Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers: a cross sectional study

Ghanbari‐Homayi, Solmaz; Fardiazar, Zahra; Mohammad‐Alizadeh‐Charandabi, Sakineh; Meedya, Shahla; Jafarabadi, Mohammad Asghari; Mohammadi, Eesa; Mirghafourvand, Mojgan

doi:10.1016/j.jnn.2019.08.003

Cited by 15 publications

(13 citation statements)

References 23 publications

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“…Among the neonatal factors, skin to skin contact and lactation in the first hours after delivery had a significant relationship with the experience of childbirth (p < 0.05). Further details of the quantitative phase results are provided in previous papers [ 17 , 34 ]. The results of the Pearson correlation test showed that there was statistically notable correlation between women’s sense of internal control (p < 0.001, r (standardized regression coefficient) = 0.80), external control (p = 0.001, r = 0.79) and support (p < 0.001, r = 0.83) with childbirth experience.…”

Section: Resultsmentioning

confidence: 99%

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Ghanbari-Homaie

Meedya

Mohammad‐Alizadeh‐Charandabi

et al. 2021

Reprod Health

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Background Women's satisfaction with childbirth experience is considered as one of the quality indicators of the maternity services across the world. However, there is no guideline for improving the experience of childbirth in Iran that is suitable for women with different cultural, economic, and social statuses. The aim of this study is to make recommendations for practice and propose a clinical guideline for improving the experience of women with vaginal births. Methods/design The study design was a mixed method study with a sequential explanatory approach consisting of three phases. The first phase of the study was a cross-sectional study to identify the predictors of traumatic vaginal childbirth experience among 800 primiparous women from Tabriz health centers who had vaginal birth. Data collection tools in this phase were Childbirth Experience Questionnaire (CEQ) and Support and Control in Birth (SCIB). Both tools were validated for Farsi language. The second phase was a qualitative study with 17 in-depth individual interviews among women who took part in the first phase to better understand their reasons that influenced their childbirth experience either positively or negatively. The third phase of the study was to develop recommendations for a proposed clinical guideline through a Delphi study where maternal health experts were selected and invited to take part in the panel. They first rated the proposed recommendations individually and provided written responses on their own agreement or disagreement with each statement in terms of its impact on childbirth experience, feasibility, acceptability, and cost-effectiveness. After three confirmation rounds, the final conscience was reached by the panel members. Results The results of the quantitative phase showed that the probability of negative experience of childbirth was increased when physical exercise was not implemented during pregnancy, lacking pain relief options, having fear of childbirth, lacking skin to skin contact with the newborn and being unable to initiate breastfeeding in the first hour after birth (P < 0.05). The analysis of qualitative data revealed 13 major theme categories which were related to women’s sense of internal control, external control and support. In the third phase of the study, culturally appropriate recommendations were made and an evidence-based clinical guideline was proposed. The proposed guideline was based on the combination of the quantitative and qualitative phases, a review of the literature, and the opinions of Iranian experts using the Delphi technique. Conclusion Given the high prevalence of negative childbirth experience among Iranian primiparous women, the present study may be of great interest for managers, leaders, policymakers, and care providers to improve the quality of the maternity services. However, further studies are required to translate the recommendations into practice and identify enablers and barriers during the implementation of the proposed guideline. To adopt the recommendations at national level, there is a need to further studies to assess the effectiveness of the proposed guideline within different communities across the region and the country.

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Section: Resultsmentioning

confidence: 99%

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Ghanbari-Homaie

Meedya

Mohammad‐Alizadeh‐Charandabi

et al. 2021

Reprod Health

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“…Women reported that the experience of skin-to-skin contact lessened their stress and improved their satisfaction. Skin-to skin contact can help women identify and become familiar with their babies’ reactions, reduce the baby’s crying time, facilitate baby’s sleeping, improve breastfeeding initiation [ 31 , 32 ] which can lead to a positive feeling for the mothers [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Iranian women’s perception on the determinants of birth experience: a qualitative study

