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The content, experiences and outcomes of interventions designed to increase early skin‐to‐skin contact in high‐income settings: A mixed‐methods systematic review
Author(s) -
Moran Chloe,
Thomson Gill,
Moran Victoria,
Fallon Victoria
Publication year - 2023
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.16575
Subject(s) - psychological intervention , medicine , breastfeeding , intervention (counseling) , family medicine , medline , systematic review , nursing , health professionals , critical appraisal , qualitative research , health care , alternative medicine , pediatrics , pathology , social science , sociology , political science , law , economics , economic growth
Aim To explore the content, experiences and outcomes of interventions designed to increase early skin‐to‐skin contact (SSC) in high‐income settings. Methods 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. Results 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. Conclusion High‐quality interventions that increase SSC in line with WHO recommendations, and that target both health professionals and parents are needed.