The effect of mother-infant skin-to-skin contact immediately after birth on exclusive breastfeeding: a systematic review and meta-analysis

Karimi, Fatemeh Zahra; Miri, Hamid Heidarian; Khadivzadeh, Talat; Maleki-Saghooni, Nahid

doi:10.4274/jtgga.galenos.2019.2018.0138

Cited by 58 publications

(47 citation statements)

References 18 publications

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“…1 review-low [42] Mother-infant skin-to-skin contact to promote exclusive breastfeeding 1 review-critically low [43] Postnatal face-to-face contact with a health professional to promote breastfeeding duration and exclusivity 1 review-critically low [44] Breastfeeding mHealth/eHealth/telehealth Telephone support (mainly voice calls) during pregnancy and early post-partum for breastfeeding 1 review-high [45] 1 grey literature review Targeted client communication via mobile device (e.g., SMS, voice calls, apps with instant messaging) for breastfeeding 1 review-high [46] Internet support for breastfeeding 1 Some reviews are counted under more than one intervention type depending on the focus of the review.…”

Section: Characteristics and Quality Of Included Reviewsmentioning

confidence: 99%

“…The evidence regarding the benefit of antenatal breastfeeding education alone was insufficient [33]. Reviews supported the effectiveness of education and support in promoting exclusive breastfeeding [19,[35][36][37]43,44,70] as well as the benefits of peer and health professional counselling (including group approaches) in improving initiation, duration and exclusivity [35,36,[38][39][40][41].…”

Section: Breastfeeding Interventionsmentioning

confidence: 99%

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What Works to Improve Nutrition and Food Sustainability across the First 2000 Days of Life: A Rapid Review

et al. 2022

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Informed by the Innocenti framework, this rapid review of systematic reviews (n = 60) and sentinel grey literature (n = 27) synthesises the evidence of what works to improve nutrition and food sustainability across the first 2000 days. Most systematic reviews focused on interventions targeting the behaviour of parents and caregivers (n = 49), with fewer reviews focusing on the personal (n = 7) and external (n = 4) food environments. No reviews focused on food supply-chain activities. Most reviews were rated as critically low (n = 28, 47%) or low (n = 21, 35%) quality using AMSTAR 2. Evidence supports the effectiveness of multi-component breastfeeding interventions, interventions delivered in home and child-care settings, particularly when involving parents, interactive skill building and repeated exposure to vegetables. Food vouchers and access to local farmers markets and community gardens have potential for improving access and availability to healthier foods, while evidence supports interventions improving the external food environment, including fiscal strategies such as the SSB tax, restrictions on marketing and advertising of discretionary products and improved food labelling. Overall, this review highlights the importance of action across a range of settings and sectors at the international, national and local levels to improve young children’s diets.

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Section: Characteristics and Quality Of Included Reviewsmentioning

confidence: 99%

Section: Breastfeeding Interventionsmentioning

confidence: 99%

What Works to Improve Nutrition and Food Sustainability across the First 2000 Days of Life: A Rapid Review

et al. 2022

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“…Compared to separation at birth, SSC is effective in different areas of mother-child health, especially in improving indicators and prevalence of breastfeeding in infants under 6 months [ 27 , 28 ]. Specifically, it increases the percentage of infants on exclusive breastfeeding at 3 months and 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, it increases the percentage of infants on exclusive breastfeeding at 3 months and 6 months. Karimi et al [ 28 ] showed an effect of SSC started in the first 10 min of life compared to separation in improving the duration of exclusive breastfeeding for 3 months (odds ratio [OR] 2.47, 95% CI 1.73, 3.48) and for 6 months (OR 1.71, 95% CI 1.05, 2.78). Likewise, Moore et al [ 4 ] showed that SSC started immediately compared to separation increases the duration of breastfeeding by 3 months or more (RR 1.97, 95% CI 1.37, 2.83).…”

Section: Discussionmentioning

confidence: 99%

Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns

et al. 2021

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Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding. Methods A randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate’s breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration. Results A total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28). Conclusions The percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators. Trial registration ClinicalTrials.gov NCT02687685.

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“…Sucking stimulus triggers oxytocin release, which gives rise to milk ejection. In addition, sucking is responsible for the strong emotional connection between mother and newborn through the skin-to-skin contact [27][28][29]. Prolonged breastfeeding may increase the duration of postpartum amenorrhea and promote circulation of oxytocin [30].…”

mentioning

confidence: 99%

Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study

Porta¹,

Sangiuliano

Cavalli

et al. 2021

IJERPH

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Endometriosis is a gynecological estrogen-dependent disease whose commonest pain symptoms are dysmenorrhea, dyspareunia, and acyclic chronic pelvic pain (CPP). Hormonal changes occurring during breastfeeding seem to reduce pain and disease recurrence. The aim of this observational prospective study was to assess the effect of breastfeeding on pain and endometriotic lesions in patients with endometriosis and to evaluate a possible correlation between the duration of breastfeeding, postpartum amenorrhea, and pain. Out of 156 pregnant women with endometriosis enrolled, 123 who breastfed were included in the study and were monitored for 2 years after delivery; 96/123 exclusively breastfed for at least 1 month. Mode of delivery, type and duration of breastfeeding, intensity of pain symptoms, and lesion size before pregnancy and during the 24-month follow-up were analyzed. All patients experienced a significant reduction in dysmenorrhea proportional to the duration of breastfeeding. CPP was significantly reduced only in women who exclusively breastfed. No significant improvement in dyspareunia was observed. Ovarian endometriomas were significantly reduced. Therefore, breastfeeding, particularly if exclusive, may cause improvement in dysmenorrhea and CPP proportional to the duration of breastfeeding, as well as a reduction in the size of ovarian endometriomas.

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The effect of mother-infant skin-to-skin contact immediately after birth on exclusive breastfeeding: a systematic review and meta-analysis

Cited by 58 publications

References 18 publications

What Works to Improve Nutrition and Food Sustainability across the First 2000 Days of Life: A Rapid Review

What Works to Improve Nutrition and Food Sustainability across the First 2000 Days of Life: A Rapid Review

Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns

Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study

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