Effect of infant stimulation on the adaptation to birth: a randomized trial.
Lucy Marcela Vesga Gualdrón, María Mercedes Durán de Villalobos
PMID 31596411WHAT IT FOUND
Night sleep did not differ early, but compared with standard care, standard care plus home ATVV was linked to more later sleep, greater newborn weight gain and lower maternal role stress scores.
Key findings
01Night sleep was not significantly different at the first assessment (p=0.268), but was higher in the experimental group than the control group at the later assessment (control mean 7.82 hours, experimental mean 8.33 hours; p=0.034).
02Weight gain was higher in the experimental group than the control group at the first assessment (control mean 4.34 grams, experimental mean 12.69 grams; p=0.009) and at the later assessment (control mean 29.10 grams, experimental mean 33.29 grams; p=0.000).
03Experimental group mothers had lower postpartum depression scores (control mean 6.91, experimental mean 4.31; p=0.000) and lower maternal-role stress scores (control mean 9.6, experimental mean 6.19; p=0.001).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Many participants were lost during follow-up, so the analysed sample was smaller than planned. Home therapy doses were not monitored, so actual exposure to the routine is uncertain. The paper describes blinding of evaluators, not mothers. The study included first-time mothers with healthy term newborns in a Colombian hospital, so results may not apply to higher-risk dyads. Data on instrumentation used during vaginal deliveries were not obtained, which may affect postpartum health outcomes. Follow-up was difficult in a setting with displacement and insecurity, limiting generalisability.
The easy way to misread this
Do not conclude that home stimulation alone caused the outcomes, because both groups received standard care and home therapy doses were not monitored.