AttachmentNCT06781307
Effects of Mother-infant Skin-to-skin Contact in Postpartum Women
A study testing skin to skin in people with Attachment, run by Jen-Ai Hospital Institutional Review Board at 1 site in Taiwan.
Trial summary
When a newborn is delivered in good physiological condition, immediate skin-to-skin contact with the mother is required. Skin-to-skin contact has a wide range of benefits for both mother and baby. The implementation time can start from the birth of the newborn and continue until thereafter. Read more about this study
- Who is it for?
- Ages 18 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Attachment
- What is being tested?
- skin to skin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 1 siteTaiwan
- Study dates
- 24 Nov 2023to 31 May 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Vaginal delivery to primiparous women
- Full-term delivery over 37 weeks
- The pregnancy and delivery process are low-risk cases
- Can listen, listen, read and write Chinese
- Agree to participate in this study
- No mental condition
Show all 9Show fewer
- The newborn's vital signs are stable after birth
- The body appearance is normal after birth and there are no other complications.
- Can be discharged from hospital together with mother
Who cannot join
- (1)Transfer of newborn to sick nursery after birth
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery
When a newborn is delivered in good physiological condition, immediate skin-to-skin contact with the mother is required. Skin-to-skin contact has a wide range of benefits for both mother and baby. The implementation time can start from the birth of the newborn and continue until thereafter. There are benefits both in the short and long term, such as physiological stability, parent-child relationship development, and stability of children's behavioral development. There were 108 cases admitted and the attrition rate was 10%. Therefore, the total number of cases admitted was 118, divided into experimental groups and control groups, and intervention measures were implemented in the experimental group. From the 1st to the 30th day after delivery, there is 1 hour of skin-to-skin contact between mother and baby every day. Fill out the Sleep Quality Visual Analog Scale, Maternal Confidence Scale, and Mother-Infant Bonding Scale on the day after delivery and at one month later.
Read the detailed description
According to the World Health Organization's clinical care guidelines for childbirth, neonatal care in the third stage of labor: When the newborn is delivered in good physiological condition, it needs to have skin-to-skin contact with the mother immediately. Skin-to-skin contact has extensive benefits for both mother and baby. The implementation time can start from the birth of the newborn and continue thereafter. It has benefits in both the short and long term, such as physiological stability, parent-child relationship development, and child behavioral development stability, etc. Therefore, this study was designed as a quasi-experimental study, using a random method to accept cases. The number of admitted cases was 128, and the attrition rate was 10%. Therefore, the total number of admitted cases was 140, divided into experimental groups and control groups, with intervention measures for the experimental group, and intervention measures. From the 1st to 30th day after delivery, there was 1 hour of skin-to-skin contact between mother and baby every day. On the postpartum day and at the full moon, the sleep quality visual analog scale, maternal confidence scale, and mother-infant bonding scale were filled in, and the statistical method was chi-square. Test, independent sample t test, sample t test, Pearson correlation test, simple regression analysis of the relationship between independent variables and dependent variables and the difference between the experimental group and the control group.
- Conditions
- Attachment
- Being tested
- skin to skin
- Keywords
- Sleep quality, maternal confidence, bonding
- Medical subject headings
- Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
skin to skinOther
Intervention measures include 1 hour of skin-to-skin contact between mother and baby every day from day 1 to day 30 postpartum.
| Study group | Role | What they receive |
|---|---|---|
| SKIN TO SKIN | Experimental | Daily skin-to skin contact within 30 days of postpartum Receives: Other: skin to skin |
| usual care | No intervention | usual care |
What is being measured
The primary outcome is the main question the study is designed to answer.
sleep quity Visual Analogue Scale
A score of 0 is the worst sleep quality A score Score 10 points for best sleep quality
Measured: postpartum 30 DAY
maternal confidence scale
A score of 0 means never A score of 1 means very little A score of 2 means sometimes A score of 3 mean often A score of 4 mean always The higher the score, the higher the confidence in parenting.
Measured: postpartum 30 DAY
bonding scale
A score of 1 represents strongly disagree, A score of 2 means disagreement, A score of 3 means somewhat disagreeing, A score of 4 means somewhat agree, A score of 5 means agreement A score of 6 means strongly agree The higher the score, the closer the emotional connection between mother and baby.
