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Titel:The effect of early skin-to-skin contact after cesarean section on breastfeeding duration and development of atopic-allergic diseases
Autor:Stephan, Yvonne
Weitere Verfasser:Müller, Hans-Helge; Kühnert, Maritta; Meinhold-Heerlein, Ivo; Ibrahimi, Gentiana; Reitz, Maleen; Schemmann, Hannah; Oehmke, Frank; Köhler, Siegmund; Renz, Harald
Veröffentlicht:2023
URI:https://archiv.ub.uni-marburg.de/es/2024/0816
URN: urn:nbn:de:hebis:04-es2024-08165
DOI: https://doi.org/10.18332/ejm/176213
DDC:610 Medizin
Publikationsdatum:2024-02-13
Lizenz:https://creativecommons.org/licenses/by/4.0

Dokument

Schlagwörter:
atopic-allergic diseases, cesarean section, skin contact, breastfeeding, skin-to-skin contact, atopic dermatitis

Summary:
Introduction: Breastfeeding to strengthen the immune system suggests allergy prevention as a possible option. The connection between breastfeeding and the development of atopic-allergic diseases is being discussed. The primary aim of this work was to investigate an association of the first early skin-to-skin contact following cesarean section with the development of atopic diseases within the 1st year of life. Methods: The present study was conducted as a bicentric prospective cohort study in central Germany with a 15-month recruitment period. Data collection was by telephone interviews with a follow-up of 12 months. The statistical evaluation procedure was based on a hierarchical test of the association of early skin-to-skin contact between mother and child with the two main outcome measures. The primary outcome is the duration of breastfeeding. The second outcome is the onset of atopic-allergic disease within the 1st year of life. Results: Mothers breastfed longer if they had skin-to-skin contact within the first 30 minutes postpartum [χ²(df=5) = 19.020, p=0.002], if they breastfed their newborns early immediately after birth (p<0.001), and if the first skin-to-skin contact lasted more than one hour [χ²(df=4) = 19.617, p<0.001]. Regarding atopic-allergic diseases, no significant effects of skin-to-skin contact were found in relation to disease development. Regarding breastfeeding, no significant effects of atopic-allergic diseases could be detected either. Conclusions: The results of this study reflect the benefits of skin-to-skin contact in the context of breastfeeding and atopic disease. The current scientific knowledge regarding skin contact and the development of atopic-allergic diseases should be extended and deepened.


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