| Methods |
Randomized controlled trial (computerized minimization technique). |
| Participants |
20 healthy full‐term infants > 37 weeks' gestation and their mothers. |
| Interventions |
1) SSC group = infant placed prone SSC on mothers abdomen. Baby moved to warmer after cord cut. Then infant placed prone on mother's bare chest between breasts. Moved to cross cradle nursing position when infant displayed early hunger cues (M = 99.5 min of SSC) Breastfeeding assistance provided by researcher. 2) Control group = infant shown briefly to mother and moved to warmer. Then infant swaddled in blankets and held by mother. Moved to cross cradle nursing position when infant displayed early hunger cues. Breastfeeding assistance provided by researcher. |
| Outcomes |
Success of the 1st breastfeeding, time of effective breastfeeding, body weight change day 14 post birth, number of breastfeeding problems in the 1st postpartum month, mother's perception of the adequacy of her milk supply, maternal parenting confidence, breastfeeding status 1 month post birth. |
| Notes |
Study was done in the USA with primarily Caucasian, married, college‐educated primipara. |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Random sequence generation (selection bias) |
Low risk |
Computer‐generated minimization process. |
| Allocation concealment (selection bias) |
Low risk |
Assignment by computer minimization process. |
| Blinding of participants and personnel (performance bias)
All outcomes |
High risk |
This was an unblinded study. |
| Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
The chief investigator provided some of the post birth care (including help with breastfeeding) and collected some of the outcome data. |
| Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
20 of the 23 women randomized were followed up. |
| Selective reporting (reporting bias) |
Unclear risk |
All outcomes appear to have been reported. Assessment from published trial report. |
| Other bias |
Low risk |
Groups appeared similar at baseline (randomization by minimization technique). |