Measured: postpartum 30 DAY
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2025
- Study start24 Nov 2023
- Primary completion31 May 2025
- Study completion31 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (75)Papers the sponsor has linked to this study.
- Other trials for AttachmentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- Jen-Ai Hospital Institutional Review Board
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Principal investigator, Ming-Chih Chang, Jen-Ai Hospital Institutional Review Board
- Investigators
- TSAN-WEN HUANG, college, Study director, Jen-Ai Hospital Institutional Review Board
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06781307
- Sponsor's protocol ID
- JenAiH
- Status last verified
- Aug 2025
- First submitted
- 6 Apr 2024
- Last updated
- 14 Aug 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
World Health Organization/UNICEF.(2018). Monitoring the situation of children and Women:Breastfeeding.
WHO recommendations on maternal and newborn care for a positive postnatal experience [Internet]. Geneva: World Health Organization; 2022. Available from http://www.ncbi.nlm.nih.gov/books/NBK579657/
PubMed 35467813UNICEF(2022) /Too few children benefit from recommended breastfeeding practices
Afolabi O, Bunce L, Lusher J, Banbury S. Postnatal depression, maternal-infant bonding and social support: a cross-cultural comparison of Nigerian and British mothers. J Ment Health. 2020 Aug;29(4):424-430. doi: 10.1080/09638237.2017.1340595. Epub 2017 Jul 4.
PubMed 28675061Aghdas K, Talat K, Sepideh B. Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial. Women Birth. 2014 Mar;27(1):37-40. doi: 10.1016/j.wombi.2013.09.004. Epub 2013 Nov 9.
PubMed 24216342Altemus M, Deuster PA, Galliven E, Carter CS, Gold PW. Suppression of hypothalmic-pituitary-adrenal axis responses to stress in lactating women. J Clin Endocrinol Metab. 1995 Oct;80(10):2954-9. doi: 10.1210/jcem.80.10.7559880.
PubMed 7559880Almutairi WM. Literature Review: Physiological Management for Preventing Postpartum Hemorrhage. Healthcare (Basel). 2021 May 31;9(6):658. doi: 10.3390/healthcare9060658.
PubMed 34073073Badr LK. Further psychometric testing and use of the Maternal Confidence Questionnaire. Issues Compr Pediatr Nurs. 2005 Jul-Sep;28(3):163-74. doi: 10.1080/01460860500227572.
PubMed 16251162Balatero JS, Spilker AF, McNiesh SG. Barriers to Skin-to-Skin Contact after Cesarean Birth. MCN Am J Matern Child Nurs. 2019 May/Jun;44(3):137-143. doi: 10.1097/NMC.0000000000000521.
PubMed 31033584Beato AF, Albuquerque S, Komurcu Akik B, da Costa LP, Salvador A. Do Maternal Self-Criticism and Symptoms of Postpartum Depression and Anxiety Mediate the Effect of History of Depression and Anxiety Symptoms on Mother-Infant Bonding? Parallel-Serial Mediation Models. Front Psychol. 2022 May 26;13:858356. doi: 10.3389/fpsyg.2022.858356. eCollection 2022.
PubMed 35693484Bicking Kinsey C, Hupcey JE. State of the science of maternal-infant bonding: a principle-based concept analysis. Midwifery. 2013 Dec;29(12):1314-20. doi: 10.1016/j.midw.2012.12.019. Epub 2013 Feb 27.
PubMed 23452661Bieleninik L, Lutkiewicz K, Cieslak M, Preis-Orlikowska J, Bidzan M. Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant's Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study. Int J Environ Res Public Health. 2021 Aug 12;18(16):8517. doi: 10.3390/ijerph18168517.
PubMed 34444265Boonstra TW, Stins JF, Daffertshofer A, Beek PJ. Effects of sleep deprivation on neural functioning: an integrative review. Cell Mol Life Sci. 2007 Apr;64(7-8):934-46. doi: 10.1007/s00018-007-6457-8.
