THE INCREASE IN COLOSTRUM SECRETION ON EARLY SKIN-TO-SKIN CONTACT ON POSTPARTUM MOTHER

Introduction. Colostrum contains a large number of protective factors providing passive and active protection to a wide variety of known pathogens. Its production could be stimulated by early skin-to-skin contact between mother and baby. Hence, this study aimed to investigate the effect of early skin-to-skin contact on the onset of colostrum secretion in postpartum mother. Methods. This study was cross sectional. The data were analyzed by Mann–Whitney test. Literate postpartum mothers, underwent pervaginam delivery in >37 weeks of gestational age with clear amniotic fluid, having baby with > 2500 gr of weight, Apgar score 6 – 8, and no congenital defects were included in this study. The onset of colostrum secretion was measured through observation sheet. 26 samples were recruited in this study. Results. The onset of colostrum secretion was faster in mother underwent early skin-to-skin contact (p=0.002). Discussion. Thus, this study suggested that early skin-to-skin contact enhanced the onset of colostrum secretion. Keywords: Early skin-to-skin contact, Colostrum, Postpartum

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Mothers’ perceptions of the quality of maternity services at Finnish maternity units: A cross-sectional study

Nordic Journal of Nursing Research ◽

10.1177/2057158520937541 ◽

2020 ◽

pp. 205715852093754

Author(s):

Saija Kortet ◽

Hanna-Leena Melender ◽

Reija Klemetti ◽

Maria Kääriäinen ◽

Pirjo Kaakinen

Keyword(s):

Cross Sectional Study ◽

Hospital Environment ◽

Future Research ◽

Sectional Study ◽

Cross Sectional ◽

Maternity Services ◽

Skin Contact ◽

Study Results ◽

Skin To Skin

Knowledge about mothers’ perceptions of the quality of Finnish maternity services is limited. The aim of this cross-sectional study was to describe mothers’ perceptions of the quality of Finnish maternity services, and to identify background factors associated with them. The data were collected from 1,760 mothers in autumn 2016. Descriptive statistics were used. This study is reported in accordance with STROBE. Most mothers (84%) considered the quality of the maternity services good. The mean response values for the quality of patient education (3.9), staff knowledge and skills (4.3), and hospital environment (4.3) were good. Parity and mode of childbirth were associated with perceptions of the quality of maternity services. Based on the results, development of midwifery and nursing practices should focus on sufficient pain relief, adequate duration of skin-to-skin contact, breastfeeding counselling and opportunities for mothers to reflect on their birth experience afterwards. Moreover, the study results can be used for education. Challenges for future research are presented.

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SKIN-TO-SKIN CONTACT FOLLOWED BY BREASTFEEDING IN THE FIRST HOUR OF LIFE: ASSOCIATED FACTORS AND INFLUENCES ON EXCLUSIVE BREASTFEEDING

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0260 ◽

2019 ◽

Vol 28 ◽

Author(s):

