scholarly journals THE IMPORTANCE OF THE INITIAL POSTPARTUM/ POSTNATAL HOUR AND SKIN-TO-SKIN CONTACT – A TIME FOR CHANGE IN BULGARIA.

2020 ◽  
Vol 1 ◽  
pp. 90-96
Author(s):  
Ivanichka Serbezova ◽  
Daniela Lyutakova
Keyword(s):  
Support Groups ◽  
Postnatal Care ◽  
Skin Care ◽  
Evidence Based ◽  
Skin Contact ◽  
Mother And Child ◽  
Research Findings ◽  
Past Experiences ◽  
Media Channels ◽  
Skin To Skin

INTRODUCTION: This paper explores the practices surrounding skin-to-skin contact of mother and child immediately after birth within Bulgarian maternity wards and describes women`s experiences. It takes into consideration the research of Bulgarian experts in breastfeeding and contemporary recommendations for postnatal care worldwide. Obstetric practices in local maternity wards are reviewed and evidenced by the research findings. The results put into perspective the different experiences that Bulgarian mothers have in local wards, and the authors explore these women`s attitudes towards the routine implementation of skin-to-skin contact in postnatal care. The paper also outlines setbacks for introducing the practice in Bulgarian maternity wards due to the lack of midwife-led care and the importance of specialized care in optimizing health and a better understanding of skin-to-skin care. OBJECTIVES: Purposes of this research are: (1) to explore women’s knowledge about skin-to-skin benefits, including their past experiences with the practice, and (2) to assess their own personal motivation and willingness to engage in the practice themselves. METHODS: The methodology applied includes an online-based anonymous survey that aims to explore parents’ current levels of knowledge and gather their viewpoints regarding the practice. The research has been conducted on social media channels between the 26th of January 2020 and the 26th of February 2020 and includes women from varying local parent support groups: both respondents from a focus group, the area of Ruse, Bulgaria, and respondents from other major Bulgarian cities. The research findings are illustrated herein, and the authors discuss attitudes, as evidenced by the respondents’ opinions, expressed through the survey. RESULTS: A total of 771 cases are included, which come from both groups. The research demonstrates common practices in local hospital wards are inconsistent with WHO recommendations and evidence-based medicine. Skin-to-skin care is practically a non-existent practice within immediate postnatal care, with most mothers separated from their baby during this crucial first hour(s). Almost all the women surveyed are willing to engage in, and embrace, skin-to-skin practices to be introduced as part of the routine within local maternity wards. CONCLUSION: Midwives’ numbers in hospitals are dwindling, and women identify this is a worrying trend for the success of skin-to-skin bonding for new mothers. Evidence-based medical research and parental opinion compel us to rethink current postnatal practices, and therefore it is logical to suggest sustainable and realistic strategies for promoting and implementation of effective guidelines.

scholarly journals Apego temprano en la evolución fisiológica y psicológica madre-hijo

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

scholarly journals Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

2019 ◽  
Vol 28 (2) ◽  
pp. 108-115 ◽  
Author(s):  
Jeannette T. Crenshaw
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Feeding Preference ◽  
Skin Care ◽  
Vaginal Birth ◽  
Ethical Responsibility ◽  
Evidence Based ◽  
The Hours ◽  
The Moment ◽  
Skin To Skin

Mothers and newborns have an emotional and physiological need to be together at the moment of birth and during the hours and days that follow. Keeping mothers and newborns together is a safe and healthy birth practice. Evidence supports immediate, undisturbed skin-to-skin care after vaginal birth and during and after cesarean surgery for all medically stable mothers and newborns, regardless of feeding preference; and, no routine separation during the days after birth. Childbirth educators and other health-care professionals have an ethical responsibility to support this essential healthy birth practice through education, advocacy, and implementation of evidence-based maternity practices.

