Evidence map›Paper›PMID 39369425›Full record

Trial reportBirth (Berkeley, Calif.)2025

Initiated Breastfeeding and Physiological Patterns in Newborn Infants When Reunited With Mother After Separation Due to Elective Cesarean Birth.

Ana Ayala, Kerstin Erlandsson, Kyllike Christensson, Eva Christensson, Gabriel Cavada, Marianne Velandia

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ana AyalaDepartment of Women's and Children's Health, Division Reproductive Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8207-9629
Kerstin ErlandssonDepartment of Women's and Children's Health, Division Reproductive Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6910-7047
Kyllike ChristenssonDepartment of Women's and Children's Health, Division Reproductive Health, Karolinska Institutet, Stockholm, Sweden.
Eva ChristenssonDepartments of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Gabriel CavadaSchool of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile.
Marianne VelandiaSchool of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.ORCID 0000-0002-8660-2365

Funding

Chilean Ministry of HealthKarolinska Institutet
6 · The paper itself

Abstract

backgroundThe purpose of this study was to compare the effects of two caregiving models on full-term healthy infants' wakefulness, rooting and sucking reflexes, initiation of breastfeeding, and physiological parameters when reunited with their mothers after a mother-infant separation of 130 min after elective cesarean birth.

methodsNinety-five mother-infant pairs participated in a randomized controlled trial, in which full-term healthy infants were allocated to be either dressed in their mothers' arms (n = 56) or skin-to-skin with their mother (n = 39) when reunited with the mother within 130 min after cesarean birth. Data were collected by the Neonatal Behavioral Assessment Scale (NBAS) to assess the infants' wakefulness and prebreastfeeding behaviors. Physiological parameters were assessed at 15 min intervals, from 130 to 205 min after birth. Time to first breastfeed was measured in minutes from the reunion with the mother.

resultsThe primary finding was that physiologic parameters did not differ but time for initiation of breastfeeding after the reunion with the mother was significantly faster in the skin-to-skin group compared to the infants in the mothers' arms group (p = 0.005). Over the full study period, a more relaxed state and drowsy were found in the skin-to-skin group compared to the infants in the mothers' arms group.

conclusionHealthy full-term infants born by elective cesarean, who were cared for by their mothers when reunited within 130 min of separation and cared for by their fathers during the mother-infant separation, initiated breastfeeding successfully and showed stable physiological patterns.

Indexed as

Breast FeedingCesarean SectionInfant BehaviorMother-Child RelationsAdultElective Surgical ProceduresFemaleHumansInfant, NewbornMalePregnancySucking BehaviorTime FactorsWakefulnesscaesarean sectionfull‐term infantsskin‐to‐skin care

Identifiers

PMID39369425
PMCPMC11829263

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Registered trials

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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.