Combining oral 25% dextrose with skin-to-skin contact may provide better pain relief for term newborns

2010 ◽  
Vol 156 (5) ◽  
pp. 859
Author(s):  
Webb Long
Keyword(s):  
Pain Relief ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

scholarly journals Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sergio I Agudelo ◽  
Oscar A Gamboa ◽  
Eduardo Acuña ◽  
Lina Aguirre ◽  
Sarah Bastidas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Exclusive Breastfeeding ◽  
Negative Impact ◽  
Onset Time ◽  
Full Term ◽  
Breastfeeding Duration ◽  
Bivariate Analysis ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

Abstract Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding. Methods A randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate’s breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration. Results A total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28). Conclusions The percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators. Trial registration ClinicalTrials.gov NCT02687685.

scholarly journals Awareness and Experience of Kangaroo Mother Care for full term newborns: An interventional study at a rural maternity hospital in south Karnataka

2020 ◽  
Vol 32 (3) ◽  
pp. 518-526
Author(s):  
Avita Rose Johnson ◽  
Cicy Varghese ◽  
Andrea Daniella Johnson ◽  
Maria Vimala ◽  
Rose Mary J Vadassary ◽  
...  
Keyword(s):  
Maternity Hospital ◽  
Kangaroo Mother Care ◽  
Full Term ◽  
Bivariate Analysis ◽  
Interventional Study ◽  
Post Intervention ◽  
Skin Contact ◽  
Low Birth Weight Babies ◽  
Term Newborns ◽  
Skin To Skin

Background: Kangaroo Mother Care (KMC) is early, continuous and prolonged skin-to-skin contact between mother and baby, with exclusive breastfeeding.  Besides preterm and low birth weight babies, even full-term healthy newborns benefit from KMC. Objective: to assess awareness and experience of KMC for full-term newborns among newly delivered mothers in a rural maternity hospital. Methods: Interventional study with interview schedule to capture awareness of KMC (25 scored items). After one hour of practicing KMC, post-intervention assessment of KMC experience (23 scored items) was done. Bivariate analysis performed to associate awareness and experience of KMC with socio-demographic and obstetric variables. Results: The 100 mothers in our study had low median KMC awareness score of 4(IQR=2,8) and were unaware of benefits of KMC.  Median KMC experience score was 21(IQR=19,22), indicating highly positive experience. Mothers reported feeling happy or relaxed, found it easier to breastfeed, easy to practice KMC, and wanted to continue KMC at home. Mothers with caesarean section were more likely to experience abdominal or back pain during KMC (P=0.037) and mothers with previous abortion/stillbirth were more likely to have fear of suffocating the baby during KMC (P=0.005). Conclusion: Though awareness of KMC was found to be low, overall experience of KMC was very positive. Mothers should be educated about benefits of KMC and given an opportunity to practice KMC in hospital. Full-term healthy newborns and their mothers should not be denied the numerous advantages of KMC. There is need to create KMC-friendly hospital culture and promote KMC for all newborns.

scholarly journals Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns

2017 ◽  
Vol 07 (01) ◽  
pp. 38-47 ◽  
Author(s):  
Raouth R. Kostandy ◽  
Susan M. Ludington-Hoe
Keyword(s):  
Full Term ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

scholarly journals Skin-to-skin contact after birth and the natural course of neurosteroid levels in healthy term newborns

2017 ◽  
Vol 37 (5) ◽  
pp. 591-595 ◽  
Author(s):  
K R McCallie ◽  
N W Gaikwad ◽  
M E Castillo Cuadrado ◽  
M Aleman ◽  
J E Madigan ◽  
...  
Keyword(s):  
Natural Course ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

Mother’s Bed Incline and Desaturation Episodes in Healthy Term Newborns during Early Skin-to-Skin Contact: A Multicenter Randomized Controlled Trial

Neonatology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Jesús Rodríguez-López ◽  
Javier De la Cruz Bértolo ◽  
Nadia Raquel García-Lara ◽  
José Luis Núñez Vecino ◽  
María Soriano-Ramos ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Primary Outcome ◽  
Respiratory Mechanics ◽  
Controlled Trial ◽  
Upright Position ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Multicenter Randomized Controlled Trial ◽  
Term Newborns ◽  
Skin To Skin

<b><i>Introduction:</i></b> Early skin-to-skin contact (ESSC) is associated with rare, sudden, unexpected postnatal collapse episodes. Placing the newborn in ESSC closer to an upright position may reduce the risk of airway obstruction and improve respiratory mechanics. This study assessed whether a greater inclination of the mother’s bed during ESSC would reduce the proportion of healthy term newborns (HTNs) who experienced episodes of pulse oximeter saturation (SpO<sub>2</sub>) &#x3c;91%. <b><i>Methods:</i></b> We conducted a multicenter randomized controlled trial comparing the effect of the mother’s bed incline, 45° versus 15°, on desaturation in HTNs during ESSC. Before delivery on 1,271 dyads, randomization was conducted, and stringent criteria to select healthy mothers and term newborns were monitored until after birth. Preductal SpO<sub>2</sub> was continuously monitored between 10 min and 2 h after birth. The primary outcome was the occurrence of at least one episode of SpO<sub>2</sub> &#x3c;91%. <b><i>Results:</i></b> 254 (20%) mother-infant dyads were eligible for analysis (45°, <i>n</i> = 126; 15°, <i>n</i> = 128). Overall, 57% (95% confidence interval [CI]: 51%–63%) of newborns showed episodes of SpO<sub>2</sub> &#x3c;91%. The proportion of infants with SpO<sub>2</sub> &#x3c;91% episodes was 52% in 45° and 62% in 15° (relative risk: 0.80; 95% CI: 0.6–1.07). <b><i>Conclusions:</i></b> We did not show that a high mother bed inclination during ESSC led to significantly fewer HTNs who experienced episodes of SpO<sub>2</sub> &#x3c;91%. Desaturation episodes from 10 min to 2 h after birth occurred in more than half of HTNs.

