The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section

Batool Pouraboli*, Mahdieh Estabraghi **, Younes Jahani***
* Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
** Msc in NICU, Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
*** Associate Professor, Biostatistics, Modeling in Health Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences, Kerman, Iran.
Periodicity:November - January'2019
DOI : https://doi.org/10.26634/jnur.8.4.15511

Abstract

The first hours after birth are a critical period to develop the mother-newborn attachment and to reduce the anxiety related to the baby. Cesarean section and subsequent separation of mother and baby can increase the disorders resulted from this separation. Thus, the present study aimed to investigate the effect of early skin to skin contact on maternal attachment behaviors in neonates after cesarean section in a hospital in South East of Iran. This is a randomized controlled trial study, which was done on 80 mothers and newborns after cesarean section with spinal anesthesia in a hospital in South East of Iran operating room. The research samples were assigned into two groups including; skin to skin contact group and the routine care group. In the intervention group immediately after the birth, the baby was placed in prone position on the mother's chest, and in the routine care group, the baby was placed under radiant warmer just immediately after the birth. Afterward, the data were gathered by using checklists of Avant mother attachment behaviors. Data analysis was done by SPSS version 22. The results showed that there is no difference between both groups in the demographic variables. A significant difference was found between both groups in the mean scores of emotional behaviors (p<0/0001) and caretaking behaviors (p<0/0001). However, no significant difference was found between the two groups in the close contact behaviors (p=0.22). According to the results of this study, mothers who had skin-to-skin contact with their baby showed more emotional and caring behaviors. Therefore, in cesarean sections, due to the problems with starting breastfeeding as well as long separation between mother and baby after surgery, skin-to-skin contact is recommended after birth as an inexpensive and easy method.

Keywords

skin to skin contact, attachment behavior, cesarean section.

How to Cite this Article?

Pouraboli, B., Estabraghi, M., and Jahani, Y. (2019). The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section. i-manager's Journal on Nursing, 8(4),10-18. https://doi.org/10.26634/jnur.8.4.15511

