Effect of Mother and Infant Skin to Skin Contact on Early Initiation Breastfeeding: A Meta Analysis


  • Mumpuni Intan Pertiwi Masters Program in Public Health, Universitas Sebelas Maret
  • Bhisma Murti Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta/ Faculty of Medicine, Universitas Sebelas Maret
  • Uki Retno Budihastuti Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta/ Faculty of Medicine, Universitas Sebelas Maret


Background: Skin to Skin Contact (SSC) of mothers and babies immediately after giving birth provides many benefits at the beginning of breastfeeding, an effective intervention can increase the competence of breastfeeding babies compared to just getting routine care (Routine Care). This study aims to analyze the primary study of the effect of mother-infant contact (skin to skin contact) on the success of the first breastfeeding with a meta-analysis.

Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: mothers and newborns. Intervention: Skin to Skin Contact. Comparison: Routine Care. Outcome: Successful first breastfeeding. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles (


Abdulghani N, Edvardsson K, Amir LH (2018). Worldwide prevalence of mother-infant skin-to-skin contact after vaginal birth. PLoS One. 13(10):1

Agudelo SI, Molina CF, Gamboa OA, Acuna E (2021). Comparison of the effects of different skin-to-skin contact onset times on breastfeeding behavior. Bre-astfeed. Med. 16(12): 971

Ali NB, Sabrina SP, Bal RB, Samantha H, Rashidul MA, Afsana K, Zubair S (2021). Prevalence and factors associated wi th skin-to-skin contact (SSC) practice: fndings from a population-based cross-sectional survey in 10 selected districts of Bangladesh. BMC Pregnancy Childbir th. 21(1):709. DOI: 10.1186/ s12 884-021-04189-3.

Almutairi WM, Ludington SM, Quinn GMT, Burant CJ, Al-Zahrani AE, Alshareef FH, Badr HA (2020). The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage. Nurs. Rep. 11(1): 1


Brimdyr K, Karin C, Jeni S,Yuki T (2018). An implementation algorithm to im-prove skin-to-skin practice in the first hour after birth. Matern. Child Nutr. 14(2): 1

Cadwell K, Kajsa B, Raylene P (2018). Mapping, measuring, and analyzing the process of skin-to-skin contact and early breastfeeding in the first hour after birth. Breastfeed. Med. 13(7): 485-492. DOI: 10.1089/bfm.2018.00-48.

Chi Luong K, Long Nguyen T, Huynh Thi DH, Carrara HP, Bergman NJ (2016). Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mot-hers: a randomised controlled trial. Acta Paediatrica. Int. J. Pediatr. 105 (4): 381

Cochrane (2014). RevMan 5.3 User Guide. Cochrane Library.

Cuijpers P, Weitz E, Cristea, IA, Twisk J (2016). Pre-post effect sizes should be avoided in meta-analyses. Epidemiol Psychiatr Sci. 26(4):364

Dayanand K, Widomska J (2018). Outcome measures in interventions that enhance breastfeeding initiation, duration, and exclusivity. Physiol. Behav. 176 (5): 139

Deys L, Wilson PV, Meedya DS (2021). What are women

Diaz D, Sergio A, Maria JM, Eduardo A. Daniel M (2020). Effect of skin-to-skin contact at birth on early neonatal hospitalization. Early Hum.144. DOI: 10.1016/j.earlhum dev.2020.105020.

Essa RM, Abdel AI (2015). Effect of early maternal/ newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. J Nurs Educ Pract.5(4). DOI: 10.5430/jn ep.v5n4p98.

Genna CW (2017). Sucking Skills in Breastfeeding Infants.eBook. Burlington, MA : Jones & Bartlett Learning. Bur-lington. Dapat diakses di: Error! Hyperlink reference not valid..