Márcia Carneiro Saco ◽

Kelly Pereira Coca ◽

Karla Oliveira Marcacine ◽

Érika de Sá Vieira Abuchaim ◽

Ana Cristina Freitas de Vilhena Abrão

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Exclusive Breastfeeding ◽

Medical Records ◽

Maternal Age ◽

Cross Sectional Study ◽

Cross Sectional ◽

Skin Contact ◽

Final Sample ◽

Skin To Skin

ABSTRACT Objective: to verify the factors associated with the practice of skin-to-skin contact with breastfeeding in the first hour of life and its influence on exclusive breastfeeding in the first month. Method: a retrospective cross-sectional study with medical records from a breastfeeding outpatient clinic in São Paulo, Brazil. The sample included all the medical records of the mother-baby dyad who had been consulted by nurses between 2004 and 2010. Data were collected from the medical records between 2014 and 2015. Results: 1,030 medical records were identified, 71 were excluded and the final sample was 959. The prevalence of skin-to-skin contact with breastfeeding in the first hour was 37.2%. The Apgar score between 8 and 10 in the first minute of life and the higher birth weight of the newborn were protective factors of contact with early breastfeeding; lower maternal age and cesarean delivery and forceps were risk factors for this practice. Exclusive breastfeeding was statistically higher in the group of newborns who had contact with breastfeeding in the first hour; however, there was no association with duration of exclusive breastfeeding. Conclusion: good birth conditions were protective factors for breastfeeding followed by skin-to-skin contact in the first hour, while younger maternal age and surgical deliveries proved to be risk factors. Exclusive breastfeeding in the baby´s first month of life was not associated with skin-to-skin contact followed by breastfeeding in the first hour of life.

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Sonographic Assessment of Amniotic Fluid Volume using Single Deepest Pocket (SDP) among Igbo Women with Uncomplicated Singleton Pregnancies.

10.33798/ajmas2019/00265. ◽

2019 ◽

Vol 2 (1) ◽

pp. 1-18

Author(s):

Chijioke Okeudo ◽

B.U. Ezem

Keyword(s):

Amniotic Fluid ◽

Gestational Age ◽

Cross Sectional Study ◽

Fluid Volume ◽

Singleton Pregnancy ◽

Cross Sectional ◽

South Eastern ◽

Amniotic Fluid Volume ◽

The Mean ◽

Singleton Pregnancies

Background: The amniotic fluid is fundamental for proper fetal development and growth. Ultrasound visualization of the amniotic fluid permits both subjective and objective estimates of the amniotic fluid. Objective: The objective of this study was to determine the reference values of normal single deepest pocket (SDP) – upper and lower limits, mean SDP and variation of the SDP with gestational age among Igbo women of South-Eastern Nigeria extraction carrying uncomplicated singleton pregnancy. Methodology: This was a prospective cross sectional study involving 400 women carrying uncomplicated singleton pregnancies and who were sure of the date of the first day of their last menstrual period. The single deepest pocket / maximum vertical pool were determined once at presentation at the hospital.. The study was conducted from January 1st to December 31st 2015. The second author carried out all the scanning. The SDP was obtained. Results: The womens’ mean and median ages were the same at 28 years. The gestational age range of the pregnancies was 14-41 weeks. The mean SDP was 5.8cm, while the 5th and 95th percentiles were 3.3cm and 8.5cm respectively. There was no difference in the mean SDP in both term and preterm. There was irregular but continuous rise of mean SDP to a peak of 6.8cm at gestational age of 39 weeks. In conclusion, the participants had a mean SDP of 5.8cm. There was also a positive correlation between SDP and Gestational age. We therefore recommend a longitudinal study to assess perinatal outcome and abnormal amniotic fluid volume among Igbo women of South-Eastern Nigeria. Key words: Single Deepest Pocket, Uncomplicated Singleton Pregnancy, Igbo Women.

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Apego temprano en la evolución fisiológica y psicológica madre-hijo

QhaliKay Revista de Ciencias de la Salud ISSN 2588-0608 ◽

10.33936/qkrcs.v4i2.2250 ◽

2020 ◽

Vol 4 (2) ◽

pp. 16

Author(s):

Manuel Andrade Bella Méndez ◽

Pedro Mora Andrey Ortiz ◽

María Alejandra Pérez ◽

Frangher Salas Juan Zambrano

Keyword(s):

