Effect of Delayed Cord Clamping on Breastfeeding Behaviors During the First Breastfeed: A Randomized Controlled Study.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2024-08-01 Epub Date: 2024-05-13 DOI:10.1089/bfm.2024.0080

Nihan Hilal Hoşağası, Sami Güngör

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引用次数: 0

Abstract

Objective: Delayed cord clamping (DCC) may increase the success of breastfeeding by improving neurological and cardiovascular function in neonates. In this study, we investigated the impact of DCC on breastfeeding behaviors, neonatal activity status, and maternal satisfaction during the first breastfeeding. Methods: This randomized controlled study was conducted in a tertiary hospital in Turkey with 100 term infants delivered by elective cesarean section with spinal anesthesia. The participants were randomly assigned to the early cord clamping (ECC) group or DCC group. The Infant Breastfeeding Assessment Tool (IBFAT) was used to assess infant alertness, breastfeeding behaviors, and maternal satisfaction with breastfeeding within the first 2 hours of life. Results: Scores on the IBFAT were significantly higher in the DCC group compared with the ECC group (p = 0.02). Maternal satisfaction with breastfeeding did not differ between the groups (p = 0.3). Infant alertness tended to be better in the DCC group, but the difference was not statistically significant (p = 0.08). Conclusion: The results of this study indicated that DCC was associated with more favorable breastfeeding behaviors compared with ECC.

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延迟脐带剪断对首次哺乳期母乳喂养行为的影响：随机对照研究

目的延迟脐带夹闭（DCC）可改善新生儿的神经和心血管功能，从而提高母乳喂养的成功率。在这项研究中，我们调查了延迟脐带夹闭对母乳喂养行为、新生儿活动状态和首次母乳喂养期间产妇满意度的影响。研究方法这项随机对照研究在土耳其的一家三级医院进行，100 名足月儿在脊髓麻醉下通过选择性剖腹产分娩。参与者被随机分配到早期脐带钳夹（ECC）组或DCC组。婴儿母乳喂养评估工具（IBFAT）用于评估婴儿的警觉性、母乳喂养行为以及母亲对出生后 2 小时内母乳喂养的满意度。结果DCC 组的 IBFAT 分数明显高于 ECC 组（p = 0.02）。母亲对母乳喂养的满意度在各组之间没有差异（p = 0.3）。DCC组的婴儿警觉性更高，但差异无统计学意义（p = 0.08）。结论本研究结果表明，DCC 与 ECC 相比，DCC 与更有利的母乳喂养行为相关。

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来源期刊

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.