Guala A, Boscardini L, Visentin R, Angellotti P, Grugni L, Barbaglia M, Chapin E, Castelli E, Finale E (2017). Skin-to-skin contact in cesarean birth and duration of breastfeeding: a cohort study. Sci. World J. 17(7): 1-5. DOI: 0.1155/2017/1940756

Ionio C, Ciuffo G, Landoni M (2021). Parent

Li G, Zeng J, Tian J, Levine MAH, Thabane L (2020). Multiple uses of forest plots in presenting analysis results in heal-th research: A Tutorial. J. Clin. Epide-miol 117, 89

Moore ER, Bergman N, Medley N (2016). Early skin-to-skin contact formothers and their healthy newborn infants. Cochrane, (11). DOI: 1 0.1002/1465-1858.CD003519.

Mukherjee D, Subhash CS, Venkatnarayan, Puja D (2020). Skin-to-skin contact at birth for vaginally delivered neonates in a tertiary care hospital: A cross-sectional study. Med J. Armed Forces India. 76(2): 180-184. DOI: 10.1016/j.m jafi.2018.11.0 08.

Murti B (2018). Prinsip dan Metode Riset Epidemiologi (5th ed.) (Principles and Methods of Epidemiological Research (5th ed.) Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.

Nasrullah MJ (2021). Pentingnya inisiasi menyusu dini dan faktor yang mempengaruhinya (The importance of early initiation of breastfeeding and the factors that affect it). J. Medik. n.a. ilm. Kesehat. 02(02): 439

Oksuz S, Korkut, Sevil I (2021). The effect of kangaroo mother care applied to the healthy newborns in the early postpartum period on breastfeeding: A randomized controlled trial. J Pak Med Assoc. 9(13): 2124-2129. DOI: 10.47391/J PMA.376.

Parela NM, Soesetijo FA, Rokhmah D (2021). Pengaruh usia dan pendidikan terhadap implementasi inisiasi menyusui dini (IMD) pada pasien post sectio caesarea (The effect of age and education on the implementation of early breastfeeding initiation (IMD) in post sectio caesarea patients). J. Multidiscip. Res. 4(1): 7. ISSN: 2716-2419.

Pratiwi K, Wulandari REP, Andriyani M (2021). Bounding attachment pada ibu yang dilakukan inisiasi menyusu dini (Bounding attachment in mothe-rs who had early initiation of breast-feeding). J. Ners Kebidanan Indones. 17(1): 97

Prepelita T, Ricchi A, Patrizia M, Maria TM, Rosaria C, Laura F, Antonella N (2020). Self-efficacy in breastfeeding support: a research on Italian midwifery students. Acta Biomed; 91(2): 27-34. DOI: 10.23750/abmv91i1-S.9149.

Purwaningsih H, Widuri W (2019). Pengaruh skin to skin contact (pmk) terhadap penurunan suhu tubuh pada bayi demam (The effect of skin to skin contact (PMK) on decreasing body temperature in feverish infants). IJP (Indones. J. Perawat). 3(1): 79. DOI: 10.3258 4/jpi.v3i1.268.

Reshma P, Sulochana, K, Jessy PS (2020). Effectiveness of skin-to-skin contact between mother and baby at birth on maternal and neonatal outcome samong parturients. Indian J Obstet Gynecol Res;7(2):196

?im?ek S, Karahan N, Giko L (2017). Assessment of the impact of mother infant skin to skin contact at childbirth on breastfeeding. Konuralp t?p derg,17 (9). DOI: doi.org/10.18521/ktd.2 96559.

Srivastava S, Gupta A, Bhatnagar A, Dutta S (2017). Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian J. Public Health. 58(1). pp. 22

Wada FH, Prabandari YS, dan Hapsari ED (2020). Bonding and attachment experience among postnatal mothers with spontaneous childbirth. Belitung Nurs. J. 6(1): 14




How to Cite

Pertiwi, M. I., Murti, B., & Budihastuti, U. R. (2022). Effect of Mother and Infant Skin to Skin Contact on Early Initiation Breastfeeding: A Meta Analysis. Journal of Maternal and Child Health, 7(4), 368–379. Retrieved from https://thejmch.com/index.php/thejmch/article/view/798