Maternal Attachment ◽

Psychomotor Development ◽

Normal Height ◽

Cross Sectional ◽

Early Attachment ◽

Skin Contact ◽

Mother And Child ◽

Cross Sectional Design ◽

Skin To Skin ◽

High Degree

Los beneficios del apego temprano, diada madre e hijo al momento del nacimiento, se basan en una estrecha interrelación con incidencia sobre aspectos fisiológicos y psicológicos de ambos. El objetivo fue analizar los efectos del apego temprano en la evolución fisiológica y psicológica madre-hijo. El estudio fue aplicado, mixto, exploratorio y descriptivo, de diseño no experimental, de campo y transversal. El área de estudio fue el Ambulatorio Urbano Palo Gordo con un número de partos mensuales promedio de cuatro. También se aplicaron dos cuestionarios: Maternal Attachment Inventory (MAI) y Escala de Apego durante Estrés (ADS). Se evaluaron dos partos eutócicos, con recién nacidos masculino y femenino, con talla, peso, temperatura y Apgar normales. El contacto piel a piel fue inadecuado en ambos, con mejores tiempos el primero, lo que se reflejó en un exitoso proceso de lactancia materna exclusiva. El desarrollo psicomotor no presentó diferencias. Una de las diadas madre-hijo presentó un alto grado de vinculación afectiva y conductas relacionadas con un apego sano, mientras que la otra no. Palabras clave: Apego temprano, evolución, madre, hijo. Abstract The benefits of early attachment, mother and child dyad at birth, are based on a close interrelation with incidence on physiological and psychological aspects of both. The objective was to analyze the effects of early attachment on the mother-child physiological and psychological evolution. The study was applied, mixed, exploratory and descriptive, with a non-experimental, field and cross-sectional design. The study area was the Palo Gordo Urban Outpatient Clinic with an average number of monthly deliveries of four. Two questionnaires were also applied: Maternal Attachment Inventory (MAI) and Attachment Scale during Stress (ADS). Two eutocic deliveries were evaluated, with male and female newborns, with normal height, weight, temperature and Apgar. Skin-to-skin contact was inadequate in both, with better times the first, which was reflected in a successful process of exclusive breastfeeding. Psychomotor development did not show differences. One of the mother-child dyads presented a high degree of bonding and behaviors related to healthy attachment, while the other did not. Keywords: Early attachment, evolution, mother, son

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Frequency of Caesarean Section in Pregnancies with Borderline Amniotic Fluid Index at Term

Annals of King Edward Medical University ◽

10.21649/akemu.v23i2.1559 ◽

2017 ◽

Vol 23 (2) ◽

Author(s):

Natasha Bushra ◽

Khaula Zeeshan ◽

Sara Ejaz ◽

Javeria Mushtaq ◽

Khadija Waheed ◽

...

Keyword(s):

Caesarean Section ◽

Amniotic Fluid ◽

Gestational Age ◽

Cross Sectional Study ◽

Induction Of Labour ◽

Amniotic Fluid Index ◽

Cross Sectional ◽

Increased Risk ◽

Failed Induction ◽

One Year

AbstractThe increased risk of caesarean section after induced labour is well documented. Rate of induction of labour has doubled in the past decade from 10 to 20%. Low Amniotic Fluid Index (AFI) as an isolated finding leads to increased obstetrical interventions but without any improvement in outcome.Objectives: To determine the frequency of caesarean section due to failed induction in pregnancies at term with borderline AFI.Patients and Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Unit-III, SIMS/Services Hospital, Lahore. The duration of study was one year from January, 2015 to December, 2015. A total of 150 patients were included in this study. AFI was measured by recent obstetric ultrasound. All patients with borderline AFI (5 – 8 cm) were included in the study. They were induced by glandin E2 gel. If induction of patients failed with two doses of glandin E2 gel, given vaginally 6 hours apart, patients were considered for cesarean section. The outcome measure was rate of caesarean section due to failed induction. All data were analyzed by SPSS version 20.Results: Mean age of the patients was 30.34 ± 6.68 years. Mean gestational age was noted 38.34 ± 1.05 weeks. Out of 150 patients, 103 (68.7%) were para 1 – 3 and 47 patients (31.3%) were para 4 – 6. Caesarean section due to failed induction with borderline AFI was performed in 27 patients (18.0%). Stratification with regard to age, gestational age and parity was carried out and was found significant only for gestational age being > 39 weeks.Conclusion: It is concluded that failed induction of labour at term in women with borderline AFI is not associated with increased risk of caesarean delivery.

