Mitigating Infant Medical Trauma in the NICU: Skin-to-Skin Contact as a Trauma-Informed, Age-Appropriate Best Practice

2018 ◽  
Vol 37 (6) ◽  
pp. 343-350
Author(s):  
Carly Eliades
Keyword(s):  
Best Practice ◽  
Nursing Intervention ◽  
Traumatic Experiences ◽  
Negative Consequences ◽  
Medical Trauma ◽  
Neurologic Outcomes ◽  
Skin Contact ◽  
Age Appropriate ◽  
Trauma Informed ◽  
Skin To Skin

Infant medical trauma in the NICU is associated with serious and lasting consequences. Skin-to-skin contact (SSC) of infants with their parents is a nursing intervention that provides significant benefits and can mitigate the negative consequences of the infant’s traumatic experiences in the NICU. The purpose of this article is to explain how SSC aligns with the concept of trauma-informed age-appropriate care (TIAAC) in the NICU. The evidence supporting SSC will be reviewed and discussed using TIAAC as a framework. SSC is an effective and evidence-based care strategy that reduces the infant’s traumatic NICU experiences by improving parental proximity, attachment, and lactation; decreasing stress and pain; improving physiologic stability; supporting sleep; and enhancing neurologic outcomes.

Skin-to-skin contact may reduce negative consequences of “the stress of being born”: a study on temperature in newborn infants, subjected to different ward routines in St. Petersburg

2007 ◽  
Vol 92 (3) ◽  
pp. 320-326 ◽  
Author(s):  
K Bystrova ◽  
A-M Widström ◽  
A-S Matthiesen ◽  
A-B Ransjö-Arvidson ◽  
B Welles-Nyström ◽  
...  
Keyword(s):  
Newborn Infants ◽  
Negative Consequences ◽  
Skin Contact ◽  
Skin To Skin

Skin-to-skin contact may reduce negative consequences of "the stress of being born": a study on temperature in newborn infants, subjected to different ward routines in St. Petersburg

2003 ◽  
Vol 92 (3) ◽  
pp. 320-326 ◽  
Author(s):  
Bystrova K ◽  
Widström A-M ◽  
Matthiesen A-S ◽  
Ransjö-Arvidson A-B ◽  
Welles-Nyström B ◽  
...  
Keyword(s):  
Newborn Infants ◽  
Negative Consequences ◽  
Skin Contact ◽  
Skin To Skin

The Impact of Increased Skin-to-Skin Contact With the Mother in Breastfeeding Neonates on Exclusive Breastfeeding at 4 and 8 Weeks Postpartum

2015 ◽  
Vol 6 (2) ◽  
pp. 75-80
Author(s):  
Deborah J. Ruxer ◽  
Tracy Brewer ◽  
Karen Mateer ◽  
Melissa Burkhardt ◽  
Mary Shay
Keyword(s):  
Exclusive Breastfeeding ◽  
Nursing Intervention ◽  
Birth Mothers ◽  
Lactation Consultant ◽  
Skin Contact ◽  
Phone Calls ◽  
Level Ii ◽  
Skin To Skin ◽  
The Impact

Objective: To evaluate dose of skin-to-skin (STS) contact as a nursing intervention to increase the rate of exclusive breastfeeding after dischargeDesign: A descriptive correlational studySetting: A Level II maternity unit in OhioParticipants: Women who had a vaginal delivery of a term, well newborn, with intent to exclusively breastfeedMethods: Newborns were placed STS with their mothers at birth. Mothers were encouraged to maintain frequent STS with their newborns while in the hospital, and kept a log of STS time. A lactation consultant made follow-up phone calls at 4 weeks and 8 weeks postpartum to assess breastfeeding exclusivity. Spearman rho was used to analyze the data.Results: Duration of STS was not correlated with exclusive breastfeeding at either 4 weeks or 8 weeks postpartum. However, early STS was correlated with exclusive breastfeeding at 4 weeks postpartum.

scholarly journals An Overview of Guidelines for Supplemental Feeding of Infants in Swedish Maternity Clinics

2021 ◽  
Vol 11 (1) ◽  
pp. 95-104
Author(s):  
Birgitta Kerstis ◽  
Anna Richardsson ◽  
Alexandra Stenström ◽  
Margareta Widarsson
Keyword(s):  
Best Practice ◽  
Supplemental Feeding ◽  
National Guidelines ◽  
Skin Contact ◽  
Purposeful Sampling ◽  
Breastfeeding Rate ◽  
Cup Feeding ◽  
Feeding Methods ◽  
Skin To Skin ◽  
Maternity Clinics

