THE EFFECT OF EARLY SKIN TO SKIN CONTACT ON MATERNAL
      ATTACHMENT BEHAVIORS IN NEONATES AFTER
      CESAREAN SECTION

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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The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2019.207 ◽

2019 ◽

Vol 41 (1) ◽

Author(s):

Mauro Cinquetti ◽

Anna Maria Colombari ◽

Emanuela Battisti ◽

Pierpaolo Marchetti ◽

Giorgio Piacentini

Keyword(s):

Cesarean Section ◽

Hospital Discharge ◽

Vaginal Delivery ◽

Large Population ◽

Positive Association ◽

Skin Contact ◽

Breastfeeding Practices ◽

Foreign Nationality ◽

Skin To Skin ◽

Type Of Delivery

The aim of this epidemiological study is to evaluate how type of delivery, skin-to-skin contact and maternal nationality influence breastfeeding practices of newborns at discharge in a large population of babies born in the Baby-Friendly Hospital of San Bonifacio, Verona, Italy. Data were collected for all healthy newborns consecutively born over a period of three years, regarding type of delivery, feeding at hospital discharge, skin-to-skin procedure, and for a smaller group maternal nationality was recorded as well. The rate of exclusive breastfeeding in a group of 6017 newborns was 82.1%, higher among babies born by vaginal delivery than in those born by cesarean section (84.9% vs 65%; P<0.001). It was higher in those who had skin-to-skin contact than in those who did not, in both vaginal delivery (85.3% vs 69.2%; P<0.001) and cesarean section (67.7% vs 55.1%; P=0.009). Also, it was found to be higher in babies born to immigrant mothers than in those born to Italian mothers (89.9% vs 79.5%). Vaginal delivery, skin-to-skin contact and maternal foreign nationality have a positive association with breastfeeding at hospital discharge.

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Initiation of Term Newborn Skin‐to‐Skin Contact in the Operating Room Following Scheduled Cesarean Section: A DNP Capstone Project

Worldviews on Evidence-Based Nursing ◽

10.1111/wvn.12281 ◽

2018 ◽

Vol 15 (3) ◽

pp. 241-243

Author(s):

Ruth M. Labardee

Keyword(s):

Cesarean Section ◽

Operating Room ◽

Term Newborn ◽

Skin Contact ◽

Capstone Project ◽

Skin To Skin

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Immediate breastfeeding and skin-to-skin contact during cesarean section decreases maternal oxidative stress, a prospective randomized case-controlled study

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767058.2015.1101447 ◽

2015 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Beril Yuksel ◽

Ilker Ital ◽

Onur Balaban ◽

Emel Kocak ◽

Ali Seven ◽

...

Keyword(s):

Oxidative Stress ◽

Cesarean Section ◽

Controlled Study ◽

Skin Contact ◽

Skin To Skin

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

The Scientific World JOURNAL ◽

10.1155/2017/1940756 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 8

Author(s):

Andrea Guala ◽

Luigina Boscardini ◽

Raffaella Visentin ◽

Paola Angellotti ◽

Laura Grugni ◽

...

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Operating Room ◽

Exclusive Breastfeeding ◽

Statistical Association ◽

Cesarean Birth ◽

Skin Contact ◽

Breastfeeding Rates ◽

Duration Of Breastfeeding ◽

Skin To Skin

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.

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