Evidence map›Paper›PMID 33849584›Full record

Trial reportInternational breastfeeding journal2021

Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns.

Sergio I Agudelo, Oscar A Gamboa, Eduardo Acuña, Lina Aguirre, Sarah Bastidas, Jennifer Guijarro, María Jaller, María Valderrama, María Lucia Padrón, Nathalie Gualdrón and 3 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02687685 (Randomized Clinical Trial of Immediate Skin to Skin Contact), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02687685 naunknown statusnot on this map

Randomized Clinical Trial of Immediate Skin to Skin Contact (SSC) at Birth, Early vs. Immediate, on the Duration of Exclusive Human Lactation in Full-term Newborns Treated at the Universidad de La Sabana Clinic

TypeinterventionalSponsorUniversidad de la SabanaRan2018 to 2020Enrolled300ConditionsBreast FeedingArmsSkin to skin contact immediate, skin to skin contact early
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Timing of skin-to-skin contact after cesarean section on exclusive breastfeeding: an open-label, randomized controlled trial.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Trial
  5. Trial
  6. Article
  7. Article
  8. Skin-to-Skin Contact and Breastfeeding After Planned Cesarean Birth Before and During the COVID-19 Pandemic.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sergio I AgudeloFacultad de Medicina, Universidad de La Sabana, Chía, Colombia. sergioagpe@unisabana.edu.co.ORCID 0000-0001-9154-4529
Oscar A GamboaFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Eduardo AcuñaDepartamento de Pediatría, Hospital Universitario de La Samaritana - Unidad Funcional de Zipaquirá, Zipaquirá, Colombia.
Lina AguirreFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Sarah BastidasFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Jennifer GuijarroFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
María JallerFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
María ValderramaFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
María Lucia PadrónFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Nathalie GualdrónFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Evelyn ObandoFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Fabio RodríguezFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.
Lina BuitragoFacultad de Medicina, Universidad de La Sabana, Chía, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding.

methodsA randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate's breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration.

resultsA total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28).

conclusionsThe percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators.

trial registrationClinicalTrials.gov NCT02687685 .

Indexed as

Breast FeedingKangaroo-Mother Care MethodColombiaFemaleHumansInfantInfant, NewbornMilk, HumanParturitionPregnancyBreastfeedingInfantKangaroo mother careNeonatal careNewbornSkin-to-skin contact

Identifiers

PMID33849584
PMCPMC8043060

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.