfeeding during maternity hospital stay was 46.7%. We found a significant dose–response relation between the duration of SSC and exclusive breastfeeding in hospital. Compared with infants without SSC, the prevalence of exclusive breastfeeding was higher in infants who experienced SSC for 15–90 min (adjusted odds ratio [aOR], 95% confidence interval [95%-CI]: 2.62 [1.61–4.27]) and more than 90 min (aOR [95%-CI]: 5.98 [3.48–10.28]). Completed first breastfeeding during SSC time (aOR [95%-CI]: 4.24 [3.28–5.47]) and being born in district hospitals (aOR [95%-CI]: 2.35 [1.79–3.09]) were associated with increased prevalence of exclusive breastfeeding during hospital stay. On the other hand, mother education level as high school/intermediate (aOR [95%-CI]: 0.58 [0.42–0.82]) and place of residence classified as rural decreased odds of exclusive breastfeeding in hospital (aOR [95%-CI]: 0.78 [0.61–0.99]). Conclusion Our results demonstrate a strong dose–response relationship between duration of SSC and exclusive breastfeeding in hospital. Interventions that support exclusive breastfeeding during hospital stay, especially achieving prolonged uninterrupted SSC, could improve the duration of breastfeeding.

Skin-to-skin contact and early initiation of breast feeding in Bangladesh: a cross-sectional study using MICS6, Bangladesh (2019) data

“…This prevalence rate was higher than the prevalence rate in India (14.5%) 18 and Nigeria (10%) 7 but lower than Nepal (16.5%), 18 Ethiopia (24.3%) 19 and Vietnam (88.7%). 20 Other studies conducted in Bangladesh showed a much higher prevalence (28% 4 and 26% 7 ). However, the first study was limited to only 10 districts and included samples from only district level households.…”

Contato pele a pele e amamentação no nascimento: interfaces com aleitamento materno exclusivo na alta hospitalar [Skin-to-skin contact and breastfeeding at birth: interfaces with exclusive breastfeeding at hospital discharge] [Contacto piel a piel y lactancia materna al nacer: interfaces con lactancia materna exclusiva en el alta hospitalaria]

“…Internacionalmente, estudo transversal, no Vietnã, com 1.812 puérperas, mostrou a importância não somente da realização da prática do CPP, mas também de os profissionais estarem atentos à sua duração, visto que a prevalência de aleitamento materno exclusivo foi maior em RNs que experimentaram o contato pele a pele por 15 a 90 minutos e por mais de 90 minutos 24 .…”

Prevalencia, beneficios y principales causas de abandono de la lactancia materna

“…Particularmente la LME, es decir la práctica en la que el/la bebé recibe sólo leche materna sin ningún otro alimento o líquido hasta los 6 meses de edad, es una importante variable protectora contra la morbi-mortalidad infantil debido a infecciones respiratorias y del tracto gastrointestinal (Hossain & Mihrshahi, 2022). La LM podría salvar por encima de 800.000 vidas al año en todo el mundo, dado que la leche materna provee al lactante de los nutrientes y componentes inmunológicos precisos que necesita para un desarrollo adecuado (Giang et al, 2022). Principalmente, los primeros 1000 días, que van desde la concepción hasta los dos años de vida, son cruciales para el desarrollo del/la bebé.…”

“…El olor de la madre y de la leche materna facilita el agarre del pezón contribuyendo así al inicio de la lactancia. Escuchar los latidos del corazón y la voz de la madre, de baja frecuencia, le proporciona a el/la bebé una mayor seguridad emocional, el contacto con el/la bebé y la succión del pecho provocan un aumento de oxitocina y de las beta-endorfinas que favorecen la contracción uterina y la eyección de calostro; además, el COPAP facilita la expulsión más temprana de la placenta, la reducción de las hemorragias, el aumento de la autoeficacia en la lactancia y la disminución de los niveles de estrés materno (Costa-Romero et al, 2019;Giang et al, 2022).…”