PubMed 17347797Brimdyr K, Stevens J, Svensson K, Blair A, Turner-Maffei C, Grady J, Bastarache L, Al Alfy A, Crenshaw JT, Giugliani ERJ, Ewald U, Haider R, Jonas W, Kagawa M, Lillieskold S, Maastrup R, Sinclair R, Swift E, Takahashi Y, Cadwell K. Skin-to-skin contact after birth: Developing a research and practice guideline. Acta Paediatr. 2023 Aug;112(8):1633-1643. doi: 10.1111/apa.16842. Epub 2023 May 24.
PubMed 37166443Bystrova K, Matthiesen AS, Vorontsov I, Widstrom AM, Ransjo-Arvidson AB, Uvnas-Moberg K. Maternal axillar and breast temperature after giving birth: effects of delivery ward practices and relation to infant temperature. Birth. 2007 Dec;34(4):291-300. doi: 10.1111/j.1523-536X.2007.00187.x.
PubMed 18021144
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery
- ClinicalTrials.gov ID
- NCT06781307
- Acronym / sponsor ID
- JenAiH
- Conditions
- Attachment
- Keywords
- Sleep quality, maternal confidence, bonding
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Jen-Ai Hospital Institutional Review BoardIndustry (pharma, biotech, devices)
- Study start
- 24 Nov 2023 (actual)
- Primary completion
- 31 May 2025 (actual)
- Study completion
- 31 May 2025 (actual)
- First posted
- 17 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
When a newborn is delivered in good physiological condition, immediate skin-to-skin contact with the mother is required. Skin-to-skin contact has a wide range of benefits for both mother and baby. The implementation time can start from the birth of the newborn and continue until thereafter. There are benefits both in the short and long term, such as physiological stability, parent-child relationship development, and stability of children's behavioral development. There were 108 cases admitted and the attrition rate was 10%. Therefore, the total number of cases admitted was 118, divided into experimental groups and control groups, and intervention measures were implemented in the experimental group. From the 1st to the 30th day after delivery, there is 1 hour of skin-to-skin contact between mother and baby every day. Fill out the Sleep Quality Visual Analog Scale, Maternal Confidence Scale, and Mother-Infant Bonding Scale on the day after delivery and at one month later.
Detailed description
According to the World Health Organization's clinical care guidelines for childbirth, neonatal care in the third stage of labor: When the newborn is delivered in good physiological condition, it needs to have skin-to-skin contact with the mother immediately. Skin-to-skin contact has extensive benefits for both mother and baby. The implementation time can start from the birth of the newborn and continue thereafter. It has benefits in both the short and long term, such as physiological stability, parent-child relationship development, and child behavioral development stability, etc. Therefore, this study was designed as a quasi-experimental study, using a random method to accept cases. The number of admitted cases was 128, and the attrition rate was 10%. Therefore, the total number of admitted cases was 140, divided into experimental groups and control groups, with intervention measures for the experimental group, and intervention measures. From the 1st to 30th day after delivery, there was 1 hour of skin-to-skin contact between mother and baby every day. On the postpartum day and at the full moon, the sleep quality visual analog scale, maternal confidence scale, and mother-infant bonding scale were filled in, and the statistical method was chi-square. Test, independent sample t test, sample t test, Pearson correlation test, simple regression analysis of the relationship between independent variables and dependent variables and the difference between the experimental group and the control group.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SKIN TO SKIN | Experimental | Other: skin to skinDaily skin-to skin contact within 30 days of postpartum |
| usual care | No intervention | –usual care |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Vaginal delivery to primiparous women
- Full-term delivery over 37 weeks
- The pregnancy and delivery process are low-risk cases
- Can listen, listen, read and write Chinese
- Agree to participate in this study
Key exclusion criteria (1 listed)
- (1)Transfer of newborn to sick nursery after birth
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| skin to skinIntervention measures include 1 hour of skin-to-skin contact between mother and baby every day from day 1 to day 30 postpartum. | Other | SKIN TO SKIN |
Primary outcome
sleep quity Visual Analogue Scale
Time frame: postpartum 30 DAY
A score of 0 is the worst sleep quality A score Score 10 points for best sleep quality
maternal confidence scale
Time frame: postpartum 30 DAY
A score of 0 means never A score of 1 means very little A score of 2 means sometimes A score of 3 mean often A score of 4 mean always The higher the score, the higher the confidence in parenting.
bonding scale
Time frame: postpartum 30 DAY
A score of 1 represents strongly disagree, A score of 2 means disagreement, A score of 3 means somewhat disagreeing, A score of 4 means somewhat agree, A score of 5 means agreement A score of 6 means strongly agree The higher the score, the closer the emotional connection between mother and baby.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2025.
