Efficacy of Breast Crawling on Breastfeeding Outcomes, Knowledge, Attitudes, and Anxiety Status After Term Vaginal Birth: A Randomized Controlled Trial

IF 2.6 2区医学 Q3 NUTRITION & DIETETICS

Maternal and Child Nutrition Pub Date : 2025-07-07 DOI:10.1111/mcn.70063

Huang Lingling, Chen Fan, He Hongyu, Huang Yinying, Lu Meidan, Lin Qiaoli, Li Linghong, Yang Bifeng, Xie Yuezhen

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引用次数: 0

Abstract

Breast crawl technique is a strategy for initiating breastfeeding immediately after delivery. This study evaluated the effects of breast crawl on neonatal feeding style, knowledge, attitudes, and anxiety levels of breastfeeding through a single-center randomized controlled trial. A total of 295 mother-infant pairs were recruited and randomly divided into the breast crawl group (n = 149) and the conventional skin-to-skin contact group (n = 146). Compared with the conventional skin-to-skin contact group, the breast crawl group had higher rates of exclusive breastfeeding at 24 h (65.1% vs. 15.8%, p < 0.001), day 3 (58.4% vs. 24.7%, p = 0.005), month 1 (57.7% vs. 45.9%, p = 0.025), and month 6 (47.0% vs. 11.6%, p < 0.001), higher BAT scores (11.00 vs. 9.00, p = 0.001), higher success rates of first breastfeeding (93.3% vs. 82.9%, p = 0.006), shorter time for the onset of lactogenesis stage II (23.65 vs. 49.38, p < 0.001), more stable forehead skin temperature within 2 h of birth, and improved maternal anxiety (38.75 vs 41.88, p < 0.001) and breastfeeding attitudes (59.00 vs. 57.00, p < 0.032) on the first day postpartum. There was no statistically significant difference in breastfeeding knowledge (89.00 vs. 89.00, p < 0.909) between the two groups on the first day postpartum. This study demonstrated that breast crawling has a positive effect on increasing exclusive breastfeeding rates and neonatal thermoregulation, reducing maternal anxiety levels, and improving feeding attitudes.

Trial Registration

ChiCTR2500099756.

Abstract Image

查看原文本刊更多论文

母乳爬行对阴道足月分娩后母乳喂养结局、知识、态度和焦虑状态的影响：一项随机对照试验。

爬胸技术是一种在分娩后立即开始母乳喂养的策略。本研究通过单中心随机对照试验评估爬乳对新生儿喂养方式、母乳喂养知识、态度和焦虑水平的影响。共招募295对母婴，随机分为爬胸组（n = 149）和传统皮肤接触组（n = 146）。与传统皮肤接触组相比，爬乳组24小时纯母乳喂养率更高(65.1% vs. 15.8%, p

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来源期刊

Maternal and Child Nutrition 医学-小儿科

CiteScore

7.70

自引率

8.80%

发文量

144

审稿时长

6-12 weeks

期刊介绍： Maternal & Child Nutrition addresses fundamental aspects of nutrition and its outcomes in women and their children, both in early and later life, and keeps its audience fully informed about new initiatives, the latest research findings and innovative ways of responding to changes in public attitudes and policy. Drawing from global sources, the Journal provides an invaluable source of up to date information for health professionals, academics and service users with interests in maternal and child nutrition. Its scope includes pre-conception, antenatal and postnatal maternal nutrition, women''s nutrition throughout their reproductive years, and fetal, neonatal, infant, child and adolescent nutrition and their effects throughout life.