The clinical experience of early skin-to-skin contact combined with non-nutritive comfort sucking in mothers of preterm infants: a qualitative study

BMC Pregnancy Childbirth. 2023 Apr 24;23(1):281. doi: 10.1186/s12884-023-05581-x.

Abstract

Background: In most areas of China, mothers typically do not participate in early care of preterm infants in NICU. This study aims to examine the early experience of mothers of preterm infants participating in skin-to-skin contact combined with non-nutritive comfort sucking in China.

Methods: This qualitative research study used one-on-one, face-to-face, semi-structured in-depth interviews. Eighteen mothers who participated in early skin-to-skin contact combined with non-nutritive comfort sucking were interviewed in the NICU of a tertiary children's hospital in Shanghai between July and December 2020. Their experiences were analyzed using the inductive topic analysis method.

Results: Five themes about skin-to-skin contact combined with non-nutritive comfort sucking were identified, including alleviation of maternal anxiety and fear during mother infant separation, reshaping the maternal role, promotion of active breast pumping, enhances the mother's willingness to actively breast feed and building the maternal confidence in baby care.

Conclusion: Skin-to-skin contact combined with non-nutritive comfort sucking in the NICU can not only enhance the identity and responsibility of the mother's role, but also provide non-nutritive sucking experience for promoting the establishment of oral feeding in preterm infants.

Keywords: Neonatal intensive care unit; Non-nutritive comfort sucking; Skin-to-skin contact; Very low birth weight infant.

MeSH terms

  • Breast Feeding
  • Child
  • China
  • Female
  • Humans
  • Infant
  • Infant Care
  • Infant, Newborn
  • Infant, Premature*
  • Intensive Care Units, Neonatal
  • Mothers*
  • Qualitative Research
  • Sucking Behavior