Trends in Maternity Care Practice Skin-to-Skin Contact Indicators: United States, 2007–2015

Details

• Alternative Title:
  Breastfeed Med
• Personal Author:
  Boundy, Ellen O. ; Perrine, Cria G. ; Barrera, Chloe M. ; Li, Ruowei ; Hamner, Heather C.
• Description:
  Background:
  
  Mother-infant skin-to-skin contact (SSC) immediately after birth helps transition infants to the post-uterine environment and increases the likelihood of breastfeeding initiation and duration. This study examines trends in U.S. maternity practices related to SSC, and variations by facility demographics.
  
  Methods:
  
  Data were from the Maternity Practices in Infant Nutrition and Care (mPINC) surveys (2007–2015), a biennial assessment of all U.S. maternity facilities. Facilities reported how often patients were encouraged to practice mother-infant SSC for ≥30 minutes within 1 hour of uncomplicated vaginal birth and 2 hours of uncomplicated cesarean birth, and how often routine infant procedures are performed while in SSC. We calculated the percentage of maternity facilities reporting these indicators for ≥90% of patients across the United States for each survey year. Estimates by facility characteristics (size, type, and state) were calculated for 2015 only.
  
  Results:
  
  The percentage of facilities reporting “Most (≥90%)” women, which were encouraged to practice early SSC, increased from 2007 to 2015 following both vaginal (40.4% to 83.0%) and cesarean (29.3% to 69.9%) births. The percentage of facilities reporting routine infant procedures were performed “Almost always (≥90%),” while mother and infant were SSC increased from 16.6% to 49.5% (2007 to 2015) for vaginal births and from 2.2% to 10.7% (2009 to 2015) for cesarean births. Variations in SSC practice by facility type, size, and state were noted.
  
  Conclusions:
  
  Significant progress has been made in increasing hospital encouragement of early SSC for both vaginal and cesarean births. Continued efforts to support evidence-based maternity practices are needed.
  
  
• Subjects:
  Breast Feeding Cesarean Section Cross-Sectional Studies Female Health Care Surveys Humans Infant, Newborn Mother-Child Relations Natural Childbirth Pregnancy Skin Standard Of Care Touch

  More +
• Source:
  Breastfeed Med. 13(5):381-387
• Pubmed ID:
  29782185
• Pubmed Central ID:
  PMC9244860
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  13
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dd5dec6e4052077a8cab9abc85098c6f3b8cda2c9217d23cf14b8c8d45de127d
• Download URL:
  https://stacks.cdc.gov/view/cdc/119334/cdc_119334_DS1.pdf
• File Type:
  [PDF - 230.93 KB ]