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Influence of Maternity Home routines on baby’s temperature adaptation, breastfeeding outcome, maternal-infant interaction, infant’s development and health.

Influence of Maternity Home routines, including skin-to-skin contact vs early separation, rooming-in vs staying in the nursery, swaddling vs baby clothes, for healthy newborn infants and healthy new mothers on baby's temperature adaptation, breastfeeding outcome, maternal-infant interaction, infant's development and health.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12607000132448
Enrollment
176
Registered
2007-02-16
Start date
1995-01-15
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Maternity Home practices still existing in some countries (separation of newborn infants from their mothers immediately after birth, tight swaddling, keeping babies in the nursery without rooming-in with their mothers, scheduled breastfeeding, formula supplementation) might hinder temperature adaptation even in healthy babies, can influence early breastfeeding performance as well as duration of breastfeeding in a long run. Moreover, infant's development, health and maternal-infant interaction and attachment could be also affected.

Interventions

Mother-infant pairs were randomised into four groups according to an experimental two-factor design taking into account infant location and apparel. Group I infants were placed skin-to-skin on their mother’s chest in the delivery ward. Infants were later kept roomed-in in the maternity ward. Group II infants were dressed and placed in their mother

Mother-infant pairs were randomised into four groups according to an experimental two-factor design taking into account infant location and apparel. Group I infants were placed skin-to-skin on their mother’s chest in the delivery ward. Infants were later kept roomed-in in the maternity ward. Group II infants were dressed and placed in their mother's arms. Infants were later kept roomed-in in the maternity ward. Group III infants were kept in a cot in the delivery and maternity ward nurseries with no rooming-in. Group IV infants were kept in a cot in a delivery ward nursery and later roomed-in in the maternity ward. Each group comprised two subgroups with infants either swaddled or kept in clothes. The duration of stay in the delivery ward was 2 first hours after birth; the duration of stay in the maternity ward lasted till discharge at day 5 after birth.

Sponsors

Karolinska Institutet, Department of Woman and Child Health, Division of Reproductive and Perinatal Health Care
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

Healthy mothers with full-term, singleton, uncomplicated pregnancies and non-instrumental deliveries, with intention to breastfeed their babies; healthy newborn infants (without congenital maformations, not "small for date", with Apgar score not less than 8 at 5 minuts after birth).

Exclusion criteria

Oxytocin infusion during labour; analgesia like epidural, paracervical or pudendal block.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026