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Asian Journal of Nursing Education and Research
Year : 2018, Volume : 8, Issue : 4
First page : ( 484) Last page : ( 488)
Print ISSN : 2231-1149. Online ISSN : 2349-2996.
Article DOI : 10.5958/2349-2996.2018.00099.X

Effectiveness of Early Initiation of Skin to Skin Contact on Maternal Neonatal Bonding and Breast Feeding Status among Primiparous Women

Mrs. Varghese Nancy1,*, Mrs. D'Souza Sonia R B2

1Assistant Professor, Ananthapuri College of Nursing, Ananthapuri Hospitals and Research Institute, Trivandrum, Kerala

2Professor, Department of Obstetrics and Gynecology Nursing, Manipal College of Nursing, Manipal, Karnataka

*Corresponding Author Email: nancyvarghese02@gmail.com

Online published on 25 December, 2018.



Maternal neonatal bonding is a strong attachment process that takes place soon after birth. It is very essential and vital for developing an intimate relationship between the mother and baby.


A quasi experimental study was conducted among a dyad of 60 primiparous women and their newborns to assess the effectiveness of early initiation of skin to skin contact on maternal neonatal bonding and breast feeding status. Thirty primiparous women experienced early skin to skin contact, initiated seven to ten minutes post-delivery, whereas routine care was provided for thirty primiparous women and their newborn in the control group. Breast feeding was initiated in both the group as per the hospital protocol within thirty minutes of delivery. A total of six observations were made for maternal neonatal bonding and single observation was done for assessing the breast feeding status.


The statistical analysis of the data revealed that maternal neonatal bonding was significantly higher in the experimental group compared to the control group (Z= 5.62, p= 0.001), but the breast feeding status showed no significant difference (Z= 0.763, p=0.446). Maternal neonatal bonding had significant association with the variables infertility treatment (p= 0.021) and type of family (p=0.038).


Thus the study concluded that early initiation of skin to skin contact is effective in improving maternal neonatal bonding in primiparous women.



Early initiation of skin to skin contact, Maternal Neonatal Bonding, Breast Feeding Status.


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