- BackgroundWorld Health Organization/UNICEF.(2018). Monitoring the situation of children and Women:Breastfeeding.
- Background: PubMed 35467813WHO recommendations on maternal and newborn care for a positive postnatal experience [Internet]. Geneva: World Health Organization; 2022. Available from http://www.ncbi.nlm.nih.gov/books/NBK579657/
- BackgroundUNICEF(2022) /Too few children benefit from recommended breastfeeding practices
- Results publication: PubMed 28675061Afolabi O, Bunce L, Lusher J, Banbury S. Postnatal depression, maternal-infant bonding and social support: a cross-cultural comparison of Nigerian and British mothers. J Ment Health. 2020 Aug;29(4):424-430. doi: 10.1080/09638237.2017.1340595. Epub 2017 Jul 4.
- Results publication: PubMed 24216342Aghdas K, Talat K, Sepideh B. Effect of immediate and continuous mother-infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: a randomised control trial. Women Birth. 2014 Mar;27(1):37-40. doi: 10.1016/j.wombi.2013.09.004. Epub 2013 Nov 9.
- Results publication: PubMed 7559880Altemus M, Deuster PA, Galliven E, Carter CS, Gold PW. Suppression of hypothalmic-pituitary-adrenal axis responses to stress in lactating women. J Clin Endocrinol Metab. 1995 Oct;80(10):2954-9. doi: 10.1210/jcem.80.10.7559880.
- Results publication: PubMed 34073073Almutairi WM. Literature Review: Physiological Management for Preventing Postpartum Hemorrhage. Healthcare (Basel). 2021 May 31;9(6):658. doi: 10.3390/healthcare9060658.
- Results publication: PubMed 16251162Badr LK. Further psychometric testing and use of the Maternal Confidence Questionnaire. Issues Compr Pediatr Nurs. 2005 Jul-Sep;28(3):163-74. doi: 10.1080/01460860500227572.
- Results publication: PubMed 31033584Balatero JS, Spilker AF, McNiesh SG. Barriers to Skin-to-Skin Contact after Cesarean Birth. MCN Am J Matern Child Nurs. 2019 May/Jun;44(3):137-143. doi: 10.1097/NMC.0000000000000521.
- Results publication: PubMed 35693484Beato AF, Albuquerque S, Komurcu Akik B, da Costa LP, Salvador A. Do Maternal Self-Criticism and Symptoms of Postpartum Depression and Anxiety Mediate the Effect of History of Depression and Anxiety Symptoms on Mother-Infant Bonding? Parallel-Serial Mediation Models. Front Psychol. 2022 May 26;13:858356. doi: 10.3389/fpsyg.2022.858356. eCollection 2022.
- Results publication: PubMed 23452661Bicking Kinsey C, Hupcey JE. State of the science of maternal-infant bonding: a principle-based concept analysis. Midwifery. 2013 Dec;29(12):1314-20. doi: 10.1016/j.midw.2012.12.019. Epub 2013 Feb 27.
- Results publication: PubMed 34444265Bieleninik L, Lutkiewicz K, Cieslak M, Preis-Orlikowska J, Bidzan M. Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant's Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study. Int J Environ Res Public Health. 2021 Aug 12;18(16):8517. doi: 10.3390/ijerph18168517.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
TSAN-WEN HUANG, college study director
Jen-Ai Hospital Institutional Review Board
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing skin to skin in people with Attachment, run by Jen-Ai Hospital Institutional Review Board at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
sleep quity Visual Analogue Scale (time frame: postpartum 30 DAY). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06781307, which also lists 75 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2025.