Discussion
We did not find any significant difference in the BAT scores at 36–48 h of age between the infants who received early SSC and those who did not. This is in accord with the results of the study by Carfoot et al. [8], which also suggested that the BF success before discharge was similar in the two groups. However, the studies that have evaluated the effect of SSC on first breast feed report higher scores [6, 8] and a better mean sucking competency in the early-SSC group [9]. Notwithstanding the slightly different nature of the outcomes, we assume the following factors to have contributed to the absence of a significant difference in BAT scores in the two groups: (a) improvement in the feeding behavior of the control infants over 48 h following routine BF counseling of mothers; (b) the possibility of missing a true difference in the scores by one-time assessment of a feeding session, and (c) the limited power of the study because of the unexpectedly large variation in the results – while the sample size was calculated based on the assumed SD of 2.2, the SD of the two study groups turned out to be 3.4.
DiscussionWe did not find any significant difference in the BAT scores at 36–48 h of age between the infants who received early SSC and those who did not. This is in accord with the results of the study by Carfoot et al. [8], which also suggested that the BF success before discharge was similar in the two groups. However, the studies that have evaluated the effect of SSC on first breast feed report higher scores [6, 8] and a better mean sucking competency in the early-SSC group [9]. Notwithstanding the slightly different nature of the outcomes, we assume the following factors to have contributed to the absence of a significant difference in BAT scores in the two groups: (a) improvement in the feeding behavior of the control infants over 48 h following routine BF counseling of mothers; (b) the possibility of missing a true difference in the scores by one-time assessment of a feeding session, and (c) the limited power of the study because of the unexpectedly large variation in the results – while the sample size was calculated based on the assumed SD of 2.2, the SD of the two study groups turned out to be 3.4.
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