The content, experiences and outcomes of interventions designed to increase early skin-to-skin contact in high-income settings: A mixed-methods systematic review

Moran, Chloe, Thomson, Gill, Moran, Victoria and Fallon, Victoria ORCID: 0000-0002-7350-2568 (2023) The content, experiences and outcomes of interventions designed to increase early skin-to-skin contact in high-income settings: A mixed-methods systematic review. ACTA PAEDIATRICA, 112 (2). pp. 200-221.

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Official URL: http://dx.doi.org/10.1111/apa.16575

Abstract

<h4>Aim</h4>To explore the content, experiences and outcomes of interventions designed to increase early skin-to-skin contact (SSC) in high-income settings.<h4>Methods</h4>A mixed-methods systematic review was undertaken across six bibliographic databases. References of all included studies were hand-searched. All papers were quality appraised using a mixed-method appraisal tool. A narrative synthesis was used to synthesise both quantitative and qualitative findings.<h4>Results</h4>Database searches generated 1221 hits, and two studies were identified via hand-searching. Ten studies were included; most (n = 7) were designed to improve SSC following a caesarean section, and half were of low/poor quality. Outcomes related to SSC prevalence and/or duration (n = 7), breastfeeding prevalence, (n = 4) and six explored mothers' and/or health professionals' experiences of the intervention. While the interventions had 'some' impact on the prevalence of SSC, the duration was often limited and not in line with WHO recommendations. Breastfeeding rates (exclusive/any) were found to improve but generally not to a significant extent. Mother and healthcare professionals were positive about the interventions, with barriers to implementation noted. Most interventions targeted healthcare professionals, rather than mothers.<h4>Conclusion</h4>High-quality interventions that increase SSC in line with WHO recommendations, and that target both health professionals and parents are needed.

Item Type:	Article
Uncontrolled Keywords:	breastfeeding, experiences, intervention, skin-to-skin, systematic review
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	28 Oct 2022 10:04
Last Modified:	22 Feb 2023 02:58
DOI:	10.1111/apa.16575
Open Access URL:	https://doi.org/10.1111/apa.16575
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3165828