| Summary: | 碩士 === 國立臺北護理健康大學 === 助產及婦女健康照護系護理助產研究所 === 105 === OBJECTIVE: The purpose of this study is to evaluate the effect of early skin to skin contact (SSC) with fathers on their supporting breastfeeding.
Methods: A quasi-experimental design was employed by the study. One hundred and forty-four father-infant pairs had participated the study, in which infants were assigned either to SSC with their fathers (n = 72) or to routine care (n = 72) as the control group. The study was conducted at a regional hospital in northern Taiwan. Participants included parents of both vaginal delivery (VD) and caesarean section birth (CS) infants. To be eligible for inclusion, infants must be over 37-week gestational ages. Data were collected twice: as pretest upon admission and as posttest with online questionnaire during first, second, and third postpartum months. The questionnaire included items for The Iowa Infant Feeding Attitude Scale, Parenting Division Scale, Breastfeeding Social Support, methods of feeding, and the mother-infant 24-hour rooming-in rate. The efficacy of early SSC with fathers was evaluated using the generalized estimating equation (GEE) modeling.
Research result: The primary finding was that SSC with fathers had positive impact on fathers’ feeding attitude. Analysis of the online questionnaire indicated that early SSC with fathers improved the feeding attitude than the control group. (VD: Z = -1.90, p = .06 admission to the labor unit, Z = -2.42, p = .02 on 1st postpartum month, t = 2.80, p =.01 on 2nd postpartum month; CS: Z = -.96, p = .34 admission to the labor unit, Z = -.29, p = .78 on 1st postpartum month, t = .54, p = .059 on 2nd postpartum month). The primary finding was that SSC with fathers had positive impact on fathers’ Parenting division. Analysis of the online questionnaire indicated that early SSC with fathers improved the parenting division than the control group. (VD: β = 3.25，p < .05; CS: β = 9.61，p < .001). Analysis of the online questionnaire indicated that early SSC with mothers improved the Parenting division than the control group. (VD: β= 5.51，p < .05; CS: β= 4.92，p < .001). The primary finding was that SSC with fathers had positive impact on fathers’ support of breastfeeding. Analysis of the online questionnaire indicated that early SSC with fathers improved the support of breastfeeding than the control group (VD: t = -4.98, p < .001; CS: t = -2.37, p = .02). Analysis of mother-infant 24-hour rooming-in rate showed that SSC with fathers after CS had a positive impact on the rooming-in rate (χ2 = 5.79, p = .02); however, with VD the difference between early SSC with fathers and the control group was insignificant (χ2 = .23, p = .63). Analysis of the rate of exclusive breastfeeding indicated that early SSC with fathers had a higher rate than the control group during first three postpartum months for both delivery methods (VD: χ2 = 12.51, p < .001 on 1st postpartum month, χ2 = 8.13, p < .05 on 2nd postpartum month, χ2 = 4.43, p < .05 on 3rd postpartum month; CS: χ2 = 6.92, p < .05 on 1st postpartum month, χ2 = 7.41, p < .05 on 2nd postpartum month, χ2 = 6.24, p < .05 on 3rd postpartum month). No significant difference was found on the rate of exclusive breastfeeding with both methods of delivery between two groups during hospitalization. (VD: χ2 =2 .00, p = .16; CS: χ2 = .73, p = .39).
Conclusion: Implementing early SSC with fathers has many benefits to both parents. The result of this study showed increasing fathers’ infant feeding attitude, fathers’ support of breastfeeding and parenting division, and mothers’ exclusive breastfeeding. This encourages our nursing personel to focus the needs of father during breastfeeding, therefore further enhancing the quality of parental cares, the rate and duration of breastfeeding.
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