scholarly journals Umbilical cord clamping and skin‐to‐skin contact in deliveries from women positive for SARS‐CoV‐2: a prospective observational study

2020 ◽  
Author(s):  
I Mejía Jiménez ◽  
R Salvador López ◽  
E García Rosas ◽  
I Rodriguez de la Torre ◽  
J Montes García ◽  
...  
Keyword(s):  
Observational Study ◽  
Umbilical Cord ◽  
Prospective Observational Study ◽  
Skin Contact ◽  
Cord Clamping ◽  
Umbilical Cord Clamping ◽  
Skin To Skin

scholarly journals Predictors for timely initiation of breastfeeding after birth in the hospitals of Nepal- a prospective observational study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rejina Gurung ◽  
Avinash K. Sunny ◽  
Prajwal Paudel ◽  
Pratiksha Bhattarai ◽  
Omkar Basnet ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Public Hospitals ◽  
Obstetric Complication ◽  
Timely Initiation ◽  
Skin Contact ◽  
Cord Clamping ◽  
Skin To Skin ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background Timely initiation of breastfeeding can reduce neonatal morbidities and mortality. We aimed to study predictors for timely initiation of breastfeeding (within 1 h of birth) among neonates born in hospitals of Nepal. Method A prospective observational study was conducted in four public hospitals between July and October 2018. All women admitted in the hospital for childbirth and who consented were included in the study. An independent researchers observed whether the neonates were placed in skin-to-skin contact, delay cord clamping and timely initiation of breastfeeding. Sociodemographic variables, obstetric and neonate information were extracted from the maternity register. We analysed predictors for timely initiation of breastfeeding with Pearson chi-square test and multivariate logistic regression. Results Among the 6488 woman-infant pair observed, breastfeeding was timely initiated in 49.5% neonates. The timely initiation of breastfeeding was found to be higher among neonates who were placed skin-to-skin contact (34.9% vs 19.9%, p - value < 0.001). The timely initiation of breastfeeding was higher if the cord clamping was delayed than early cord clamped neonates (44.5% vs 35.3%, p - value < 0.001). In multivariate analysis, a mother with no obstetric complication during admission had 57% higher odds of timely initiation of breastfeeding (aOR 1.57; 95% CI 1.33, 1.86). Multiparity was associated with less timely initiation of breastfeeding (aOR 1.56; 95% CI 1.35, 1.82). Similarly, there was more common practice of timely initiation of breastfeeding among low birthweight neonates (aOR 1.46; 95% CI 1.21, 1.76). Neonates who were placed skin-to-skin contact with mother had more than two-fold higher odds of timely breastfeeding (aOR 2.52; 95% CI 2.19, 2.89). Likewise, neonates who had their cord intact for 3 min had 37% higher odds of timely breastfeeding (aOR 1.37; 95% CI 1.21, 1.55). Conclusions The rate of timely initiation of breastfeeding practice is low in the health facilities of Nepal. Multiparity, no obstetric complication at admission, neonates placed in skin-to-skin contact and delay cord clamping were strong predictors for timely initiation of breastfeeding. Quality improvement intervention can improve skin-to-skin contact, delayed cord clamping and timely initiation of breastfeeding.

scholarly journals Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for COVID-19

2020 ◽  
Author(s):  
Inmaculada Mej a ◽  
Rita Salvador L pez ◽  
Em rita Garc a Rosas ◽  
Iria Rodriguez de la Torre ◽  
Jos Montes Garc a ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Skin Contact ◽  
Cord Clamping ◽  
Umbilical Cord Clamping ◽  
Skin To Skin

scholarly journals The Timing of Umbilical Cord Clamping and Its Effect on Maternal and Neonatal Outcomes in a Private Hospital, Bangkok, Thailand

2020 ◽  
Vol 43 (3) ◽  
pp. 8-14
Author(s):  
Chatchada Janngiab ◽  
Somsak Suthutvoravut
Keyword(s):  
Umbilical Cord ◽  
Prospective Observational Study ◽  
Private Hospital ◽  
Negative Effects ◽  
Cord Clamping ◽  
Labor Ward ◽  
Umbilical Cord Clamping ◽  
Maternal And Neonatal Outcomes ◽  
The Mean ◽  
Mean Time

Background: The timing of umbilical cord clamping after birth is important to neonatal health, and immediate umbilical cord clamping may have negative effects on the newborn’s health. In 2017, the American College of Obstetricians and Gynecologists recommended a delay in umbilical cord clamping in vigorous term and preterm infants for at least 30 to 60 seconds after birth. Objective: To study the timing of umbilical cord clamping after birth and its effects on mothers and newborns in a private hospital. Methods: The descriptive prospective observational study was conducted in the labor ward of a private hospital in Bangkok, Thailand. A total of 159 pregnant women were purposively recruited during August 1, 2017, to September 30, 2017. The time after the birth of the umbilical cord clamping was observed and recorded without the knowledge of the obstetricians. Data were analyzed using descriptive statistics. Results: The mean time of the umbilical cord clamping was 6.20 ± 1.42 seconds (range, 2 - 10 seconds) after the birth which was shorter than the recommendation. No significant association was found between variables and the timing of the umbilical cord clamping. No significant adverse neonatal condition was found. Conclusions: This study found that time of umbilical cord clamping in a private hospital was shorter than the recommendation and no known side effect to newborns.  

scholarly journals Perinatal care in the COVID-19 pandemic: analysis of Brazilian guidelines and protocols

2021 ◽  
Vol 21 (suppl 1) ◽  
pp. 89-98
Author(s):  
Natália Sevilha Stofel ◽  
Daiany Christinelli ◽  
Rebeca Cardoso de Souza Silva ◽  
Natália Rejane Salim ◽  
Ana Carolina Sartorato Beleza ◽  
...  
Keyword(s):  
Perinatal Care ◽  
World Health ◽  
Second Phase ◽  
Skin Contact ◽  
Cord Clamping ◽  
Umbilical Cord Clamping ◽  
Health Organization ◽  
Flow Detection ◽  
Skin To Skin ◽  
New Evidence

Abstract Objectives: to analyze protocols and direct Brazilian women to prevent perinatal seizures during the CO VID-19 pandemic, based on the positive perinatal experience. Methods: exploratory analysis of document analysis. In the first phase, from April 11 to May 14, in order to search for words with keywords, 402 documents were found. The second phase consisted of reading the set of selected documents and dividing them into categories. The analysis was carried out in light of the guidelines for a positive perinatal experience of the World Health Organization. Results: as well as directing flow detection phase protocols to mice that show or do not receive COVID-19 symptoms and are being updated with new evidence of systemic evidence. It appears that there are several guidelines for prenatal, partial and puerperium, divergences in some documents for example umbilical cord clamping, skin-to-skin contact, newborn bath. Conclusions: analyze the permissible conclusions that most recommendations are in line with preconceived notions of positive perinatal experience, but is necessary to adaptation to the Brazilian context.

scholarly journals Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review

2020 ◽  
Vol 28 ◽  
Author(s):  
Victor Hugo Alves Mascarenhas ◽  
Adriana Caroci-Becker ◽  
Kelly Cristina Máxima Pereira Venâncio ◽  
Nayara Girardi Baraldi ◽  
Adelaide Caroci Durkin ◽  
...  
Keyword(s):  
Scoping Review ◽  
Current Knowledge ◽  
Care Hospital ◽  
The Novel ◽  
Skin Contact ◽  
Cord Clamping ◽  
Umbilical Cord Clamping ◽  
Water Births ◽  
Novel Coronavirus ◽  
Skin To Skin

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers’ full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories – Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories – Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

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