References

[1]. Arzani, A., Zahedpasha, Y., Ahmadpour, K. M., Khafri, S., Khairkhah, F., & Aziznejad, P. (2012). Kangaroo care effect on self-esteem in the mothers of low birth weight infants. Journal of Babol University of Medical Sciences (JBUMS), 14(3), 52-58.
[2]. Beiranvand, S., Valizadeh, F., & Hosseinabadi, R. (2014). The effect of skin-to-skin contact of mother and newborns on breastfeeding status in full-term newborns after cesarean delivery. Modern Care Journal, 10(4), 288-295.
[3]. Belizan, J. (2011). Editorial from Editorial-in-Chief [Kangaroo Mother Care: A paradigm of a wise and humanitarian solution to a limiting situation in developing countries (Editor-in-Chief: Jose M. Belizan)]. Current Women's Health Reviews, 7(3), 226-226.
[5]. Blumberg, M. S., & Lucas, D. E. (1996). A developmental and component analysis of active sleep. Developmental Psychobiology, 29(1), 1-22.
[6]. Borimnejad, L., Mehrnush, N., Seyed-Fatemi, N., & Haghani, H. (2012). The effect of Empowerment Program on mother-infant interaction and weight gain in preterm infants. Zahedan Journal of Researchin Medical Sciences, 14(9), 19-23.
[7]. Cassano, C. A., & Maehara, S. J. (1998). Brazilian maternal bonding behavior to word preterm infant: A comparative study. J. Neonatal Nursing, 4(1), 23-2.
[8]. Davari, M., Maracy, M., Ghorashi, Z., & Mokhtari, M. (2012). Socio-economic factors and the prevalence of self-inflicted caesarean in nulliparous women admitted to Niknafs hospital in Rafsanjan. Health Information Management, 8(7), 958-965.
[9]. de Alba-Romero, C., Camaño-Gutiérrez, I., López-Hernández, P., de Castro-Fernández, J., Barbero-Casado, P., Salcedo-Vázquez, M. L., ... & Pallás-Alonso, C. R. (2014). Postcesarean section skin-to-skin contact of mother and child. Journal of Human Lactation, 30(3), 283-286.
[10]. Feldman, R., Eidelman, A. I., Sirota, L., & Weller, A. (2002). Comparison of skin-to-skin (kangaroo) and traditional care: Parenting outcomes and preterm infant development. Pediatrics-Springfield, 110(1), 16-26.
[11]. Ferber, S. G., & Makhoul, I. R. (2004). The effect of skinto-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: A randomized, controlled trial. Pediatrics-Springfield, 113(4), 858-865.
[12]. Flacking, R., Lehtonen, L., Thomson, G., Axelin, A., Ahlqvist, S., Moran, V. H., ... & Scene group. (2012). Closeness and separation in neonatal intensive care. Acta Paediatrica, 101(10), 1032-1037.
[13]. Franck, L. S., Cox, S., Allen, A., & Winter, I. (2005). Measuring neonatal intensive care unit related parental stress. Journal of Advanced Nursing, 49(6), 608-615.
[14]. Heidarzadeh, M., Hosseini, M. B., Ershadmanesh, M., Tabari, M. G., & Khazaee, S. (2013). The effect of Kangaroo Mother Care (KMC) on breast feeding at the time of NICU discharge. Iranian Red Crescent Medical Journal, 15(4), 302-306.
[15]. Hopwood, R. (2010). The role of the neonatal nurse in promoting parental attachment in the NICU. Infant, 6(2), 54-58.
[16]. Karbandi, S., Momenizadeh, A., Hydarzadeh, M., Mazlom, S., & Hasanzadeh, M. (2015). The effect of mother empowerment program on mothers' attachment to their hospitalized premature neonates. Evidence Based Care, 5(2), 7-14.
[17]. Karimi, A., Tara, F., Khadivzadeh, T., Sharbaf, A., & Reza, H. (2013). The effect of skin-to-skin contact immediately after delivery on the maternal attachment and anxiety regarding infant. The Iranian Journal of Obstetrics, Gynecology and Infertility, 16(67), 7-15.
[18]. Keshavarz, M., Norozi, F., Sayyed, F. N., & Haghani, H. (2011). Effect of skin-to-skin contact on maternal state anxiety in a cesarean section ward. Knowledge & Health, 5(4), 1-6.
[19]. Moore, E. R., & Anderson, G. C. (2007). Randomized controlled trial of very early mother infant skin-to-skin contact and breastfeeding status. Journal of Midwifery & Women's Health, 52(2), 116-125.
[21]. Nyqvist, K. H., Anderson, G. C., Bergman, N., Cattaneo, A., Charpak, N., Davanzo, R., ... & Pallás Allonso, C. (2010). Towards universal kangaroo mother care: Recommendations and report from the first European conference and seventh international workshop on kangaroo mother care. Acta Paediatrica, 99(6), 820-826.
[22]. Phillips, R. (2013). The sacred hour: Uninterrupted skinto-skin contact immediately after birth. Newborn and Infant Nursing Reviews, 13(2), 67-72.
[23]. Toosi, M., Akbarzadeh, M., Zare, N., & Sharif, F. (2011). Effect of attachment training on anxiety and attachment behaviors of first-time mothers. Journal of Hayat, 17(3), 69-79.
[24]. Vakilian, K., & Khatami Doost, F. (2007). The effect of kangaroo mother care immediately after birth in attachment behavior of the mother before hospital discharge. Hormozgan Medical Journal, 11(1), 57-63.
[25]. Velandia, M., Matthisen, A. S., Uvnäs Moberg, K., & Nissen, E. (2010). Onset of vocal interaction between parents and newborns in skin-to-skin contact immediately after elective cesarean section. Birth, 37(3), 192-201.
[26]. Velandia, M., Uvnäs Moberg, K., & Nissen, E. (2012). Sex differences in newborn interaction with mother or father during skin-to-skin contact after Caesarean section. Acta Paediatrica, 101(4), 360-367.
[27]. Worku, B., & Kassie, A. (2005). Kangaroo mother care: A randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. Journal of Tropical Pediatrics, 51(2), 93-97.
If you have access to this article please login to view the article or kindly login to purchase the article

Purchase Instant Access

Single Article

North Americas,UK,
Middle East,Europe
India Rest of world
USD EUR INR USD-ROW
Online 15 15

Options for accessing this content:
  • If you would like institutional access to this content, please recommend the title to your librarian.
    Library Recommendation Form
  • If you already have i-manager's user account: Login above and proceed to purchase the article.
  • New Users: Please register, then proceed to purchase the article.