Mirghafourvand

Meedya

Mohammadi

et al. 2022

BMC Pregnancy Childbirth

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Background The prevalence of cesarean birth in Iran is very high. Having a negative childbirth experience is one of the reasons that primiparous women provide to prefer caesarean birth over a vaginal birth. This study is aimed to understand women’s perspective on what determines a positive or negative birth experience for them. Methods This qualitative study is a part a mixed method study that was conducted among primiparous women with a previous vaginal birth experience. The purpose of the main study was to develop a guideline based on Iranian primiparous women’s birth experiences. The quantitative phase of the study was a cross-sectional study where women’s childbirth experiences was measured in a survey via the Childbirth Experience Questionnaire-2. In the qualitative part of the study, women were invited for an in-depth interview via a random stratified sampling method based on their childbirth mean score (women with 10% of the upper bound score which indicated a positive birth experience and 10% of the lower bound indicating negative birth experience, n = 17). Conventional content analysis was used for data analysis. Results We extracted three main themes: (a) “Internal control”, (b) “External control”, and (c) “Support”. Possessing internal control, having a balanced external control to feel cared and feeling supported were the main reasons for women to feel positive about their birth experiences. Whereas, loss of internal control, imbalanced external control and unsupportive environment were related to their negative childbirth experiences. Conclusion Considering that women’s sense of control, the care and support that they receive can influence their childbirth experiences, there is a need for changing maternity policies and practices to highlight the importance of a woman-centred care to create a pleasant, respectful and positive memory for primirparous women who experience normal vaginal births.

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“…Numerous studies have shown that normal birth is associated with better physiological and psychological outcomes for mother and infant [15][16][17][18][19][20]. Normal birth is an inevitable physiological process which has many positive effects, such as timely first contact of mother and newborn, which is crucial for mother-child attachment and the child's optimal psychological development [16].…”

Section: What Is An Informed Choice About Mode Of Birth How Does It R...mentioning

confidence: 99%

“…Normal birth is an inevitable physiological process which has many positive effects, such as timely first contact of mother and newborn, which is crucial for mother-child attachment and the child's optimal psychological development [16]. Recent studies have shown that initial mother-child interactions, such as skin-to-skin, seeing, holding, and feeding the newborn are critical to the psychobiological process of bonding [17][18][19]. Positive effects have been documented on the newborn's thermoregulation, stress reactivity and autonomic functioning [17][18][19][20].…”

Section: What Is An Informed Choice About Mode Of Birth How Does It R...mentioning

confidence: 99%

“…Recent studies have shown that initial mother-child interactions, such as skin-to-skin, seeing, holding, and feeding the newborn are critical to the psychobiological process of bonding [17][18][19]. Positive effects have been documented on the newborn's thermoregulation, stress reactivity and autonomic functioning [17][18][19][20]. Normal birth has been correlated with prolonged breastfeeding duration and reduced risk of postpartum hemorrhage [21].…”

Section: What Is An Informed Choice About Mode Of Birth How Does It R...mentioning

confidence: 99%

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Healthy Mothers, Healthy Children: A Keystone for Happiness in Society

Hadjigeorgiou¹

2023

Happiness and Wellness - Biopsychosocial and Anthropological Perspectives

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Healthy mothers and children are essential to happiness in society. Birth is one of the most complex experiences in a woman’s life and the transition to parenthood is an intense period with great rewards but also numerous challenges that might negatively impact the health of the mother, the fetus, and the neonate. A positive birth experience has a fear-reaching effect on mothers’ and babies’ health and wellbeing. Perinatal education empowers women to cope with the changes and challenges of pregnancy and childbirth. Psychological and social risk factors during the perinatal period increase the risk of adverse obstetrical, neonatal, and postnatal complications, while their persistence into the postnatal period compromises mother-child interaction, and the child’s physical and neuropsychological development. The aim of this chapter is to examine perinatal care in Cyprus, starting with an outline of perinatal education and continuing with an assessment of mothers’ self-reported experiences of perinatal care received. The main objectives are: (1) to explore the mechanisms by which timely and accurate information during pregnancy can decrease the risk of adverse obstetrical, neonatal, and postnatal complications, (2) to assess mothers’ needs, and (3) to identify factors in perinatal care that lead to positive birth experiences, family wellbeing, and happiness.

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Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers: a cross sectional study

Cited by 15 publications

References 23 publications

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Iranian women’s perception on the determinants of birth experience: a qualitative study

Healthy Mothers, Healthy Children: A Keystone for Happiness in Society

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