The Effect of Video Education on Skin-to-Skin Contact at the Time of Delivery: A Randomized Controlled Trial

Abstract

Objective The objective of this study was to measure the impact of video education at the time of admission for delivery on intent and participation in skin-to-skin contact (SSC) immediately after birth.

Methods This study was a randomized controlled trial of educational intervention in women (N = 240) of 18 years or older admitted in anticipation of normal spontaneous term delivery. Alternate patients were randomized into video (N = 120) and no video (N = 120) groups. Both groups received a survey about SSC. The video group watched an educational DVD and completed a postsurvey about SSC.

Results During the preintervention survey, 89.2% of those in the video group compared with 83.3% of those in the no video group indicated that they planned to use SSC (p = 0.396). After the video, 98.3% planned to do SSC after delivery (p < 0.001). However, only 59.8% started SSC within 5 minutes of delivery in the video group and only 49.4% started SSC within 5 minutes of delivery in the no video group (p = 0.17).

Conclusion Video education alters the intention and trends toward participation in SSC within 5 minutes of delivery. Despite the plans for SSC, however, there was no significant difference in rates between the two groups. These findings support that obstacles, other than prenatal education, may affect early SSC.

Key Points

• Significant obstacles impact skin-to-skin rate.

• Video education alters skin-to-skin intent.

• Video education can improve skin-to-skin rate.

• Education can happen at the time of delivery.

• Video education can impact mothers and infants.

Keywords

skin-to-skin contact - breastfeeding - video education - delivery - prenatal care

Oral Presentations

ACOG Districts V&VII Annual Meeting on Sunday, September 23, 2018, in Kansas City, MO; The ACOOG 86th Annual Conference on Thursday, March 28, 2019, in New Orleans, LA; and The First Annual Network Research Symposium on Friday, May 3, 2019, in Kettering, OH.

Poster Presentations

The ACOOG 86th Annual Conference on Monday, March 25, 2019, in New Orleans, LA; DAGMEC 20th Annual Virginia C. Wood Resident Research Forum on Thursday, April 25, 2019, in Dayton, OH; The First Annual Network Research Symposium on Friday, May 3, 2019, in Kettering, OH; and The 2019 ACOG Annual Clinical and Scientific Meeting on Sunday, May 5, 2019, in Nashville, TN.

Poster Publication

2019 MEFACOOG Annual Report.

Clinical Trial Registration

https://clinicaltrials.gov/ct2/show/NCT03200925

Authors' Contribution

C.M.C., is the project lead and manuscript initial write-up; D.G.Z. contributed in manuscript editing; V.H. contributed in statistics; and H.N.M. is the mentor and faculty advisor, manuscript write-up.

Publikationsverlauf

Eingereicht: 28. Juli 2020

Angenommen: 08. Oktober 2021

Artikel online veröffentlicht:
04. Februar 2022

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