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Stillbirths - Determining the associated factors and causes according to relevant condition at death: an experience from Pokhara, Nepal

Journal of Nobel Medical College ◽

10.3126/jonmc.v6i2.19572 ◽

2018 ◽

Vol 6 (2) ◽

pp. 58-65

Author(s):

Junu Shrestha ◽

Rami Shrestha ◽

Sonam Gurung

Keyword(s):

Birth Weight ◽

Antenatal Care ◽

Amniotic Fluid ◽

Gestational Age ◽

Cross Sectional Study ◽

Cross Sectional ◽

Intrauterine Growth ◽

Factors Associated ◽

Relevant Condition ◽

Cord Prolapse

Background: Stillbirth contributes significantly to perinatal mortality. This study was conducted with aim to determine various factors associated with it and to define the causes of stillbirth according to relevant condition at birth.Materials and Methods :This is prospective cross-sectional study conducted in the Department of Obstetrics and Gynaecology of Manipal Teaching Hospital from July 2015 to June 2017. All cases of stillbirth occurring during antenatal or intrapartum period after 28 weeks of gestation or fetus weighing 1000 grams or more were included. Detailed demographic parameters were noted. After delivery, fetus, placenta, umbilical cord and amniotic fluid were noted in detail. Data was entered in SPSS version 16 and analysis done.Results: The stillbirth rate was 22 per 1000 births. Low educational level of women, lack of antenatal care, multiparous status, gestational age less than 34 weeks, low birth weight and male gender of fetus were found to be significantly associated with stillbirths. The cause of fetal death could be identified according to relevant condition at death in 84% of cases. Only in 16%, the cause of stillbirth was not identified. Intrauterine growth restriction was the commonest cause of stillbirth (22%), followed by congenital anomalies (15%) and hypertensive disorders of pregnancy (14%). Other causes were abruptio (7%), intrapartum asphyxia (7%) and rupture uterus (5%). Other minor causes were anemia, diabetes, cord prolapse and amniotic fluid abnormalities.Conclusion :Low level of education, lack of quality antenatal care, multiparity, low gestational age and birth weight and male sex of fetus were factors associated with stillbirth. The cause of stillbirth was identified in most of the cases and largely was due to intrauterine growth restriction.Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11, July-December 2017, 58-65

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Immediate, uninterrupted skin-to-skin contact and breastfeeding after birth: A cross-sectional electronic survey

Midwifery ◽

10.1016/j.midw.2019.102535 ◽

2019 ◽

Vol 79 ◽

pp. 102535 ◽

Cited By ~ 1

Author(s):

Jyai Allen ◽

Jenny A. Parratt ◽

Margaret I. Rolfe ◽

Carolyn R. Hastie ◽

Anne Saxton ◽

...

Keyword(s):

Cross Sectional ◽

Electronic Survey ◽

Skin Contact ◽

Skin To Skin

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Health facility structure and maternal characteristics related to essential newborn care in Brazil: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-021431 ◽

2018 ◽

Vol 8 (12) ◽

pp. e021431 ◽

Cited By ~ 2

Author(s):

Maria Alexsandra Silva Menezes ◽

Ricardo Gurgel ◽

Sonia Duarte Azevedo Bittencourt ◽

Vanessa Eufrazino Pacheco ◽

Rosana Cipolotti ◽

...

Keyword(s):

