TY - JOUR
T1 - The Effect of Paternal Skin-To-Skin Care
T2 - A Systematic Review and Meta-Analysis of Randomized Control Trials
AU - Kuo, Shu Fen
AU - Chen, I. Hui
AU - Chen, Su Ru
AU - Chen, Kee Hsin
AU - Fernandez, Ritin S.
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Background: Research about skin-To-skin care (SSC) experiences in early period after birth has focused on mothers and infants. Purpose: The purpose of this study was to determine the outcomes of paternal skin-To-skin care (P-SSC) in both fathers and infants. Methods: The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, CINAHL, PsycInfo, Airiti Library, and Google Scholar were searched for randomized controlled trials (RCTs) that reported outcomes of P-SSC in both fathers and infants. We calculated pooled mean differences (MDs) and 95% confidence intervals (CIs) using RevMan 5.3 for the meta-Analysis [PROSPERO: CRD42018106790]. Results: Seven RCTs including a total of 552 participants were eligible for inclusion. Compared to the maternal skin-To-skin care (M-SSC), fathers in the P-SSC exhibited no significant differences in salivary oxytocin levels (MD:-0.35 pg/mL; 95% CI:-0.75, 0.05), salivary cortisol levels (MD: 0.25 μg/dL; 95% CI:-0.82, 1.33), or anxiety scores (MD:-0.17; 95% CI:-0.57, 0.22) during the period of SSC. Similarly, there were no significant differences in the salivary cortisol levels (MD:-0.11 μg/dL; 95% CI:-0.05, 0.28) among preterm infants between the 2 groups. However, the crying time was less among full-Term infants in the P-SSC group compared with infants in the incubator care or cot care groups. Implications for Practice and Research: P-SSC had similar effects as M-SSC on stress-related outcomes during and after SSC among fathers and infants in the early stages after birth. We recommend that P-SSC be implemented in the early stages after birth. Further RCTs with a longitudinal design and large samples are needed to better understand the long-Term effects of P-SSC on fathers and infants.
AB - Background: Research about skin-To-skin care (SSC) experiences in early period after birth has focused on mothers and infants. Purpose: The purpose of this study was to determine the outcomes of paternal skin-To-skin care (P-SSC) in both fathers and infants. Methods: The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, CINAHL, PsycInfo, Airiti Library, and Google Scholar were searched for randomized controlled trials (RCTs) that reported outcomes of P-SSC in both fathers and infants. We calculated pooled mean differences (MDs) and 95% confidence intervals (CIs) using RevMan 5.3 for the meta-Analysis [PROSPERO: CRD42018106790]. Results: Seven RCTs including a total of 552 participants were eligible for inclusion. Compared to the maternal skin-To-skin care (M-SSC), fathers in the P-SSC exhibited no significant differences in salivary oxytocin levels (MD:-0.35 pg/mL; 95% CI:-0.75, 0.05), salivary cortisol levels (MD: 0.25 μg/dL; 95% CI:-0.82, 1.33), or anxiety scores (MD:-0.17; 95% CI:-0.57, 0.22) during the period of SSC. Similarly, there were no significant differences in the salivary cortisol levels (MD:-0.11 μg/dL; 95% CI:-0.05, 0.28) among preterm infants between the 2 groups. However, the crying time was less among full-Term infants in the P-SSC group compared with infants in the incubator care or cot care groups. Implications for Practice and Research: P-SSC had similar effects as M-SSC on stress-related outcomes during and after SSC among fathers and infants in the early stages after birth. We recommend that P-SSC be implemented in the early stages after birth. Further RCTs with a longitudinal design and large samples are needed to better understand the long-Term effects of P-SSC on fathers and infants.
KW - anxiety
KW - behavior
KW - meta-Analysis
KW - paternal skin-To-skin care
KW - salivary cortisol
KW - salivary oxytocin
KW - stress
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=85107865806&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85107865806&partnerID=8YFLogxK
U2 - 10.1097/ANC.0000000000000890
DO - 10.1097/ANC.0000000000000890
M3 - Article
C2 - 34054012
AN - SCOPUS:85107865806
SN - 1536-0903
VL - 22
SP - E22-E32
JO - Advances in Neonatal Care
JF - Advances in Neonatal Care
IS - 1
ER -