scholarly journals Resultados obstétricos e neonatais de partos assistidos

2018 ◽  
Vol 12 (4) ◽  
pp. 832 ◽  
Author(s):  
Régia Christina Moura Barbosa Castro ◽  
Clarice Mendes De Freitas ◽  
Ana Kelve De Castro Damasceno ◽  
Cinthia Maria Gomes Da Costa Escoto Esteche ◽  
Tatiane Da Silva Coelho ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Pain Relief ◽  
Scientific Evidence ◽  
Neonatal Outcomes ◽  
Normal Birth ◽  
Skin Contact ◽  
Maternal And Neonatal Outcomes ◽  
Inferential Analysis ◽  
Quantitative Descriptive ◽  
Skin To Skin

RESUMOObjetivo: avaliar resultados obstétricos e neonatais de partos assistidos. Metodo: estudo quantitativo, descritivo, retrospectivo, com parturientes assistidas pelas enfermeiras residentes. Os dados foram coletados a partir das informações referentes aos partos, anotadas no livro de registro, analisados no SPSS, versão 20.0, agrupados em tabelas e submetidos à análise descritiva e numérica inferencial. Resultados: as enfermeiras residentes assistiram 147 partos de parturientes com faixa etária entre 20 e 24 anos e 44,9% eram nulíparas. Destas, 43 tiveram períneo íntegro após o parto; 61 apresentaram laceração de primeiro grau; 38, de segundo grau e cinco, de terceiro grau. O índice de episiotomia foi de 4,8%. Os métodos não farmacológicos de alívio da dor mais utilizados durante o trabalho de parto foram a respiração, o banho de aspersão e a massagem. Todos os recém-nascidos tiveram Apgar no quinto minuto igual ou maior que sete e 93,2% deles foram colocados em contato pele a pele com a mãe. Conclusão: os resultados maternos e neonatais foram favoráveis demonstrando que o programa de residência em Enfermagem Obstétrica se norteia nas evidências científicas e resulta em menos intervenções no processo de parturição. Descritores: Parto Normal; Enfermagem Obstétrica; Parto Humanizado; Enfermeiras; Recém-Nascido; Gestação. ABSTRACTObjective: to evaluate obstetric and neonatal outcomes of assisted births. Method: quantitative, descriptive, retrospective study with parturients assisted by resident nurses. The data were collected from the information about the births, recorded in the registry book, analyzed in SPSS, version 20.0, grouped in tables and submitted to descriptive and numerical inferential analysis. Results: resident nurses attended 147 births of parturients aged between 20 and 24 years and 44.9% were nulliparous. Of these, 43 had intact perineum after delivery; 61 presented first degree laceration; 38, of second degree and five, of third degree. The episiotomy index was 4.8%. The non-pharmacological methods of pain relief most used during labor were breathing, bathing, and massage. All newborns had Apgar in the fifth minute equal to or greater than seven and 93.2% of them were placed in skin-to-skin contact with the mother. Conclusion: maternal and neonatal outcomes were favorable, demonstrating that the Obstetric Nursing residency program is based on scientific evidence and results in fewer interventions in the parturition process. Descriptors: Normal Birth; Obstetric Nursing; Humanized Birth; Nurses; Newborn; Pregnancy.RESUMENObjetivo: evaluar resultados obstétricos y neonatales de partos asistidos. Método: estudio cuantitativo, descriptivo, retrospectivo, con parturientas asistidas por las enfermeras residentes. Los datos fueron recolectados a partir de las informaciones referentes a los partos, anotadas en el libro de registro, analizados en el SPSS, versión 20.0, agrupados en tablas y sometidos al análisis descriptivo y numérico inferencial. Resultados: las enfermeras residentes asisteron 147 partos por las enfermeras residentes, parturientas con grupo de edad entre 20 y 24 años y 44,9% eran nulíparas. De ellas, 43 tuvieron perineo íntegro después del parto; 61 presentaron laceración de primero grado; 38, de segundo grado y cinco de tercer grado. El índice de episiotomía fue del 4,8%. Los métodos no farmacológicos de alivio del dolor más utilizados durante el trabajo de parto fueron la respiración, el baño de aspersión y masaje. Todos los recién nacidos tuvieron Apgar en el quinto minuto igual o mayor que siete y el 93,2% de ellos fueron puestos en contacto piel a piel con la madre. Conclusión: los resultados maternos y neonatales fueron favorables, demostrando que el programa de residencia en Enfermería Obstétrica se basa en las evidencias científicas y resultando en menos intervenciones en el proceso de alumbramiento. Descriptores: Parto Normal; Obstétrica de Enfermería; Parto Humanizado; Enfermera; Recién Nacido; Embarazo.

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