Early skin to skin contact: effect on mother’s anxiety and depression levels after delivery and on early neonatal adaptation to early breastfeeding
DOI:
https://doi.org/10.61651/rped.2007v60n3p140-149Keywords:
Depression, Postpartum, Breast FeedingAbstract
Objective: to demonstrate the effect of early skin to skin contact on mother’s anxiety and depression levels at 2 and 48 hours after birth, on early neonatal adaptation to breastfeeding and, on mother’s satisfaction related to the delivery. Material and method: a prospective, randomized, controlled and double blind trial was conducted comparing two groups: study group (CPPI) n=38, and control group n=41. The first group was beneficiated with 30 minutes early skin to skin contact. Hospital anxiety and depression scale (HAD) and Hamilton anxiety rating scale (HARS) were applied at 2 and 48 hours after birth. 2 hours after birth, the infant was placed on mother’s chest, observing how many of them got succeed in early breastfeeding. Mothers were asked about perception and satisfaction related to the delivery experience. Results: mother’s anxiety and depression levels were lower in study group (CPPI) at 48 hours compared with controls (p < 0,0001) either in absolute than in grades values; meanwhile, there were no difference at 2 hours after birth. Study group’s infants got more succeed in early breastfeeding than controls (29 of 38 vs. 12 of 41, p<0.0001). Satisfaction levels related to the delivery experience were higher in study group (p < 0,0001). Conclusions: early skin to skin contact decreases mother’s anxiety and depression levels at 48 hours after birth, improves early neonatal adaptation to breastfeeding and increases satisfaction levels related to the delivery experience.
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