{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:43:06Z","timestamp":1787071386942,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"127","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n Objective:<\/jats:bold>\n To evaluate the effects of skin-to-skin contact (SSC) and noise control on noise-induced stress, breastfeeding self-efficacy, and neonatal cortisol regulation.\n Methods:<\/jats:bold>\n A retrospective study of 182 mother\u2013infant pairs admitted between January 2023 and January 2025 divided into three groups based on perinatal care protocols: Standard group (\n n<\/jats:italic>\n \u2009=\u200962) receiving routine care with no noise control, Noise Control group (\n n<\/jats:italic>\n \u2009=\u200955) with noise control, and Noise Control\u2009+\u2009SSC group (\n n<\/jats:italic>\n \u2009=\u200965) with both noise control and SSC protocol. Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Infant Breastfeeding Assessment Tool (IBFAT), neonatal cortisol levels, heart rate (HR), oxygen saturation (SpO\u2082), and breastfeeding initiation time were compared.\n Results:<\/jats:bold>\n Cortisol levels in both neonates and mothers were higher in the Standard group compared to the Noise Control and Noise Control\u2009+\u2009SSC groups at 24 and 72\u2009h (\n P<\/jats:italic>\n < 0.05). The Noise Control\u2009+\u2009SSC group exhibited lower cortisol levels than the Noise Control group at both timepoints (\n P<\/jats:italic>\n < 0.05). Neonatal HR was higher, and SpO\u2082 was lower in the Standard group compared to the other two groups (\n P<\/jats:italic>\n < 0.05). BSES-SF and IBFAT scores were significantly lower in the Standard group (\n P<\/jats:italic>\n < 0.05), with longer breastfeeding initiation time and lower exclusive breastfeeding rates at 72h (\n P<\/jats:italic>\n < 0.05).\n Conclusion:<\/jats:bold>\n Noise control and SSC remarkedly reduced noise-induced stress biomarkers, improved short-term breastfeeding self-efficacy, and accelerated lactation initiation. These findings support SSC as a low-cost intervention to buffer perinatal environmental stressors in clinical settings.\n <\/jats:p>","DOI":"10.4103\/nah.nah_54_25","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T12:01:42Z","timestamp":1757592102000},"page":"367-374","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Skin-to-Skin Contact and Noise Management in Noise-Induced Stress on Breastfeeding Self-Efficacy and Neonatal Cortisol Levels"],"prefix":"10.4103","volume":"27","author":[{"given":"Jingbo","family":"Li","sequence":"first","affiliation":[{"name":"School of Nursing, Nanjing University of Chinese Medicine, Nanjing 21003, Jiangsu, China"},{"name":"Nanjing Maternal and Child Health Hospital, Nanjing 21003, Jiangsu, 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