執行親子同室的相關因素探討

Rooming-in care can lead to the establishment of early parent-child relationships, increased parental self-confidence and sense of accomplishment, and increased exclusive breastfeeding rates. However, the lowest measure in the 10-steps of baby-friendly hospital certification is 24 hours of rooming-in care in Taiwan. This study aimed to determine the influential factors of rooming-in care. This was a longitudinal study conducted from August 2014 to January 2015. Data were collected with structured questionnaires and a short-form breastfeeding self-efficacy scale according to periods of hospitalization, which were the first and the third months after birth. A total of 51 mothers completed the survey, which yielded a response rate of 84%. The results show that early skin-to-skin contact and the first-month feeding mode were significantly correlated with rooming-in. Compared with rooming-in without preceding early skin-to-skin contact, mothers with early skin-to- skin contact had a 39.38-fold chance of engaging in rooming-in. Those with rooming-in care had only a 0.11-ford chance of choosing formula or feeding during the first month after birth. Compared with different types of rooming-in implementations, both types of mothers were less likely to choose formula feeding; rather, they chose 24 hours of rooming-in and returning babies to babies' rooms when exhausted. Additionally, both types of breastfeeding self-efficacy scores were higher than those for the types that returned babies to babies' rooms at night. Early skin-to-skin contact and family support can increase the rooming-in implementation rate and increase mothers' breastfeeding self-efficacy scores, thereby enhancing the exclusive breastfeeding rate during the first month after birth. Prenatal preparation for strengthening family involvement with rooming-in and play for support will contribute to the implementation of rooming-in and further contribute toward improving breastfeeding rates.