Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

BMC Pregnancy and Childbirth

Fiona Dykes³  Marie Cooke¹  Debra K Creedy¹  Ruth M Cantrill² 

[1] Griffith Health Institute Griffith University, Nathan, Queensland 4111, Australia;Metro South Hospital and Health Service, Queensland Health, PO Box 7254, Redland Bay, Queensland 4165, Australia;Maternal and Infant Nutrition and Nurture Unit (MIANN), University of Central Lancashire, Lancashire, UK

关键词: Baby Friendly Hospital Initiative;    Best practice guidelines;    Observation;    Skin-to-skin contact;    Breastfeeding initiation;    Newborn feeding behaviour;   

Others  :  1131772
DOI  :  10.1186/1471-2393-14-20

 received in 2013-06-18, accepted in 2014-01-09,  发布年份 2014

【 摘 要 】

Background

Best practice guidelines to promote breastfeeding suggest that (i) mothers hold their babies in naked body contact immediately after birth, (ii) babies remain undisturbed for at least one hour and (iii) breastfeeding assistance be offered during this period. Few studies have closely observed the implementation of these guidelines in practice. We sought to evaluate these practices on suckling achievement within the first hour after birth.

Methods

Observations of seventy-eight mother-baby dyads recorded newborn feeding behaviours, the help received by mothers and birthing room practices each minute, for sixty minutes.

Results

Duration of naked body contact between mothers and their newborn babies varied widely from 1 to 60 minutes, as did commencement of suckling (range = 10 to 60 minutes). Naked maternal-infant body contact immediately after birth, uninterrupted for at least thirty minutes did not predict effective suckling within the first hour of birth. Newborns were four times more likely to sustain deep rhythmical suckling when their chin made contact with their mother’s breast as they approached the nipple (OR 3.8; CI 1.03 - 14) and if their mothers had given birth previously (OR 6.7; CI 1.35 - 33). Infants who had any naso-oropharyngeal suctioning administered at birth were six times less likely to suckle effectively (OR .176; CI .04 - .9).

Conclusion

Effective suckling within the first hour of life was associated with a collection of practices including infants positioned so their chin can instinctively nudge the underside of their mother’s breast as they approach to grasp the nipple and attach to suckle. The best type of assistance provided in the birthing room that enables newborns to sustain an effective latch was paying attention to newborn feeding behaviours and not administering naso-oropharyngeal suction routinely.

【 授权许可】

   
2014 Cantrill et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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