The Effect of Skin-to-Skin Contact on Postoperative Depression and Physical Recovery of Parturients after Cesarean Section in Obstetrics and Gynecology Department

Abstract

The effect of skin-to-skin contact (SSC) on postpartum depression and physical rehabilitation of cesarean section women was explored. 280 parturients undergoing cesarean section were selected and were rolled into two groups randomly. The parturients in the control group (Con group, 140 cases) received routine care, and those in the experimental group (Exp group, 140 cases) received SSC on the basis of routine care. The postpartum depression and physical recovery of parturients in two groups were compared. It was found that, in the Exp group, the number of pregnant women with no or with very mild depression was much more 85% vs. 55%), the number of women with adequate lactation was more (53 cases vs. 27 cases), the first lactation time (FLT) was dramatically shorter ( 41.25 ± 4.81 h vs. 58.43 ± 5.43 h ), the breastfeeding success rate (BFSR) and breastfeeding rate (BFR) were obvious higher, the days for uterine involution was much shorter ( 6.96 ± 1.13 days vs. 9.47 ± 1.75 days), the descent of uterine fundus 24 hours after delivery (24 h-DUF) was obviously larger ( 3.17 ± 0.26 mm vs. 1.56 ± 0.43 mm), the duration of lochia (DOL) was remarkably shorter ( 33.21 ± 5.32 days vs. 25.32 ± 3.54 days), and the Visual Analogue Scale (VAS) score was lower ( 4.88 ± 0.32 points vs. 3.41 ± 0.53 points), showing statistical differences for all above indicators ( P < 0.05 ). It suggested that SSC could effectively relieve the postpartum depression of uterine parturients, promote the lactation, increase the BFR, facilitate uterine involution, and alleviate chronic uterine inflammation and postpartum pain, showing high clinical application and promotion value.

Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda

“…Financial hardship faced by poor women in our study could affect post-discharge follow-up and care, and in turn could impede their ability to recover fully. Moreover, financial stress in low-income households are known to elevate the risk of postpartum depression [ 55 , 56 ], which also affects postoperative recovery [ 57 , 58 ]. Thus, interventions to mitigate financial hardships should be explored in the future.…”

Comparison of different cesarean delivery techniques: A systematic review and meta-analysis

“…With the study [4] only stating that earlier skin-to-skin contact was achieved in 72% of cases and the study [5] only stating that the median time to first skin-to-skin contact was three minutes with the family-centered method, it is our understanding that no prior studies have described the difference in time for skinto-skin contact between methods. Among a few research, it was revealed that skin-to-skin contact might significantly reduce chronic uterine inflammation and postpartum discomfort, promote lactation, enhance blood flow restriction, and decrease postpartum depression in uterine parturient [19].…”

Research on the MEG of Depression Patients Based on Multivariate Transfer Entropy

“…Depression is an a ective disorder. Its main clinical manifestations are long-term depression, loss of interest in many things, insomnia, and even self-mutilation [1][2][3][4]. According to the data released by the World Health Organization, there are about 340 million patients with depression in the world, with a prevalence rate of 35%.…”