The role of skin-to-skin contact in exclusive breastfeeding

A cohort study

Bibliographic Data

ID16780352
AuthorsMarivanda Julia Furtado Goudard (0000-0003-3231-7793, Universidade Federal do Maranhão), Zeni Carvalho Lamy (0000-0002-9332-0542, Universidade Federal do Maranhão), Sérgio Tadeu Martins Marba (0000-0003-2903-6915, Universidade Estadual de Campinas (UNICAMP)), Geisy Maria De Souza Lima (0000-0002-8656-205X, Instituto de Medicina Integral Professor Fernando Figueira), Alcione Miranda Dos Santos (0000-0001-9711-0182, Universidade Federal do Maranhão), Marynea Silva do Vale (0000-0002-1544-5470, Hospital Universitário da Universidade Federal do Maranhão), Talyta Garcia da Silva Ribeiro (0000-0002-5254-3408, Universidade Federal do Maranhão), Roberta Costa (0000-0001-6816-2047, Universidade Federal de Santa Catarina), Vivian Mara Gonçalves De Oliveira Azevedo (0000-0002-7514-1508, Universidade Federal de Uberlândia), Fernando Lamy Filho (0000-0002-7858-4195, Universidade Federal do Maranhão)
Year2022
Volume56
Pages71
Publication date2022-07-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2022056004063
PMID35894408
OpenAlexW4288220923
LanguageEN
Citations received2
References cited3

OBJETIVE To understand the role of exposure to skin-to-skin contact and its minimum duration in determining exclusive breastfeeding at hospital discharge in infants weighing up to 1,800g at birth. METHODS A multicenter cohort study was carried out in five Brazilian neonatal units. Infants weighing ≤ 1,800g at birth were eligible. Skin-to-skin contact time was recorded by the health care team and parents on an individual chart. Maternal and infant data was obtained from maternal questionnaires and medical records. The Classification Tree, a machine learning method, was used for data analysis; the tree growth algorithm, using statistical tests, partitions the dataset into mutually exclusive subsets that best describe the response variable and calculates appropriate cut-off points for continuous variables, thus generating an efficient explanatory model for the outcome under study. RESULTS A total of 388 infants participated in the study, with a median of 31.6 (IQR = 29–31.8) weeks of gestation age and birth weight of 1,429g (IQR = 1,202–1,610). The exclusive breastfeeding rate at discharge was 61.6%. For infant’s weighting between 1,125g and 1,655g, exposed to skin-to-skin contact was strongly associated with exclusive breastfeeding. Moreover, infants who made an average > 149.6 min/day of skin-to-skin contact had higher chances in this outcome (74% versus 46%). In this group, those who received a severity score (SNAPPE-II) equal to zero increased their chances of breastfeeding (83% versus 63%). CONCLUSION Skin-to-skin contact proved to be of great relevance in maintaining exclusive breastfeeding at hospital discharge for preterm infants weighing 1,125g–1,655g at birth, especially in those with lower severity scores

Breastfeeding · Cohort · Cohort study · Environmental health · Skin to skin · Breastfeeding Practices and Influences · Dermatology · Infant Development and Preterm Care · Internal Medicine · Medicine · Neonatal skin health care · Pediatrics

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