Development and Evaluation of an Educational Resource to Promote Skin-to-Skin Contact between Mother and Neonate in Saudi Arabia

Abstract

Introduction Skin-to-skin contact is crucial for both the baby and the mother for a better health outcome but the low practice rate in Saudi Arabia is a national concern. Consequently, there was an urgent need to develop an educational intervention to improve the uptake of skin-to-skin contact. Therefore, this study aimed to develop and evaluate the effectiveness of educational resources to promote skin-to-skin contact in Saudi Arabia. Methodology and methods A multi-method design, grounded in the Knowledge to Action framework, included a scoping review, surveys, and a clinical controlled trial followed by a mixed-methods approach incorporating semi-structured interviews and surveys. The educational resources, available in both English and Arabic, consisted of a pamphlet, a PowerPoint presentation, and a short video. These resources were developed through co-creation, involving healthcare providers, mothers, and university researchers. An online consensus development conference involving 14 participants ensured the cultural and linguistic appropriateness of the resources. A total of 383 participants were recruited from two Saudi hospitals (control, n=192 and intervention, n=191) using a convenience sampling method to test the effect of the educational resource. Data analysis Data were collected using online surveys before and after the educational intervention. Semi structured interviews with eight mothers in the intervention group further explored their experiences with the intervention. The data were analysed using SPSS version 29. Descriptive and inferential statistics, including Chi-square and T-tests, were used to compare outcomes between the control and intervention groups. A p-value of <0.05 was considered statistically significant. Qualitative data from interviews were analysed using thematic analysis. Results The online consensus development conference effectively guided the development and implementation of the educational intervention. The rates of correct skin-to-skin practice and breastfeeding within an hour after birth were significantly higher in the intervention group. Mothers reported a highly positive experience with the educational intervention. Conclusion The online consensus development conference facilitated the design and implementation of an effective intervention, significantly improving adherence to optimal skin-to-skin and early breastfeeding practices, with high maternal satisfaction.