Health Facility ◽

Breast Feeding ◽

Perinatal Care ◽

Newborn Care ◽

Health Facilities ◽

Cross Sectional ◽

Essential Newborn Care ◽

Skin Contact ◽

Postnatal Women ◽

Skin To Skin

ObjectivesTo assess the use of the WHO’s Essential Newborn Care (ENC) programme items and to investigate how the non-use of such technologies associates with the mothers' characteristics and hospital structure.DesignA cross-sectional observational health facility assessment.SettingThis is a secondary analysis of the ‘Birth in Brazil’ study, a national population-based survey on postnatal women/newborn babies and of 266 publicly and privately funded health facilities (secondary and tertiary level of care).ParticipantsData on 23 894 postnatal women and their newborn babies were analysed.Main outcome measuresThe facility structure was assessed by evaluating the availability of medicines and equipment for perinatal care, a paediatrician on call 24/7, a neonatal intensive care unit (NICU) and kangaroo mother care. The use of each ENC item was assessed according to the health facility structure and the mothers’ sociodemographic characteristics.ResultsThe utilisation of ENC items is low in Brazil. The factors associated with failure in pregnant woman reference were: pregnant adolescents (ORadj1.17; 95% CI 1.06 to 1.29), ≤7 years of schooling (ORadj1.47; 95% CI 1.22 to 1.78), inadequate antenatal care (ORadj1.67; 95% CI 1.47 to 1.89). The non-use of corticosteroids was more frequently associated with the absence of an NICU (ORadj3.93; 95% CI 2.34 to 6,66), inadequate equipment and medicines (ORadj2.16; 95% CI 1.17 to 4.01). In caesarean deliveries, there was a less frequent use of a partograph (ORadj4,93; 95% CI 3.77 to 6.46), early skin-to-skin contact (ORadj3.07; 95% CI 3.37 to 4.90) and breast feeding in the first hour after birth (ORadj2.55; 95% CI 2.21 to 2.96).ConclusionsThe coverage of ENC technologies use is low throughout Brazil and shows regional differences. We found a positive effect of adequate structure at health facilities on antenatal corticosteroids use and on partograph use during labour. We found a negative effect of caesarean section on early skin-to-skin contact and early breast feeding.

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Correlation among experience of person-centered maternity care, provision of care and women’s satisfaction: Cross sectional study in Colombo, Sri Lanka

PLoS ONE ◽

10.1371/journal.pone.0249265 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249265

Author(s):

Mohamed Rishard ◽

Fathima Fahila Fahmy ◽

Hemantha Senanayake ◽

Augustus Keshala Probhodana Ranaweera ◽

Benedetta Armocida ◽

...

Keyword(s):

Sri Lanka ◽

Supine Position ◽

Maternity Care ◽

Quality Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Skin Contact ◽

Skin To Skin ◽

Provision Of Care

Person-centered maternity care (PCMC) is defined as care which is respectful of and responsive to women’s and families’ preferences, needs, and values. In this cross-sectional study we aimed to evaluate the correlations among the degree of PCMC implementation, key indicators of provision of care, and women’s satisfaction with maternity care in Sri Lanka. Degree of PCMC implementation was assessed using a validated questionnaire. Provision of good key practices was measured with the World Health Organization (WHO) Bologna Score, whose items include: 1) companionship in childbirth; 2) use of partogram; 3) absence of labor stimulation; 4) childbirth in non-supine position; 5) skin-to-skin contact. Women’s overall satisfaction was assessed on a 1–10 Likert scale. Among 400 women giving birth vaginally, 207 (51.8%) had at least one clinical risk factor and 52 (13.0%) at least one complication. The PCMC implementation mean score was 42.3 (95%CI 41.3–43.4), out of a maximum score of 90. Overall, while 367 (91.8%) women were monitored with a partogram, and 293 (73.3%) delivered non-supine, only 19 (4.8%) did not receive labour stimulation, only 38 (9.5%) had a companion at childbirth, and 165 (41.3%) had skin-to-skin contact immediately after birth. The median total satisfaction score was 7 (IQR 5–9). PCMC implementation had a moderate correlation with women’s satisfaction (r = 0.58), while Bologna score had a very low correlation both with satisfaction (r = 0.12), and PCMC (r = 0.20). Factors significantly associated with higher PCMC score were number of pregnancies (p = 0.015), ethnicity (p<0.001), presence of a companion at childbirth (p = 0.037); absence of labor stimulation (p = 0.019); delivery in non-supine position (p = 0.016); and skin-to-skin contact (p = 0.005). Study findings indicate evidence of poor-quality care across several domains of mistreatment in childbirth in Sri Lanka. In addition, patient satisfaction as an indicator of quality care is inadequate to inform health systems reform.

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