Achieving Early Mother-baby Skin-to-skin Contact in Caesarean Section: A Quality Improvement Initiative

Maria, Arti; Shukla, A. N.; Wadhwa, Rashmi; Kaur, Baljit; Sarkar, Bhaskar; Kaur, Manpreet

doi:10.1007/s13312-018-1377-2

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…However, there is no difference found in oxygen saturation. Results from this study, in which the average respiratory rate of the newborns dropped from 46 to 42 breaths per minute, were corroborated by a meta-analysis of 29 randomized controlled trials involving the kangaroo position conducted by Moore et al 26 . They also noted a steady level of 95% or so for the peripheral oxygen saturation.…”

Section: Discussionsupporting

confidence: 70%

Effects of Kangaroo Mother Care on Physiological Parameters of Low-Birth-Weight Neonates

Mateen¹,

Awan²,

Gul³

et al. 2023

PJMHS

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Background: Maternal skin contact has impact on physiological parameters in newborns, some studies showed positive effects but as we live in under developing country and the data on impact of kangaroo mother care (KMC) on physiological parameters is very limited. We hypothesized that KMC is effective in stabilizing the heart rate, respiratory rate and maintaining the oxygen saturation and body temperature of low birth weight (LBW) newborns. Objective: The aim of the study was to determine effects of 3 hours KMC on physiological parameters such as body temperature, heart rate, respiratory rate and oxygen saturation in LBW neonates. Study Design: Observational Quasi-experimental study Study Setting: This study was conducted in Department of Neonatology, Children Hospital, PIMS, Islamabad, Pakistan from 1st June 2022 to 1st December 2022. Methodology: The neonates were hemodynamically stable admitted in NICU and Nursery of Children Hospital, PIMS with LBW with the bodyweight <2 kg was enrolled in the study after taking the consents from mother or other female attendant. Data were collected by structured questionnaire and observational checklist after taking consent from each participant. After inclusion neonates was received KMC for 03 hours. Participants physiological parameters were monitored closely before and after KMC. The statistical analysis was done by using SPSS version 20. Results: Out of the 60 mother-child couples enrolled in the study. There was high frequency of neonates between 1-1.5 kgs with 36.7%. Out of 60, 33 were baby boys and 27 were baby girls. After three hours of KMC, temperatures showed significant increased (p<0.001). Most infants' temperatures were maintained during KMC, and no cases of hypothermia were reported. Also, statistically significant increases in heart rate were seen throughout KMC (p<0.001), with mean increases of exhibited bradycardia before starting KMC, but at the end of the session, all of their heart rates were normal (100-170 beats per minute) and stable. Practical implications Though KMC has been proven to be an efficient and feasible approach of caring for LBW infants in a hospital setting, there is a lack of evidence on its outcomes in Pakistan. In light of this, we set out to examine the impact of 3 hours of KMC on vital signs in LBW infants, namely their core temperature, heart rate, respiratory rate, and oxygen saturation. The ultimate goal is to collect enough evidence to advocate for the strategy's widespread adoption. Conclusion: Better quality and more humanized care for preterm and low birth weight babies and their mothers may be achieved by encouraging the use of the Kangaroo Mother Care approach in neonatal intensive care units in Pakistan. Keyword: KMC, temperature, oxygen saturation, respiratory rate, heart rate. Low birth weight

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Section: Discussionsupporting

confidence: 70%

Effects of Kangaroo Mother Care on Physiological Parameters of Low-Birth-Weight Neonates

Mateen¹,

Awan²,

Gul³

et al. 2023

PJMHS

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“…Thus, it can be concluded that the problem of lack of recommended skin-to-skin contact or its implementation to a limited extent is not related to birth after a cesarean section but to the mode of delivery. Currently, efforts are being made around the world to ensure safe skin-to-skin contact for as many babies born by cesarean section as possible [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

Sys,

Kajdy,

Niżniowska

et al. 2023

Healthcare

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Natural childbirth after a previous cesarean section is a debated issue despite scientific research and international recommendations. This study aimed to examine the experiences of women giving birth after a previous cesarean section, their preferences, and changes in attitudes towards childbirth after labor. This longitudinal study involved 288 pregnant women who had a previous cesarean section and completed a web-based questionnaire before and after labor, including information about their obstetric history, birth beliefs, and preferred mode of delivery. Among women who preferred a vaginal birth, nearly 80% tried it and 49.78% finished delivery by this mode. Among women declaring a preference for an elective cesarean section, 30% attempted a vaginal birth. Choosing a hospital where staff supported their decision (regardless of the decision) was the most helpful factor in preparing for labor after a cesarean section (63.19%). Women’s birth preferences changed after labor, with women who had a vaginal birth after a cesarean section preferring this mode of delivery in their next pregnancy (89.34%). The mode of birth did not always follow the women’s preferences, with some women who preferred a natural childbirth undergoing an elective cesarean section for medical reasons. A variety of changes were noticeable among women giving birth after a cesarean section, with a large proportion preferring natural birth in their next pregnancy. Hospitals should support women’s birth preferences after a cesarean section (if medically appropriate), providing comprehensive counseling, resources, and emotional support to ensure informed decisions and positive birth experiences.

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“…The science of QI is the missing link that can bridge the gap between the prevalent and the desirable. The studies by Maria, et al [3] and Dudeja, VOLUME 55 __ SEPTEMBER 15, 2018 EDITORIAL et al [4] demonstrate this translation of standard guidelines for babies born by cesarean section into practice in their respective hospitals using PDSA cycles for continuous QI.…”

Section: Lessons From Qi Implementationmentioning

confidence: 95%

Delivering Quality Healthcare in India: Beginning of Improvement Journey

Deorari

Livesley

2018

Indian Pediatr

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Achieving Early Mother-baby Skin-to-skin Contact in Caesarean Section: A Quality Improvement Initiative

Cited by 7 publications

References 9 publications

Effects of Kangaroo Mother Care on Physiological Parameters of Low-Birth-Weight Neonates

Effects of Kangaroo Mother Care on Physiological Parameters of Low-Birth-Weight Neonates

The Experience of Women Giving Birth after Cesarean Section—A Longitudinal Observational Study

Delivering Quality Healthcare in India: Beginning of Improvement Journey

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