Observation of Skin-to-Skin Contact and Analysis of Factors Linked to Failure to Breastfeed Within 2 Hours After Birth

Robiquet, Perrine; Zamiara, Pierre-Emmanuel; Rakza, Thameur; Deruelle, Philippe; Mestdagh, Béatrice; Blondel, Géraldine; Turck, Dominique; Subtil, D.

doi:10.1089/bfm.2015.0160

Cited by 26 publications

(27 citation statements)

References 18 publications

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“…This creates a shelter for the mother and baby's right to not be separated , to stay skin‐to‐skin after birth until the newborn infant has suckled and/or fallen asleep. Interruption of skin‐to‐skin contact during the first two hours reduces the infant's chances of early breastfeed .…”

Section: Resultsmentioning

confidence: 99%

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

Brimdyr²,

et al. 2019

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Aim This paper integrates clinical expertise to earlier research about the behaviours of the healthy, alert, full‐term infant placed skin‐to‐skin with the mother during the first hour after birth following a noninstrumental vaginal birth. Method This state‐of‐the‐art article forms a link within the knowledge‐to‐action cycle, integrating clinical observations and practice with evidence‐based findings to guide clinicians in their work to implement safe uninterrupted skin‐to‐skin contact the first hours after birth. Results Strong scientific research exists about the importance of skin‐to‐skin in the first hour after birth. This unique time for both mother and infant, individually and in relation to each other, provides vital advantages to short‐ and long‐term health, regulation and bonding. However, worldwide, clinical practice lags. A deeper understanding of the implications for clinical practice, through review of the scientific research, has been integrated with enhanced understanding of the infant's instinctive behaviour and maternal responses while in skin‐to‐skin contact. Conclusion The first hour after birth is a sensitive period for both the infant and the mother. Through an enhanced understanding of the newborn infant's instinctive behaviour, practical, evidence‐informed suggestions strive to overcome barriers and facilitate enablers of knowledge translation. This time must be protected by evidence‐based routines of staff.

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Section: Resultsmentioning

confidence: 99%

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

Brimdyr²,

et al. 2019

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“…Uncompromised term newborns go through these stages at varying rates and usually achieve suckling within 60 to 90 min after birth (Widström et al, ; Widström et al, ). Interruption, such as non‐emergent newborn care, is a modifiable practice that has been linked to decreased achievement of suckling (Robiquet et al, ). Breastfeeding within the first hour has been shown to have an inverse relationship with breastfeeding difficulties (Bramson et al, ) and neonatal mortality (Edmond et al, ; Wallace, Crear‐Perry, Richardson, Tarver, & Theall, ).…”

Section: Introductionmentioning

confidence: 99%

“…Uncompromised term newborns go through these stages at varying rates and usually achieve suckling within 60 to 90 min after birth (Widström et al, 2011;Widström et al, 1987). Interruption, such as non-emergent newborn care, is a modifiable practice that has been linked to decreased achievement of suckling (Robiquet et al, 2016).…”

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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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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“…The shown association between early negative experiences and having had epidural analgesia corresponds with the findings in a review, where 12 studies report a negative impact of epidural analgesia on the newborn's early spontaneous breast‐seeking‐ and breastfeeding behaviour and later breastfeeding duration (French, Cong, & Chung, ). Likewise, interrupted SSC has been shown to interfere with the newborn's breastfeeding behaviour (Robiquet et al, ). Suboptimal breastfeeding behaviour might therefore explain these associations of negative experience of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

The significance of early breastfeeding experiences on breastfeeding self‐efficacy one week postpartum

Nilsson

Kronborg

Rahbek³

et al. 2020

Maternal & Child Nutrition

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Many new mothers do not reach their breastfeeding goals. Breastfeeding self‐efficacy is a modifiable determinant influenced by prior and new breastfeeding experiences. More knowledge about factors associated with early breastfeeding experiences and breastfeeding self‐efficacy would allow us to qualify breastfeeding counselling and increase breastfeeding duration. This study aimed to identify prevalence and factors associated with early negative breastfeeding experience, low breastfeeding self‐efficacy in the first week postpartum, and drop in self‐efficacy from late pregnancy to early postpartum period. A prospective longitudinal study was performed in Denmark from 2013 to 2014, including 2, 804 mothers. Results showed that 1 week postpartum almost 10% of mothers had negative breastfeeding experiences, 36% had low breastfeeding self‐efficacy, and 26% drop in self‐efficacy from pregnancy. Negative breastfeeding experiences were significantly associated with epidural analgesia, interrupted skin‐to‐skin contact immediately postpartum, short previous breastfeeding duration, and lacking social support. Low breastfeeding self‐efficacy was associated with low breastfeeding intention, short previous breastfeeding duration, and negative breastfeeding experiences in the first week postpartum. Finally, significant associations of drop in breastfeeding self‐efficacy from late pregnancy were no or short education, early negative breastfeeding experiences, prior short breastfeeding duration, and low general breastfeeding self‐efficacy in pregnancy. Negative breastfeeding experiences in the first week postpartum is crucial for maternal breastfeeding self‐efficacy 1 week following birth. It is important to identify and support mothers at risk of negative breastfeeding experiences in the first week following birth and address factors that might increase the probability of early successful breastfeeding experiences.

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Observation of Skin-to-Skin Contact and Analysis of Factors Linked to Failure to Breastfeed Within 2 Hours After Birth

Abstract: In the first 2 hours of life, early interruptions of skin-to-skin contact should be discouraged as they reduce the chances of early breastfeed.

Cited by 26 publications

References 18 publications

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

Skin‐to‐skin contact the first hour after birth, underlying implications and clinical practice

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

The significance of early breastfeeding experiences on breastfeeding self‐efficacy one week postpartum

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