Objectives To explore the sequence expression of neonatal breast-seeking behaviors during skin-to-skin contact,and to analyze influencing factors of locate breast, in order to lay the foundation for further exploring the neurobehavioral development early in newborn life. Methods A total of 71 mother-newborns pairs who gave birth naturally from March to June 2018 in a tertiary hospital in Shandong were recruited randomly in this study. The Widström nine stages were used to observe and record infants′ breast-seeking behaviors during skin-to-skin contact. Results Totally 39 neonates showed complete sequence of neonatal breast-seeking behaviors during skin-to-skin contact,including cry,eyes opened,legs kicked,arms stretched,head up or turned around,hand-to-mouth,moved towards the nipple,located the areola,latched the nipple,sucked,fell asleep in (90.5±21.3) minutes. Regression Results showed that labor analgesia (OR=3.874,95%CI:1.067-14.060) and interval time for skin-to-skin contact≥10min(OR=11.607,95%CI:1.318-102.214) were influencing factors for infants locating the areola(P<0.05). Conclusions Newborns show a fixed sequence of breast-seeking behaviors during skin-to-skin contact and can fall asleep after locating the areola and the first breast feeding successfully without artificial intervention. The main influencing factors of areola location include labor analgesia and interval time for skin-to-skin contact.
Key words
skin-to-skin contact /
newborns /
breast-seeking behaviors
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