Postcesarean Section Skin-to-Skin Contact of Mother and Child

2014 ◽  
Vol 30 (3) ◽  
pp. 283-286 ◽  
Author(s):  
Concepción de Alba-Romero ◽  
Isabel Camaño-Gutiérrez ◽  
Paloma López-Hernández ◽  
Javier de Castro-Fernández ◽  
Patricia Barbero-Casado ◽  
...  
Keyword(s):  
Skin Contact ◽  
Mother And Child ◽  
Skin To Skin

Return of fertility in lactating and non-lactating women

1987 ◽  
Vol 19 (2) ◽  
pp. 163-169 ◽  
Author(s):  
Sergio Zacharias ◽  
Eneida Aguilera ◽  
J. Robert Assenzo ◽  
Juan Zanartu
Keyword(s):  
Post Partum ◽  
Bottle Feeding ◽  
Milk Secretion ◽  
Skin Contact ◽  
Group I ◽  
Breast Feed ◽  
Mother And Child ◽  
Group Ii ◽  
Skin To Skin ◽  
Breast Fed

SummaryThe return of fertility post-partum and the incidence of pregnancy were studied in 74 mothers who chose not to breast-feed and who wanted another pregnancy promptly (Group I) and 143 mothers who practised exclusive lactation and decided not to use contraceptives (Group II). Women who breast-fed had much lower pregnancy rates than those who did not. During the first 6 months of the study, there were 53 (72%) pregnancies among the Group I women and no pregnancies among Group II mothers. Only sixteen (11%) women in Group II discontinued the study because of inadequate milk secretion. The low rate of pregnancy and the low rates of inadequate milk secretion in Group II appear related to the special efforts made to promote breast-feeding and give proper instruction to the mothers in this group. The successful lactation is attributed to a high suckling frequency, night feedings, ample mother and child skin-to-skin contact, avoidance of bottle feeding for as long as possible, and the clinical staff's regular emotional support and encouragement to the nursing mother.

Parent–Infant Skin-to-Skin Contact Following Birth: History, Benefits, and Challenges

2017 ◽  
Vol 36 (2) ◽  
pp. 89-97 ◽  
Author(s):  
Jessie Marie Hubbard ◽  
Kindsey Rae Gattman
Keyword(s):  
Health Care Providers ◽  
Evidence Based ◽  
Care Providers ◽  
Mothers And Fathers ◽  
Skin Contact ◽  
High Quality Evidence ◽  
Cesarean Births ◽  
The Many ◽  
Skin To Skin ◽  
Practice Implementation

AbstractIt is a practice with strong roots in nature and has a significant influence on health outcomes, particularly for at-risk newborns in low-resource settings. In this comprehensive review, benefits of SSC for newborns, mothers, and fathers after vaginal and cesarean births are discussed as well as the benefits of SSC observed for infants in the NICU. Barriers to SSC practice implementation are discussed, and proposed solutions and recommendations are offered. By understanding the many benefits of SSC and strategies for implementation, health care providers can best support and promote this high-quality, evidence-based practice with mothers, newborns, and their families.

scholarly journals Breastfeeding during the COVID-19 pandemic – a literature review for clinical practice

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Welma Lubbe ◽  
Elina Botha ◽  
Hannakaisa Niela-Vilen ◽  
Penny Reimers
Keyword(s):  
Clinical Practice ◽  
Health Care Facilities ◽  
Control Measures ◽  
Current Evidence ◽  
Infection Control Measures ◽  
Skin Contact ◽  
Accessible Information ◽  
New Information ◽  
Mother And Child ◽  
Skin To Skin

Abstract Background The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and support breastfeeding within the current pandemic, two areas need to be understood: 1) the clinical characteristics of COVID-19 as it applies to breastfeeding and 2) the protective properties of breastfeeding, including the practice of skin-to-skin care. This review aims to summarise how to manage breastfeeding during COVID-19. The summary was used to create guidelines for healthcare professionals and mothers. Methods Current publications on breastfeeding during the COVID-19 pandemic were reviewed to inform guidelines for clinical practice. Results Current evidence states that the Coronavirus is not transmitted via breastmilk. Breastfeeding benefits outweigh possible risks during the COVID-19 pandemic and may even protect the infant and mother. General infection control measures should be in place and adhered to very strictly. Conclusions Breastfeeding should be encouraged, mothers and infant dyads should be cared for together, and skin-to-skin contact ensured throughout the COVID-19 pandemic. If mothers are too ill to breastfeed, they should still be supported to express their milk, and the infant should be fed by a healthy individual. Guidelines, based on this current evidence, were produced and can be distributed to health care facilities where accessible information is needed.

scholarly journals Innovation in Practice: Preparing Doulas to Support Cesarean Births

