The Effect of Early Skin to Skin Contact in Term Neonates After C-Section on Breastfeeding Choice at the Time of Discharge

Batool Pouraboli*, Mahdieh Estabraghi **, Younes Jahani ***
* Department of Pediatric and neonatal nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
** NICU Nursing, Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Kerman, Iran.
*** Research Center for Social Determinant of Health, Institute of Futures Studies in Health University of Medical Sciences, Kerman, Iran.
Periodicity:May - July'2019
DOI : https://doi.org/10.26634/jnur.9.2.15981

Abstract

The events happening in the early hours of life are very effective on the survival and development of the child, and the separation of the newborn from the mother after birth, even for a short term, can disrupt successful breastfeeding at this important time. The current study aimed to determine the effect of skin-to-skin contact of mother and newborn immediately after the cesarean section on breastfeeding choice at the time of discharge. This randomized controlled interventional study was performed on 80 mothers and newborns after the cesarean section with spinal anesthesia in two groups of skin-to-skin contact and routine care. The type of feeding selected by the mother was asked at the time of admission and discharge, and it was compared between the two groups. Data were analyzed using SPSS 22 for, logistic regression, Chi-square and Fisher tests. The results showed that the selection of breastfeeding at the time of discharge in the skin-to-skin contact group was slightly higher than that of the routine care group, but there was no statistically significant difference between the two groups regarding the significance level of the study (p-value >0.05),. 96.3% of the mothers of the skin contact group reported that the skin-to-skin contact was effective in choosing exclusive breastfeeding for their newborns. The results of this study show that although a high percentage of mothers tends to breastfeed their newborns, in practice almost half of them do not succeed in breastfeeding their newborns exclusively. According to the results of the study, and since the selection of breastfeeding in the skin contact group was at a higher level, skin-to-skin contact did not have a significant effect on the selection of breastfeeding. It seems that a study with a larger sample size will produce more positive results.

Keywords

Skin-to-skin contact, Breastfeeding, Newborn, Cesarean section.

How to Cite this Article?

Pouraboli, B., Estabraghi, M., and Jahani, Y. (2019). The Effect of Early Skin to Skin Contact in Term Neonates After C-Section on Breastfeeding Choice at the Time of Discharge. i-manager's Journal on Nursing, 9(2), 1-8. https://doi.org/10.26634/jnur.9.2.15981

References

[1]. Afrakhteh, M., & Afsharyany, R., (2014). Initiating breastfeeding within one hour of birth, training manual for the health care staff. IR Iran, Shahid Beheshti University of Medical Sciences.
[2]. Beiranvand, S., Valizadeh, F., Hosseinabadi, R., & Pournia, Y. (2014). The effects of skin-to-skin contact on temperature and breastfeeding successfulness in full-term newborns after cesarean delivery. International Journal of Pediatrics, 2014. https://doi.org/10.1155/2014/846486
[3]. Belizan, J. M. (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. https://doi.org/ 10.2174/157340411796355234
[4]. Bijari, B. B., Iranmanesh, S., Eshghi, F., & Baneshi, M. R. (2012). Gentle human touch and yakson: The effect on preterm's behavioral reactions. ISRN Nursing, 2012. https://doi.org/10.5402/2012/750363
[5]. Cunningham, F. G., Leveno, K. J., Bloom, S. L., Hauth, J. C., Rouse, D. J., & Spong, C. Y. (2010). Overview of obstetrics. Williams Obstetrics (23rd Ed.) New York: McGraw- Hill. Retrieved from https://www.academia.edu/ 23963010/._ Williams_Obstetric_23rd_Edition_WHO.PDF
[6]. Davari, M., & Maracy, 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.
[7]. Farsani, M. Y., Rasti, F., AlaviMajd, H., Soleimani, F., & Tork Zahrani, S. (2017). Assessment of care offered to the healthy newborn in the natural normal vaginal delivery and the cesarean section. Journal of Clinical Nursing and Midwifery, 6(2), 14-22.
[8]. 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. https://doi.org/10.5812/ircmj.2160
[9]. Heydarzadeh, M., & Goodarzi, F. (2008). Breast Crawl. IR Iran, Ministry of Health and Medical Education.
[10]. Hopwood, R. (2010). The role of the neonatal nurse in promoting parental attachment in the NICU. Infant, 6(2), 54-58.
[11]. Johnson, K. J. (2014). The effects of skin-to-skin contact on breastfeeding choice at discharge, The Eleanor Mann School of Nursing Undergraduate Honors Theses. 10. University of Arkansas, Fayetteville.
[12]. Kliegman, R. & Ghasemabadi, H. (2007). Nelson Textbook of Pediatrics (Translated). IR Iran Tehran, Golban.
[13]. Madineh, H., Abedin Zadeh, M., & Ghaheri, H. (2005). Comparison of post cesarean section pain with general and spinal anesthesia. Journal of Shahrekord Uuniversity of Medical Sciences, 6(4), 43-50.
[14]. 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. https://doi.org/10.1016/ j.jmwh.2006.12.002
[15]. Phillips, R. (2013). The sacred hour: Uninterrupted skin-to- skin contact immediately after birth. Newborn and Infant Nursing Reviews, 13(2), 67-72. https://doi.org/10. 1053/j.nainr.2013.04.001
[16]. Srivastava, S., Gupta, A., Bhatnagar, A., & Dutta, S. (2014). Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian Journal of Public Health, 58(1), 22-26. https://doi.org/10.4103/0019-557X.128160
[17]. Strobel, H. (2015). Skin-to-skin contact and its impact on exclusive breastfeeding upon discharge, The Eleanor Mann School of Nursing Undergraduate Honors Theses. 29. University of Arkansas, Fayetteville.
[18]. Thome, M., Alder, E. M., & Ramel, A. (2006). A population-based study of exclusive breastfeeding in Icelandic women: is there a relationship with depressive symptoms and parenting stress? International Journal of Nursing Studies, 43(1), 11-20. https://doi.org/10.1016/ j.ijnurstu.2004.10.009
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