Affect of Early Skin-to-Skin Mother–Infant Contact in the Maintenance of Exclusive Breastfeeding: Experience in a Health Department in Spain

Vila‐Candel, Rafael; Duke, Kiri; Soriano‐Vidal, Francisco Javier; Castro-Sánchez, Enrique

doi:10.1177/0890334416676469

Cited by 39 publications

(42 citation statements)

References 29 publications

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“…Group 2 waited to begin SSC until after surgery (about 50 minutes). In other studies of SSC and cesarean surgery, participants were not randomized 25 ; SSC did not begin until after an assessment in a radiant warmer 26–30 ; duration of uninterrupted SSC was <1 hour 1,26,28,31 ; women who did not have SSC were included 32 ; SSC was interrupted for transfers 26,27 ; and/or only women who planned to breastfeed were included. 28,31…”

Section: Discussionmentioning

confidence: 99%

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Adams

Gilder

DeButy

et al. 2019

Breastfeeding Medicine

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Introduction: Our aim was to describe feasibility and outcomes of skin-to-skin care (SSC) that began during cesarean surgery and continued, uninterrupted, for about 5 hours. We described maternal/newborn measures of physiologic stability and stress; maternal measures of comfort; maternal satisfaction with surgery and SSC; and exclusive breast milk feeding at discharge. Materials and Methods: We used a quasiexperimental, time-interrupted design and randomly assigned women to receive SSC that began during surgery (Group 1, intervention; n = 20) or after surgery, before transfer to recovery (Group 2, standard care; n = 20). We analyzed differences across time and for five observations: before transfer to the operating room (OR); in the OR, about 20 minutes after birth; in the recovery room, about 1 hour after admission; in the New Family Center (NFC), about 1 hour after admission; and in the NFC, about 2 hours after admission. Results: Group 1 began SSC an average of 0.89 minutes after birth and continued an average of 300 minutes and Group 2 began an average of 46 minutes after birth and continued an average of 126 minutes. Women who began SSC during surgery were more satisfied with the experience (p = 0.015) and had lower levels of salivary cortisol across time (p = 0.003). We found no negative effects on maternal or newborn measures of physiologic stability and no difference in exclusive breast milk feeding rates at discharge. Conclusion: Immediate and uninterrupted SSC during medically uncomplicated cesarean surgery is a feasible, low-cost intervention that can safely begin during surgery and continue, uninterrupted, for extended durations.

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Section: Discussionmentioning

confidence: 99%

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Adams

Gilder

DeButy

et al. 2019

Breastfeeding Medicine

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“…No se incluyeron los partos gemelares, múltiples y prematuros con objeto de comparar nuestros resultados con el resto de los estudios publicados debido a la mayor exigencia de dichas situaciones, no siendo una contraindicación para la LM 11 .…”

Section: Materials Y Métodosunclassified

“…Los factores que afectan las tasas de LM, y por tanto intervienen en el abandono precoz son numerosos y complejos 8 . Distintos autores han mostrado que dichos factores pueden agruparse en: 1) factores clínico-psicológicos (tratamientos de reproducción asistida 9 , tabaquismo 10 , expectativas maternas previas 11 , uso del chupete durante el primer mes de vida 12 y la sensación de hipogalactia 7 ; 2) factores ambientales7, 13, 14 (círculo familiar/amigos, laboral y sistema sanitario), y 3) factores socio-culturales y económicos 8 .…”

Section: Introductionunclassified

Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana

et al. 2019

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“…This was not the case, however, with postpartum haemorrhages, nor with early initiation of breastfeeding, for which associations were found for the sample as a whole but not for all the OUS. Logistic regression models show that for the sample as a whole, the covariables associated with postpartum haemorrhages were the OUS, the status of the perineum and the onset of labour, while the covariable associated with early initiation of breastfeeding was skin-to-skin contact between mother and infant [ 18 ]. Thus, we could conclude that these act as confounding variables for the sample as a whole.…”

Section: Discussionmentioning

confidence: 99%

Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study

Slobodianyk

Vila‐Candel

O’Connell

et al. 2020

IJERPH

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Background: In Europe, the majority of healthy women give birth at conventional obstetric units with the assistance of registered midwives. This study examines the relationships between the intrapartum transfer of care (TOC) from midwife to obstetrician-led maternity care, obstetric unit size (OUS) with different degrees of midwifery autonomy, intrapartum interventions and birth outcomes. Methods: A prospective, multicentre, cross-sectional study promoted by the COST Action IS1405 was carried out at eight public hospitals in Spain and Ireland between 2016–2019. The primary outcome was TOC. The secondary outcomes included type of onset of labour, oxytocin stimulation, epidural analgesia, type of birth, episiotomy/perineal injury, postpartum haemorrhage, early initiation of breastfeeding and early skin-to-skin contact. A logistic regression was performed to ascertain the effects of studied co-variables on the likelihood that participants had a TOC; Results: Out of a total of 2,126 low-risk women, those whose intrapartum care was initiated by a midwife (1772) were selected. There were statistically significant differences between TOC and OUS (S1 = 29.0%, S2 = 44.0%, S3 = 52.9%, S4 = 30.2%, p < 0.001). Statistically differences between OUS and onset of labour, oxytocin stimulation, type of birth and episiotomy or perineal injury were observed (p = 0.009, p < 0.001, p < 0.001, p < 0.001 respectively); Conclusions: Findings suggest that the model of care and OUS have a significant effect on the prevalence of intrapartum TOC and the birth outcomes. Future research should examine how models of care differ as a function of the OUS in a hospital, as well as the cost-effectiveness for the health care system.

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Affect of Early Skin-to-Skin Mother–Infant Contact in the Maintenance of Exclusive Breastfeeding: Experience in a Health Department in Spain

Abstract: 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.

Cited by 39 publications

References 29 publications

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana

Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study

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