scholarly journals Skin-to-Skin Contact in Cesarean Birth and Duration of Breastfeeding: A Cohort Study

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Andrea Guala ◽  
Luigina Boscardini ◽  
Raffaella Visentin ◽  
Paola Angellotti ◽  
Laura Grugni ◽  
...  

Early skin-to-skin contact (SSC) after birth is a physiological practice that is internationally recommended and has well-documented importance for the baby and for the mother. This study aims to examine SSC with a cohort of mothers or fathers in the operating room after a Cesarean section (C-section) and its relationship with duration of breastfeeding. From January 1, 2012, to December 31, 2012, at the Castelli Hospital in Verbania, Italy, a Baby Friendly designated hospital, 252 consecutive women who had a C-section were enrolled in the study and followed for 6 months. The sample was later divided into three groups depending on the real outcomes in the operating room: SSC with the mother (57.5%), SSC with the father (17.5%), and no SSC (25%). Our study showed a statistical association between skin-to-skin contact with the mother and the exclusive breastfeeding rates on discharge. This effect is maintained and statistically significant at three and six months, as compared to the groups that had paternal SSC or no SSC. After a C-section, skin-to-skin contact with the mother can be an important practice for support, promotion, and duration of breastfeeding.

2014 ◽  
Vol 18 (6) ◽  
pp. 486-499 ◽  
Author(s):  
Susan Stone ◽  
Lyn Prater ◽  
Rebecca Spencer

2021 ◽  
Vol 30 (1) ◽  
pp. 48-56
Author(s):  
Allison K. DeSarro ◽  
Rhonda K. Lanning

Despite growing initiatives to support patient-centered labor and birth care, implementation of this care in the operating room is still limited. Doulas can be utilized in the operating room to facilitate evidence-based practices such as skin-to-skin contact for patients and newborns during cesarean birth. This article evaluates a curriculum and training method that was developed to educate doulas to provide safe and effective care during the cesarean birth experience. This intervention was found to be effective at improving doulas' self-perceived confidence in skills essential to support cesarean births and may serve as a model for other institutions to address barriers to the implementation of patient-centered evidence-based care in the operating room.


Author(s):  
Pamela S. Mellin ◽  
Donna T. Poplawski ◽  
Nancy DeFreest ◽  
Kathy Massler ◽  
Amy Gole

2017 ◽  
Vol 34 (2) ◽  
pp. 304-312 ◽  
Author(s):  
Rafael Vila-Candel ◽  
Kiri Duke ◽  
F. Javier Soriano-Vidal ◽  
Enrique Castro-Sánchez

Background: Breastfeeding has been shown to result in extensive physical and psychological benefits for both the mother and the newborn. However, the rate and duration of exclusive breastfeeding (EBF) remains low worldwide. Mother–infant skin-to-skin contact (SSC) immediately after birth has demonstrated results that support the argument for breastfeeding continuation. Research aim: This study aimed to investigate the prevalence of EBF 3 months postpartum and the effect of early SSC in maintaining optimal EBF practices for mothers and their healthy newborns. Methods: We conducted an observational, retrospective study in Spain from 2013 to 2015. Pregnant women were interviewed immediately postpartum and again at 3 months postpartum regarding variables associated with breastfeeding initiation and continuation. Results: There were 1,071 women recruited. Early SSC was performed in 92% of vaginal births but only 57% of urgent cesarean births. Of women breastfeeding at discharge, 69.5% performed SSC with their newborn. We found that 68.6% of women were exclusively breastfeeding by discharge and 46.7% by 3 months postpartum. Type of feeding at discharge, country of origin, and parity were found to be associated with each other ( p = .003, p = .001, respectively). Early SSC was also significantly associated with type of feeding at discharge, 1 month, 2 months, and 3 months postpartum ( p < .001). Hypogalactia (19.8%) was the most frequently reported factor for breastfeeding discontinuation. Conclusion: Breastfeeding promotion interventions are likely to improve breastfeeding rates at 3 months postpartum. Social and economic factors should be taken into account when such programs are planned to be implemented.


Author(s):  
M. Kaushal ◽  
K. Sasidharan ◽  
A. Kaushal ◽  
P. Augustine ◽  
M. Alex

BACKGROUND: Mother’s milk is the best, and ideal method for infant feeding. We found that this practice was not being followed in our hospital. A survey was conducted in the unit with regards to breastfeeding practices which revealed that most babies who were discharged from our nursery were on formula supplements. Our goal was to improve established breastfeeding rates in the unit by increasing the number of full-term healthy babies who were discharged on exclusive Breastfeeding. METHOD: A project team was formed, and data were collected through direct observations and direct interviews with postnatal mothers. Exclusive Breastfeeding at discharge was defined as a baby being fully on breastfeed with no additional formula supplements for at least 12 hours prior to discharge. The primary outcome was to increase the percentage of babies being discharged on exclusive Breastfeeding. We used the FOCUS PDCA model to measure improvements and 8 PDCA cycles of 4 weeks duration were implemented to test the changes. RESULTS: The interventions we put in place led to a considerable nine times overall improvement in the established breastfeeding rates. Among all the interventions, the most promising results were observed during the PDCA cycles involving staff education, the introduction of antenatal classes for mothers, skin to skin contact and rooming in. CONCLUSION: Breastfeeding rates in the private sector with nursery services can be improved by reinforcing breastfeeding education for mothers in addition to training the maternal care staff, empowering them to promote and assist in breastfeeding.


2019 ◽  
Vol 2 (1) ◽  
pp. 11-17
Author(s):  
Nurhasmadiar Nandini ◽  
Novia Handayani ◽  
Djazuly Chalidyanto ◽  
Widodo Jatim Pudjirahardjo ◽  
Nuzulul Kusuma Putri

Background : Surabaya is one of the cities with low coverage of exclusive breastfeeding in East Java. The average rate of babies who got exclusive breastfeeding in Surabaya from 2012 to 2015 was 63.13% (target 80%). Decision about whether to breastfeed or not is a challenge for every mother, especially for working mothers. This research aimed to identify breastfeeding behavior among working mothers and housewives.Methods : This was descriptive observational research with prospective cohort study design.The sample size was 79 mothers in the eastern part of Surabaya chosen by purposive sampling technique.Results : Result showed that 56.6% of housewives have low knowledge on breastfeeding. Both working mothers (100%) and housewives (90.6%) already give colostrum right after baby born. However, There were 54.7% of housewives and 46.2% of working mothers already give formula milk during the first month after baby born.Conclusion : There were not much difference between working mothers and housewives in knowledge, feeding colostrum and skin to skin contact aspects. But, working mothers mostly give formula milk during the first month of baby born than housewives.


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