Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

Crenshaw, Jeannette T.

doi:10.1891/1058-1243.28.2.108

Cited by 19 publications

(26 citation statements)

References 47 publications

(59 reference statements)

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“…2–4 In addition, experts recommend that routine procedures such as assessments are done during SSC and that nonemergent procedures be postponed until after this critical, time-limited, and psychophysiologically sensitive period. 2,3,8…”

Section: Introductionmentioning

confidence: 99%

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Adams

Gilder

DeButy

et al. 2019

Breastfeeding Medicine

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Introduction: Our aim was to describe feasibility and outcomes of skin-to-skin care (SSC) that began during cesarean surgery and continued, uninterrupted, for about 5 hours. We described maternal/newborn measures of physiologic stability and stress; maternal measures of comfort; maternal satisfaction with surgery and SSC; and exclusive breast milk feeding at discharge. Materials and Methods: We used a quasiexperimental, time-interrupted design and randomly assigned women to receive SSC that began during surgery (Group 1, intervention; n = 20) or after surgery, before transfer to recovery (Group 2, standard care; n = 20). We analyzed differences across time and for five observations: before transfer to the operating room (OR); in the OR, about 20 minutes after birth; in the recovery room, about 1 hour after admission; in the New Family Center (NFC), about 1 hour after admission; and in the NFC, about 2 hours after admission. Results: Group 1 began SSC an average of 0.89 minutes after birth and continued an average of 300 minutes and Group 2 began an average of 46 minutes after birth and continued an average of 126 minutes. Women who began SSC during surgery were more satisfied with the experience (p = 0.015) and had lower levels of salivary cortisol across time (p = 0.003). We found no negative effects on maternal or newborn measures of physiologic stability and no difference in exclusive breast milk feeding rates at discharge. Conclusion: Immediate and uninterrupted SSC during medically uncomplicated cesarean surgery is a feasible, low-cost intervention that can safely begin during surgery and continue, uninterrupted, for extended durations.

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Section: Introductionmentioning

confidence: 99%

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Adams

Gilder

DeButy

et al. 2019

Breastfeeding Medicine

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“…The six papers in this issue of the JPE update the research that provides the foundation for clear guidelines for safe maternity care (Amis, 2019;Crenshaw, 2019;Curl, 2019;Green & Hotelling, 2019;Lothian, 2019;Ondeck, 2019). The research findings continue to support the value and critical importance of promoting, protecting, and supporting physiologic birth and the risks of interfering in that process without clear and compelling medical indications.…”

Section: Pdf_folio:65mentioning

confidence: 89%

Safe Childbirth: A Call to Action

Lothian¹

2019

J Perinat Educ

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Since the publication of Lamaze's Six Healthy Birth Practice papers in 2014, there has been increasing concern with the safety of the current maternity care system. A doubling of the maternal mortality rate in the United States and the continued high cesarean rate, as well as ongoing research that supports physiologic birth and identifies the risks of interfering with the physiologic process, has resulted in updated guidelines for care and has spurred advocacy efforts to transform maternity care. This article presents a number of these advocacy efforts.

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“…Studies also show that SSC improves physiological stability (Moore et al, 2016; WHO & UNICEF, 2018) and reduces maternal stress during a caesarean (Crenshaw et al, 2019). In addition, experts recommend that education about the benefits of breastfeeding, including SSC, begin prenatally (Step 3 of the WHO & UNICEF 10 Steps to Successful Breastfeeding; Crenshaw, 2019; Hernández‐Aguilar et al, 2018; WHO & UNICEF, 2018). Women who are informed about SSC prenatally and on admission to a maternity unit are better able to advocate for themselves and their newborns.…”

Section: Discussionmentioning

confidence: 99%

Measuring health professionals' beliefs about skin‐to‐skin care during a cesarean

Adams

Gilder

Nolte

2021

Maternal & Child Nutrition

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Women and their newborns are at risk of delayed or withheld skin-to-skin care (SSC) during a caesarean, which is about one-third of births, worldwide. To date, no instrument exists to assess health professionals' (HPs) beliefs, and potential barriers and strategies for implementing SSC during a cesarean. The study aims were to (1) develop an instrument, Health Professionals' Beliefs about Skin-to-Skin Care During a Cesarean (SSC B ), (2) establish its validity and reliability and (3) describe HPs' beliefs about SSC during a caesarean. Quantitative and qualitative analyses were used to test the SSC B and describe HPs' beliefs. SSC B analysis yielded a content validity of 0.83 and reliability of α = 0.9. We grouped all practice roles as either nurses or

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Healthy Birth Practice #6: Keep Mother and Newborn Together—It's Best for Mother, Newborn, and Breastfeeding

Cited by 19 publications

References 47 publications

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Effects of Skin-to-Skin Care During Cesareans: A Quasiexperimental Feasibility/Pilot Study

Safe Childbirth: A Call to Action

Measuring health professionals' beliefs about skin‐to‐skin care during a cesarean

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