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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v7i1.2611</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v7i1.2611</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The Effect of Very Early Skin-to-Skin Contact on Success of Breastfeeding</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Mansoor</surname>
            <given-names>Ammara</given-names>
          </name>
          <email>ammaramansoor61@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ilyas</surname>
            <given-names>Anam</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Javed</surname>
            <given-names>Hina</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hassan</surname>
            <given-names>Saleha</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Naeem</surname>
            <given-names>Maryam</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ilyas</surname>
            <given-names>Ayesha</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Gujranwala Medical College/ Gujranwala Teaching Hospital Gujranwala</institution>
      </aff>
      <aff id="aff2">
        <institution>Khwaja Muhammad Safdar Medical College Sialkot</institution>
      </aff>
      <aff id="aff3">
        <institution>Watim General Hospital, Rawalpindi</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Ammara Mansoor (ammaramansoor61@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2026-03-10">
        <day>10</day>
        <month>03</month>
        <year>2026</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2026</year>
      </pub-date>
      <volume>7</volume>
      <issue>1</issue>
      <fpage>52</fpage>
      <lpage>57</lpage>
      <history>
        <date date-type="received" iso-8601-date="2025-05-01">
          <day>01</day>
          <month>05</month>
          <year>2025</year>
        </date>
        <date date-type="rev-recd" iso-8601-date="2026-01-14">
          <day>14</day>
          <month>01</month>
          <year>2026</year>
        </date>
        <date date-type="accepted" iso-8601-date="2026-02-19">
          <day>19</day>
          <month>02</month>
          <year>2026</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2026 The Author(s)</copyright-statement>
        <copyright-year>2026</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v7i1.2611" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v7i1.2611.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To compare the success of breastfeeding at six weeks of life in neonates with and without early skin to skin contact (SSC)</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>The comparative case control study was conducted at Department of Obstetrics &amp; Gynecology, DHQ Teaching Hospital, Gujranwala from 1st November 2024 to 31st March 2025. Non-probability consecutive sampling technique was used. After obtaining ethical committee permission 270 women were selected after fulfilling required selection criteria. Women were divided in two equal groups. In group A, the skin-to-skin contact (SSC) was applied while in group B, the routine care was provided. At the end of 6 weeks, the success of breastfeeding was assessed. Data was analyzed by SPSS 25. A p-value of ≤0.05 was considered as statistically significant.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>The mean age was 28.87±6.53 years. The mean gestational age was 39.49±1.69 weeks. Out of 270 babies born, 128(47.4%) were males. The success of breastfeeding was 85(63.0%) in group-A and 57(42.2%) in group-B (p-value 0.001).</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>The preliminary outcomes of the skin to skin contact demonstrate a notable enhancement in the incidence of successful breastfeeding relative to standard care practices. Validation of the data through studies with larger sample sizes would yield a more comprehensive understanding of the issue.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Breastfeeding</kwd>
        <kwd>Early Skin-To-Skin Contact</kwd>
        <kwd>Exclusive Breastfeeding Infant</kwd>
        <kwd>Kangaroo-Mother Care</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <!-- <body> omitted: no manuscript (.docx) on file -->
  <back>
    <notes notes-type="ethics-statement">
      <title>Ethics Statement</title>
      <p>Ethics committee: Institutional Review Board, Gujranwala Medical College, Gujranwala, Pakistan. Approval number: IRB.89.GMC, dated October 29, 2024.</p>
    </notes>
    <ref-list>
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  </back>
</article>
