A juxtaposition of birth and surgery: Providing skin-to-skin contact in the operating theatre and recovery

Stevens, Jeni; Schmied, Virginia; Burns, Elaine; Dahlen, Hannah G

doi:10.1016/j.midw.2016.03.015

Cited by 15 publications

(18 citation statements)

References 15 publications

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“…In light of our experience researching and implementing SSC Brimdyr, Widström, Cadwell, Svensson, & Turner-Maffei, 2012;Stevens, Schmied, Burns, & Dahlen, 2016;Takahashi et al, 2011) and in consideration of the findings of the Cochrane team (Moore et al, 2016), we present a novel algorithm, Healthy Children Project's Skin-to-Skin Implementation Algorithm (HCP-S2S-IA; Figure 1), which considers the mothers' condition as she begins the birthing experience according to Robson criteria (Table 2) and then, using the tool, plots the experience of each dyad in regard to immediate, continuous, and uninterrupted SSC after birth.…”

mentioning

confidence: 99%

“…Data collection was focused on maternal and support person contact with the baby for up to 2 hr immediately after the birth.The study's inclusion criteria included mothers who were planning an uncomplicated caesarean birth following a previous caesarean birth, who were between 18 and 40 years of age, had a singleton pregnancy, and planned to breastfeed. The specifics of the research have been reported elsewhere(Stevens et al, 2016). Standard midwifery care at this hospital included the initiation of SSC in the recovery area.…”

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confidence: 99%

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An implementation algorithm to improve skin‐to‐skin practice in the first hour after birth

Brimdyr¹,

Cadwell²,

Stevens

et al. 2017

Maternal & Child Nutrition

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Evidence supporting the practice of skin‐to‐skin contact and breastfeeding soon after birth points to physiologic, social, and psychological benefits for both mother and baby. The 2009 revision of Step 4 of the WHO/UNICEF “Ten Steps to Successful Breastfeeding” elaborated on the practice of skin‐to‐skin contact between the mother and her newly born baby indicating that the practice should be “immediate” and “without separation” unless documented medically justifiable reasons for delayed contact or interruption exist. While in immediate, continuous, uninterrupted skin‐to‐skin contact with mother in the first hour after birth, babies progress through 9 instinctive, complex, distinct, and observable stages including self‐attachment and suckling. However, the most recent Cochrane review of early skin‐to‐skin contact cites inconsistencies in the practice; the authors found “inadequate evidence with respect to details … such as timing of initiation and dose.” This paper introduces a novel algorithm to analyse the practice of skin to skin in the first hour using two data sets and suggests opportunities for practice improvement. The algorithm considers the mother's Robson criteria, skin‐to‐skin experience, and Widström's 9 Stages. Using data from vaginal births in Japan and caesarean births in Australia, the algorithm utilizes data in a new way to highlight challenges to best practice. The use of a tool to analyse the implementation of skin‐to‐skin care in the first hour after birth illuminates the successes, barriers, and opportunities for improvement to achieving the standard of care for babies. Future application should involve more diverse facilities and Robson's classifications.

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confidence: 99%

mentioning

confidence: 99%

An implementation algorithm to improve skin‐to‐skin practice in the first hour after birth

Brimdyr¹,

Cadwell²,

Stevens

et al. 2017

Maternal & Child Nutrition

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“…The results of this research elated to the facilitators and barriers of skin to skin following caesarean section are reported elsewhere (Stevens et al 2016) and in another paper soon to be published. The aim of this study was to discuss the approach taken when collecting video ethnographic data in a hospital setting.…”

Section: Introductionmentioning

confidence: 91%

“…Video ethnography has provided insight into the facilitators and barriers of providing SSC in the operating theatre and recovery (Stevens et al . ), maternal perceptions of the contact they have with their baby after a caesarean section (paper soon to be published) and an unforeseen highlight, how to provide a maternal‐assisted caesarean section (Stevens ). Furthermore, it has allowed the microanalysis of infant behaviours with or without SSC.…”

Section: Implications For Video Ethnographic Researchmentioning

confidence: 99%

“…Even though the film footage took more time to analyse than field notes, the film footage was really advantageous because it facilitated the comprehensive analysis of the contact between women, their babies and support people, and analysis of how this contact is affected by individual staff members, the environment and the organisation. Video ethnography has provided insight into the facilitators and barriers of providing SSC in the operating theatre and recovery (Stevens et al 2016), maternal perceptions of the contact they have with their baby after a caesarean section (paper soon to be published) and an unforeseen highlight, how to provide a maternal-assisted caesarean section (Stevens 2015). Furthermore, it has allowed the microanalysis of infant behaviours with or without SSC.…”

Section: Implications For Video Ethnographic Researchmentioning

confidence: 99%

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Video ethnography during and after caesarean sections: methodological challenges

Stevens

Schmied

Burns

et al. 2017

Journal of Clinical Nursing

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The extended gentle caesarean section protocol—expanding the scope and adding value for the family: a cross-sectional study

Christoph

Aebi

Sutter

et al. 2023

Arch Gynecol Obstet

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Purpose In Switzerland, about one in three children is born by caesarean section (CS). For many women, this means a restricted birth experience, limited observation of the birth process and a restricted involvement. We evaluated an extended gentle CS protocol, which offered early intraoperative skin-to-skin contact and the possibility of observing the delivery of the baby from the abdomen through a transparent drape. Methods This is a cross-sectional study incorporating data from a purposely tailored questionnaire and clinical routine data. The extended gentle CS protocol was compared with the gentle CS, which does not allow the possibility of observing the delivery. Data were collected online and analysed by multivariable regression for quantitative data and content analysis for all text responses to open questions, respectively. Results 193 women completed the questionnaire. Of these, 154 had a gentle CS and 39 had an extended gentle CS. Multivariable regression did not reveal a statistically significant difference for extended gentle CS with regard to satisfaction with childbirth, mother-to-child bonding, or breastfeeding duration. Nevertheless, early intraoperative skin-to-skin contact was associated with the fulfilment of birth expectations. Furthermore, most women who experienced an extended gentle CS would prefer the same procedure for any potential future CS. Conclusions Although our study showed no statistically significant difference in satisfaction from using a transparent drape, most women expressed a preference for this technique. We recommend that the option of an extended gentle CS should be offered to all women for whom CS is indicated.

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A juxtaposition of birth and surgery: Providing skin-to-skin contact in the operating theatre and recovery

Cited by 15 publications

References 15 publications

An implementation algorithm to improve skin‐to‐skin practice in the first hour after birth

An implementation algorithm to improve skin‐to‐skin practice in the first hour after birth

Video ethnography during and after caesarean sections: methodological challenges

The extended gentle caesarean section protocol—expanding the scope and adding value for the family: a cross-sectional study

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