The role of skin-to-skin contact in exclusive breastfeeding: a cohort study

Detalhes bibliográficos
Autor(a) principal: Goudard, Marivanda Julia Furtado
Data de Publicação: 2022
Outros Autores: Lamy, Zeni Carvalho, Marba, Sérgio Tadeu Martins, Lima, Geisy Maria de Souza, Santos, Alcione Miranda dos, Vale, Marynea Silva do, Ribeiro, Talyta Garcia da Silva, Costa, Roberta, Azevedo, Vivian Mara Gonçalves de Oliveira, Lamy-Filho, Fernando
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/200955
Resumo: 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.
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spelling The role of skin-to-skin contact in exclusive breastfeeding: a cohort studyInfant, Low Birth WeightPremature Birth Breast FeedingKangaroo-Mother Care MethodIntensive Care, NeonatalOBJETIVE 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.Universidade de São Paulo. Faculdade de Saúde Pública2022-07-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/20095510.11606/s1518-8787.2022056004063Revista de Saúde Pública; Vol. 56 (2022); 71Revista de Saúde Pública; Vol. 56 (2022); 71Revista de Saúde Pública; v. 56 (2022); 711518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/200955/185151https://www.revistas.usp.br/rsp/article/view/200955/185152Copyright (c) 2022 Marivanda Julia Furtado Goudard, Zeni Carvalho Lamy, Sérgio Tadeu Martins Marba, Geisy Maria de Souza Lima, Alcione Miranda dos Santos, Marynea Silva do Vale, Talyta Garcia da Silva Ribeiro, Roberta Costa, Vivian Mara Gonçalves de Oliveira Azevedo, Fernando Lamy-Filhohttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGoudard, Marivanda Julia Furtado Lamy, Zeni CarvalhoMarba, Sérgio Tadeu Martins Lima, Geisy Maria de SouzaSantos, Alcione Miranda dos Vale, Marynea Silva do Ribeiro, Talyta Garcia da SilvaCosta, RobertaAzevedo, Vivian Mara Gonçalves de OliveiraLamy-Filho, Fernando2022-08-10T18:14:03Zoai:revistas.usp.br:article/200955Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-08-10T18:14:03Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
title The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
spellingShingle The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
Goudard, Marivanda Julia Furtado
Infant, Low Birth Weight
Premature Birth
Breast Feeding
Kangaroo-Mother Care Method
Intensive Care, Neonatal
title_short The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
title_full The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
title_fullStr The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
title_full_unstemmed The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
title_sort The role of skin-to-skin contact in exclusive breastfeeding: a cohort study
author Goudard, Marivanda Julia Furtado
author_facet Goudard, Marivanda Julia Furtado
Lamy, Zeni Carvalho
Marba, Sérgio Tadeu Martins
Lima, Geisy Maria de Souza
Santos, Alcione Miranda dos
Vale, Marynea Silva do
Ribeiro, Talyta Garcia da Silva
Costa, Roberta
Azevedo, Vivian Mara Gonçalves de Oliveira
Lamy-Filho, Fernando
author_role author
author2 Lamy, Zeni Carvalho
Marba, Sérgio Tadeu Martins
Lima, Geisy Maria de Souza
Santos, Alcione Miranda dos
Vale, Marynea Silva do
Ribeiro, Talyta Garcia da Silva
Costa, Roberta
Azevedo, Vivian Mara Gonçalves de Oliveira
Lamy-Filho, Fernando
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Goudard, Marivanda Julia Furtado
Lamy, Zeni Carvalho
Marba, Sérgio Tadeu Martins
Lima, Geisy Maria de Souza
Santos, Alcione Miranda dos
Vale, Marynea Silva do
Ribeiro, Talyta Garcia da Silva
Costa, Roberta
Azevedo, Vivian Mara Gonçalves de Oliveira
Lamy-Filho, Fernando
dc.subject.por.fl_str_mv Infant, Low Birth Weight
Premature Birth
Breast Feeding
Kangaroo-Mother Care Method
Intensive Care, Neonatal
topic Infant, Low Birth Weight
Premature Birth
Breast Feeding
Kangaroo-Mother Care Method
Intensive Care, Neonatal
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/200955
10.11606/s1518-8787.2022056004063
url https://www.revistas.usp.br/rsp/article/view/200955
identifier_str_mv 10.11606/s1518-8787.2022056004063
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/200955/185151
https://www.revistas.usp.br/rsp/article/view/200955/185152
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/xml
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 56 (2022); 71
Revista de Saúde Pública; Vol. 56 (2022); 71
Revista de Saúde Pública; v. 56 (2022); 71
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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