剖腹產後父嬰肌膚接觸對新生兒生理、行為與父親心理的影響：隨機控制試驗之系統性文獻回顧

Effects of father–newborn skin-to-skin contact after cesarean delivery on neonatal physiological, neonatal behavioral, and paternal psychological outcomes: a systematic review of randomized controlled trials

剖腹產後，母親常因手術無法立即與新生兒進行肌膚接觸（skin to skin contact, SSC），錯失建立親密連結的黃金時間，而輔以父親暫代照護受到關注，系統性回顧剖腹產後父嬰SSC對新生兒生理、行為與父親心理的影響。本研究依據PRISMA指引，檢索六大資料庫PubMed、CINAHL、Scopus、Embase、Cochrane Library、華藝線上圖書資料庫，搜尋至2024年10月的文獻，於2025年5月進行補充更新。文獻品質以Modified Jadad Score（MJS）評估，證據等級以Oxford CEBM評定。採取敘述性統整新生兒的生理指標、行為反應和父親的心理狀態。最後納入六篇隨機對照試驗，324位剖腹產足月新生兒，發現父嬰SSC有助於穩定新生兒生理和行為，減輕父親焦慮與憂鬱，提升親職角色認同。文獻品質MJS得分為5-6.5分，證據等級屬Oxford CEBM為Level 2，各研究未有報告與介入相關的不良反應。父嬰SSC能促進新生兒的生理穩定與行為調節，增強父親的心理適應與親職參與。未來應擴大樣本數與多中心設計，長期追蹤與標準化介入，強化臨床實證與應用價值。

After cesarean delivery, mothers often miss early skin-to-skin contact (SSC) because of surgical recovery. This review explored the effects of father-initiated SSC on neonatal physiological stability, neonatal behavioral responses, and paternal psychological well-being. This study adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Six databases were searched for relevant articles published until October 2024; an updated literature search was performed in April 2025. Randomized controlled trials (RCTs) involving full-term cesarean-born newborns receiving paternal SSC were included in this review. Study quality was assessed using the modified Jadad scale. Evidence level was determined on the basis of the criteria outlined by the Oxford Centre for Evidence-Based Medicine. In total, six RCTs (N = 324) revealed that father–infant SSC promoted thermal stability, regulated heart rate and oxygen saturation, reduced crying, and enhanced prefeeding behaviors. Fathers reported reduced anxiety and depression and strengthened parent–child bonding after SSC. No adverse events were noted. The modified Jadad score for study quality ranged from 5 to 6.5, corresponding to Level 2 evidence. Father-initiated SSC is a safe and effective alternative when maternal SSC is delayed. It supports neonatal physiological regulation and paternal psychological adaptation. Further large, multicenter RCTs are warranted.