| Summary: | 碩士 === 弘光科技大學 === 護理研究所 === 103 === The effectiveness of skin-to-skin (STS) after vaginal delivery has been shown. After cesarean births, SSC is not done for practical and medical safety reasons. The purpose of the present study was to compare the effects of skin-to-skin contact on attachment, infant temperature and infant crying in healthy, full-term infants born by elective cesarean birth and cared for skin-to-skin versus care in the cot with their fathers during the first 1 hour after birth. Participants (fathers) from delivery room in local Yunlin Region teaching hospitals were recruited. Data collection occurred between October and July 2014.Sixty father-infant pairs participated in a pre-post experimental design, in which fathers were randomized to be either skin-to-skin with their infant or next to the infant in a cot. Fathers were randomly assigned to the experimental group (n=30) and control group (n=30). Before and after the treatment, fathers completed CMAI. Major outcomes included the father to infant attachment as measured by the Chinese version of the Maternal Attachment Inventory (CMAI), tape recordings, and Chang Gung ear thermometers. Data were analyzed by using descriptive statistics, chi-squire test, t-test and paired t-test. The major findings of this study were as follows:
There was no significant difference in the father to infant attachment and infant crying between two groups, while there was significant difference in infant temperature between two groups after 60 minutes. The analysis of the tape recordings of infant crying demonstrated that infants in the skin-to-skin group cried (62.00±56.88 seconds) less than the infants in the cot group (79.93±87.06 seconds). The results of this study support the effectiveness of skin to skin on infant crying. Postpartum care that provides for infants to be placed skin-to-skin with fathers or fathers next to infant in a cot is therefore recommended when skin-to-skin contact with the mother is not available.
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