2021 ◽  
Vol 30 (1) ◽  
pp. 48-56
Author(s):  
Allison K. DeSarro ◽  
Rhonda K. Lanning
Keyword(s):  
Operating Room ◽  
Evidence Based ◽  
Patient Centered ◽  
Evidence Based Practices ◽  
Cesarean Birth ◽  
Skin Contact ◽  
Effective Care ◽  
Cesarean Births ◽  
Skin To Skin ◽  
Evidence Based Care

Despite growing initiatives to support patient-centered labor and birth care, implementation of this care in the operating room is still limited. Doulas can be utilized in the operating room to facilitate evidence-based practices such as skin-to-skin contact for patients and newborns during cesarean birth. This article evaluates a curriculum and training method that was developed to educate doulas to provide safe and effective care during the cesarean birth experience. This intervention was found to be effective at improving doulas' self-perceived confidence in skills essential to support cesarean births and may serve as a model for other institutions to address barriers to the implementation of patient-centered evidence-based care in the operating room.

scholarly journals Evidence on prevention of skin lesions in newborns: integrative review

2019 ◽  
Author(s):  
Simone Vidal Santos ◽  
Flávia Regina Souza Ramos ◽  
Roberta Costa ◽  
Luís Manuel da Cunha Batalha
Keyword(s):  
Skin Lesions ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Skin Contact ◽  
Relevant Topic ◽  
Neonatal Patient ◽  
Care Practices ◽  
Skin To Skin ◽  
The Universe ◽  
Robust Evidence

Objective: To identify strategies for the prevention of skin lesions in hospitalized newborns (NBs), published in scientific journals from 2013 to 2018. Method: Integrative literature review performed in two moments of database search, selecting 37 studies published between 2013 and 2018. Results: Thermoregulation, use of antiseptic, use of emollients and cleaning of the umbilical stump were the most commonly found recommendations. Among the evidence-based practices, we highlight those that prevent the risk of hypothermia, such as the use of a polyethylene bag and skin-to-skin contact, which support the assistance and ensure safety in the care of the neonatal patient. Conclusion: The prevention of skin lesions is a relevant topic. However, there is a scarcity of robust evidence to safely sustain NB care practices. It is also observed that the evidence is insufficient to encompass the universe of the theme, demonstrating that skin care is a theme that requires investment and more research.

scholarly journals Recommendations for perinatal care in the context of the COVID-19 pandemic

2021 ◽  
Vol 21 (suppl 1) ◽  
pp. 65-75
Author(s):  
Maysa Arlany de Oliveira ◽  
Natácia Élem Felix Silva ◽  
Juliana de Castro Nunes Pereira ◽  
Mayara Amanda de Oliveira ◽  
Suzana Lins da Silva ◽  
...  
Keyword(s):  
Scientific Evidence ◽  
Perinatal Care ◽  
Early Discharge ◽  
Evidence Based ◽  
Electronic Library ◽  
Technical Standards ◽  
Skin Contact ◽  
Emotional Aspects ◽  
Coronavirus Infection ◽  
Skin To Skin

Abstract Objectives: to present scientific recommendations for perinatal care in the context of the COVID-19 pandemic. Methods: a narrative review was carried out between March and September in 2020 from BIREME, the Scientific Electronic Library Online and the Virtual Health Library databases, based on the descriptors: “Perinatal Care''; “Coronavirus”; “Coronavirus Infection''; “Obstetrics”and “Newborns”. The information was grouped into four categories, namely, prenatal care; labor and birthcare; care for puerperal women and the newborn. Results: 14 publications were found, 9 scientific articles and 5 technical standards pursuant to the Ministry of Health in Brazil. In the first category, generally, it is recom-mended that prenatal consultations should be continued, if necessary, by means of telemedi-cine; hospitalization of positive pregnant women in case symptoms are severe and consid-ering pregnant women’s clinical and emotional aspects. In the second, screening and testing on suspected cases, discouraging skin-to-skin contact and breastfeeding in the first hour of life. In the third, change the arrangement of beds in shared accommodations and have early discharge. In the fourth category, it is also recommended late clamping of the umbilical cord and observe differences in laboratorial testing of asymptomatic neonates. Conclusions: scientific evidence based on studies with methodological designs and more robust analyzes are necessary to guide perinatal care in the context of the harm-free COVID-19 pandemic.

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