Skin-to-Skin Contact in the Third Stage of Labor and Postpartum Hemorrhage Prevention: A Scoping Review

Ruiz, Mariana Torreglosa; Azevedo, Nayara Freitas; Ferreira, Maria Beatriz Guimarães; Fonseca, Luciana Mara Monti; Wernet, Mônika; Silva, Maria Paula Custódio; Contim, Divanice

doi:10.1007/s10995-022-03582-4

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…A 2021 systematic review found a beneficial effect of skin-to-skin contact on maternal anxiety and stress levels [ 41 ]. In addition, a 2023 scoping review [ 42 ] found that skin-to-skin contact improves health outcomes in the third stage of labour, including reducing post-partum haemorrhage. A 2016 [ 28 ] systematic review suggested improved cardio-respiratory stabilisation for infants who received skin-to-skin contact after birth compared to the standard care group.…”

Section: Discussionmentioning

confidence: 99%

Skin-to-skin contact for the prevention of neonatal hypoglycaemia: a systematic review and meta-analysis

Lord,

Harding,

Crowther

et al. 2023

BMC Pregnancy Childbirth

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Background Skin-to-skin contact between mother and infant after birth is recommended to promote breastfeeding and maternal-infant bonding. However, its impact on the incidence of neonatal hypoglycaemia is unknown. We conducted a systematic review and meta-analysis to assess this. Methods Published randomised control trials (RCTs), quasi-RCTs, non-randomised studies of interventions, cohort, or case–control studies with an intervention of skin-to-skin care compared to other treatment were included without language or date restrictions. The primary outcome was neonatal hypoglycaemia (study-defined). We searched 4 databases and 4 trial registries from inception to May 12th, 2023. Quality of studies was assessed using Cochrane Risk of Bias 1 or Effective Public Health Practice Project Quality Assessment tools. Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results were synthesised using RevMan 5.4.1 or STATA and analysed using random-effects meta-analyses where possible, otherwise with direction of findings tables. This review was registered prospectively on PROSPERO (CRD42022328322). Results This review included 84,900 participants in 108 studies, comprising 65 RCTs, 16 quasi-RCTs, seven non-randomised studies of intervention, eight prospective cohort studies, nine retrospective cohort studies and three case–control studies. Evidence suggests skin-to-skin contact may result in a large reduction in the incidence of neonatal hypoglycaemia (7 RCTs/quasi-RCTs, 922 infants, RR 0.29 (0.13, 0.66), p < 0.0001, I2 = 47%). Skin-to-skin contact may reduce the incidence of admission to special care or neonatal intensive care nurseries for hypoglycaemia (1 observational study, 816 infants, OR 0.50 (0.25–1.00), p = 0.050), but the evidence is very uncertain. Skin-to-skin contact may reduce duration of initial hospital stay after birth (31 RCTs, 3437 infants, MD -2.37 (-3.66, -1.08) days, p = 0.0003, I2 = 90%, p for Egger’s test = 0.02), and increase exclusive breastmilk feeding from birth to discharge (1 observational study, 1250 infants, RR 4.30 (3.19, 5.81), p < 0.0001), but the evidence is very uncertain. Conclusion Skin-to-skin contact may lead to a large reduction in the incidence of neonatal hypoglycaemia. This, along with other established benefits, supports the practice of skin-to-skin contact for all infants and especially those at risk of hypoglycaemia.

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Section: Discussionmentioning

confidence: 99%

Skin-to-skin contact for the prevention of neonatal hypoglycaemia: a systematic review and meta-analysis

Lord,

Harding,

Crowther

et al. 2023

BMC Pregnancy Childbirth

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“…Furthermore, immediate SSC favors the colonization of the microbiome, especially for infants born by cesarean section who do not pass through the birth canal, consequently lacking the colonization they would have acquired were they to pass through it [5]. As for the mother, SSC increases oxytocin levels, promotes uterine contraction, reduces the risk of hemorrhage, shortens the delivery phase of labor, reduces maternal anxiety, and increases the confidence and psychological well-being of the mother [1,5,10,13,15,16]. Furthermore, early and immediate SSC between mother and child after birth has been shown to have a positive impact on the psychological aspects of the mother-child relationship, favoring the formation of a postnatal bond and attachment [1,5,7,9,10,17].…”

Section: Introductionmentioning

confidence: 99%

Development of a Predictive Model for Skin-to-Skin Contact Immediately after Birth: A Cross-Sectional Study

Díaz-Ogallar,

Hernández-Martínez,

Linares-Abad

et al. 2024

Children

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The aim of this study was to develop and validate a predictive model for the establishment of skin-to-skin contact immediately after birth. A descriptive cross-sectional study was conducted during the last trimester of 2022 and the first trimester of 2023 with women who had given birth in Spain. A questionnaire containing sociodemographic, psychosocial, and health variables referring to the mother and the newborn, as well as the Bond and Attachment questionnaire (VAMF, for its name in Spanish) for the analysis of the mother–child bond and attachment, were administered. A multivariate analysis was performed, and areas under the ROC curve (AUC) with their 95% confidence intervals (CI) and the predictive characteristics of these models were estimated. In total, 1077 women participated. The prevalence of early skin-to-skin contact after delivery was 50.2% (468) in the derivation cohort and 49.8% (464) in the validation cohort. Multivariate analysis showed that prematurity, type of delivery, and birth experience were statistically significant, so they were included in the model (p ≤ 0.05). The predictive ability (AUC ROC) was good in both the derivation cohort, yielding 0.92 (95% CI: 0.89–0.95), and in the validation cohort, yielding 0.89 (95% CI: 0.85–0.93). This study developed a predictive model identifying factors facilitating early skin-to-skin contact between a mother and her newborn immediately after birth.

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Skin-to-Skin Contact and Breastfeeding After Planned Cesarean Birth Before and During the COVID-19 Pandemic

Costello,

Santillan,

Shelby

et al. 2024

Breastfeeding Medicine

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Skin-to-Skin Contact in the Third Stage of Labor and Postpartum Hemorrhage Prevention: A Scoping Review

Cited by 3 publications

References 40 publications

Skin-to-skin contact for the prevention of neonatal hypoglycaemia: a systematic review and meta-analysis

Skin-to-skin contact for the prevention of neonatal hypoglycaemia: a systematic review and meta-analysis

Development of a Predictive Model for Skin-to-Skin Contact Immediately after Birth: A Cross-Sectional Study

Skin-to-Skin Contact and Breastfeeding After Planned Cesarean Birth Before and During the COVID-19 Pandemic

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