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. 2016 Nov 25;2016(11):CD003519. doi: 10.1002/14651858.CD003519.pub4

Comparison 1. Immediate or Early skin‐to‐skin versus standard contact for healthy infants.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Breastfeeding 1 month to 4 months post birth 14 887 Risk Ratio (M‐H, Random, 95% CI) 1.24 [1.07, 1.43]
2 Duration of breastfeeding in days 7 324 Mean Difference (IV, Random, 95% CI) 42.55 [‐1.69, 86.79]
3 SCRIP score first 6 hours post birth 2 81 Std. Mean Difference (IV, Random, 95% CI) 1.24 [0.76, 1.72]
4 Blood glucose mg/dL at 75‐180 minutes post birth 3 144 Mean Difference (IV, Fixed, 95% CI) 10.49 [8.39, 12.59]
5 Infant axillary temperature 90 minutes to 2.5 hours post birth 6 558 Mean Difference (IV, Random, 95% CI) 0.30 [0.13, 0.47]
6 Exclusive breastfeeding at hospital discharge to 1 month post birth 6 711 Risk Ratio (M‐H, Random, 95% CI) 1.30 [1.12, 1.49]
7 Exclusive breastfeeding 6 weeks to 6 months post birth 7 640 Risk Ratio (M‐H, Random, 95% CI) 1.50 [1.18, 1.90]
8 Breastfeeding status day 28 to 1 month post birth 3 245 Mean Difference (IV, Random, 95% CI) 0.86 [‐0.73, 2.44]
9 Breastfeeding 1 year post birth 2 62 Risk Ratio (M‐H, Fixed, 95% CI) 6.19 [0.82, 46.78]
10 Success of the first breastfeeding (IBFAT score) 4 384 Mean Difference (IV, Random, 95% CI) 2.28 [1.41, 3.15]
11 Successful first breastfeeding (IBFAT score 10‐12 or BAT score 8‐12) 5 575 Risk Ratio (M‐H, Random, 95% CI) 1.32 [1.04, 1.67]
12 Suckled during the first 2 hours post birth 1 88 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.83, 1.35]
13 Mean variation in maternal breast temp. 30‐120 minutes post birth 1 132 Mean Difference (IV, Fixed, 95% CI) 0.60 [0.34, 0.86]
14 Breast engorgement ‐ pain, tension, hardness 3 days post birth 2 131 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.41 [‐0.76, ‐0.06]
15 Heart rate 75 minutes to 2 hours post birth 3 183 Mean Difference (IV, Random, 95% CI) ‐3.05 [‐7.84, 1.75]
16 Respiratory rate 75 minutes ‐ 2 hours post birth 4 215 Mean Difference (IV, Random, 95% CI) ‐3.12 [‐6.61, 0.37]
17 Infant did not exceed parameters for stability 1 31 Risk Ratio (M‐H, Fixed, 95% CI) 10.83 [1.63, 72.02]
18 Transferred to the neonatal intensive care unit 2 305 Risk Ratio (M‐H, Fixed, 95% CI) 0.51 [0.20, 1.26]
19 Infant body weight change (grams) day 14 post birth 2 43 Mean Difference (IV, Fixed, 95% CI) ‐6.00 [‐175.60, 159.61]
20 Infant hospital length of stay in hours 2 42 Mean Difference (IV, Random, 95% CI) ‐95.30 [‐368.50, 177.89]
21 Not crying for > 1 minute during 90 minutes 1 29 Risk Ratio (M‐H, Fixed, 95% CI) 12.86 [1.91, 86.44]
22 Amount of crying in minutes during a 75‐minute observation period 1 44 Mean Difference (IV, Fixed, 95% CI) ‐8.01 [‐8.98, ‐7.04]
23 PCERA Maternal positive affective involvement and responsiveness 12 months post birth 1 61 Mean Difference (IV, Fixed, 95% CI) 1.90 [‐1.14, 4.94]
24 PCERA Dydadic mutuality and reciprocity 12 months post birth 1 61 Mean Difference (IV, Fixed, 95% CI) 1.30 [0.24, 2.36]
25 Mother's most certain preference for same postdelivery care in the future 3 439 Risk Ratio (M‐H, Random, 95% CI) 6.04 [2.05, 17.83]
26 Maternal state anxiety 8 hours to 3 days post birth 3 390 Std. Mean Difference (IV, Random, 95% CI) ‐0.32 [‐0.59, ‐0.04]
27 Maternal parenting confidence at 1 month post birth 1 20 Mean Difference (IV, Fixed, 95% CI) 5.60 [‐6.24, 17.44]
28 Breastfeeding 1 month to 4 months post birth: Sensitivity analysis 13 827 Risk Ratio (M‐H, Random, 95% CI) 1.26 [1.14, 1.39]
29 Duration of breastfeeding in days: Sensitivity analysis 6 264 Mean Difference (IV, Random, 95% CI) 63.73 [37.96, 89.50]
30 Heart rate 75 minutes to 2 hrs post birth: Sensitivity analysis 2 94 Mean Difference (IV, Fixed, 95% CI) ‐5.77 [‐7.43, ‐4.11]
31 Respiratory rate 75 minutes to 2 hours post birth: Sensitivity analysis 3 126 Mean Difference (IV, Fixed, 95% CI) ‐4.76 [‐6.12, ‐3.41]
32 Exclusive bf discharge ‐ Marin 2010 sensitivity analysis 6 592 Risk Ratio (M‐H, Random, 95% CI) 1.30 [1.12, 1.52]
33 NICU admission ‐ Marin 2010 sensitivity analysis 2 167 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.21, 2.02]