This study aims to describe the local guidelines for the supplemental feeding of infants of Swedish women’s clinics with maternity wards. Purposeful sampling was used during a four-week data collection time in 2019. Guidelines from 41 of the 43 Swedish women’s clinics with maternity wards were analysed using qualitative and quantitative content analysis. The information provided, and length of the guidelines varied widely in 38 guidelines. Feeding methods were included in 28 guidelines, but 10 provided no information about feeding methods. The most common feeding methods were cup feeding and feeding probes. Suggestions for supplemental feeding included infant formula (32), breast milk (27) and no suggestions (6). The methods to support breastfeeding were skin-to-skin contact (25), breastfeeding freely (22), a caring plan (18), extra supervision (3), optimising the caring environment (2), supplying a breast pump (1) and breastfeeding observation (1). Twenty-two guidelines included information about how long formula should be given and that the feeding should be phased out gradually. We conclude that a national guideline for the supplemental feeding of infants is needed to ensure equal best practice care for infant safety and the support of parents to increase the breastfeeding rate. More national guidelines are needed in general because it is easier to update only one set of guidelines.

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

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Rosely Sayuri Kuamoto ◽  
Mariana Bueno ◽  
Maria Luiza Gonzalez Riesco
Keyword(s):  
Best Practice ◽  
Participant Observation ◽  
Upper Airway ◽  
Cross Sectional Study ◽  
Full Term ◽  
Sectional Study ◽  
Cross Sectional ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

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.

THE EFFECT OF EARLY SKIN TO SKIN CONTACT IN TERM NEONATES AFTER C-SECTION ON BREASTFEEDING CHOICE AT THE TIME OF DISCHARGE

2019 ◽  
Vol 9 (2) ◽  
pp. 1
Author(s):  
POURABOLI BATOOL ◽  
ESTABRAGHI MAHDIEH ◽  
JAHANI YOUNES ◽  
◽  
◽  
...  
Keyword(s):  
Term Neonates ◽  
Skin Contact ◽  
Skin To Skin

The Impact of Military Service Exposures and Psychological Resilience on the Mental Health Trajectories of Older Male Veterans

2020 ◽  
pp. 089826432097523
Author(s):  
Stephanie Ureña ◽  
Miles G. Taylor ◽  
Dawn C. Carr
Keyword(s):  
Mental Health ◽  
Depressive Symptom ◽  
Military Service ◽  
Later Life ◽  
Traumatic Experiences ◽  
Psychological Resilience ◽  
Previous Exposure ◽  
Negative Consequences ◽  
Symptom Trajectories ◽  
The Impact

Objectives: We examine the impact of exposure to the dead, dying, and wounded (DDW) during military service on the later-life depressive symptom trajectories of male United States veterans, using psychological resilience as an internal resource that potentially moderates negative consequences. Methods: The Health and Retirement Study (2006–2014) and linked Veteran Mail Survey were used to estimate latent growth curve models of depressive symptom trajectories, beginning at respondents’ first report of resilience. Results: Veterans with higher levels of resilience do not have increased depressive symptoms in later life, despite previous exposure to DDW. Those with lower levels of resilience and previous exposure to DDW experience poorer mental health in later life. Discussion: Psychological resilience is important for later-life mental health, particularly for veterans who endured potentially traumatic experiences. We discuss the importance acknowledging the role individual resources play in shaping adaptation to adverse life events and implications for mental health service needs.

scholarly journals The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage

2020 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Wedad M. Almutairi ◽  
Susan M. Ludington ◽  
Mary T. Quinn Griffin ◽  
Christopher J. Burant ◽  
Ahlam E. Al-Zahrani ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Retrospective Chart Review ◽  
Skin Contact ◽  
Labor Duration ◽  
Third Stage Of Labor ◽  
Estimated Blood Loss ◽  
Third Stage ◽  
Skin To Skin ◽  
Increasing Trends

Objectives: were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. Design: A retrospective chart review conducted using codes for atonic PPH. Setting: Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. Results: PPH rate increased by 47.50% from 2009–2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Conclusions: Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.

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