Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

Abstract

Objective: to analyze skin-to-skin contact practice in full-term newborns after birth. Method: a cross-sectional study carried out in São Paulo-SP with 78 mother-child binomials. Data were obtained from medical records and by non-participant observation. Maternal, neonatal and care conditions, length of skin-to-skin contact and breastfeeding attachment were analyzed. Results: skin-to-skin contact was performed in 94.9% of births, with a mean length of 29 minutes. Births with intact perineum took longer, neonates with Apgar 10, without upper airway aspiration, assisted by a nurse-midwife and with neonatal assistance by a resident in pediatrics. The variables that favor breastfeeding attachment were perineal integrity, newborn with good vitality, without upper airway aspiration and who received professional assistance for breastfeeding attachment. Conclusion: skin-to-skin contact was performed in almost all births, but with less time than recommended as best practice.

Elements that influenced immediate mother-neonate contact during the golden hour

“…Although most women experienced SSC immediately after birth, it is worth highlighting the early interruption and late return, with no record of maternal complications and few neonatal complications that would contraindicate this practice. This reduced duration was evidenced in another investigation, in which 73% of dyads were separated before 60 minutes (13) .…”

“…The practice is widely recommended, especially when one has a normal birth without complications and the neonate has good fetal vitality ( 13 ) . The research data show that the dyads were considered to be at usual risk, without complications in labor/birth that were responsible for the separation during the golden hour, thus favorable to the execution of SSC.…”

Home visit to premature and low birth weight newborns: nurse′s experience report

“…Within the elements of care and as an early stimulus is the kangaroo position, with positive scientific evidence for the mother and the newborn (23) such as better thermal regulation and physiological stability of the child, promotion of breastfeeding (BF), with expansion of milk production and its duration, positive stimulus to neurobehavioral development and effects on pain conditions (23)(24)(25)(26) .…”

Elementos Que Influenciaram No Contato Imediato Entre Mãe E Bebê Na hora dourada

“…A prática é amplamente recomendada, principalmente quando se tem um parto normal sem complicações e o bebê tem boa vitalidade fetal (13) . Os dados da pesquisa evidenciam que os binômios foram considerados como de risco habitual, sem complicações no parto/nascimento que fossem responsáveis pela separação na hora dourada, favorável, assim, à execução do CPP.…”

“…Apesar de as mulheres, em sua maioria, terem vivenciado o CPP imediatamente após o parto, é válido destacar a interrupção precoce e o retorno tardio, sem registro de intercorrências maternas e com poucas intercorrências neonatais que contraindicassem essa prática. Essa duração reduzida foi evidenciada em outra investigação, em que 73% dos binômios foram separados antes dos 60 minutos (13) .…”