The Sacred Hour: Uninterrupted Skin-to-Skin Contact Immediately After Birth

Phillips, Raylene

doi:10.1053/j.nainr.2013.04.001

Cited by 117 publications

(116 citation statements)

References 23 publications

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“…Touch includes skin-toskin contact such as the unclothed newborn lying on mother's bare chest or the mother stroking the newborn's hairs, kissing the cheek Citation: Barker J, Daniels A, O'Neal K, Van Sell SL (2017) [20] focused on the first hour after birth, which was referred to as "the sacred hour" (p. 67). Particular emphasis was on the hormone oxytocin, which was shown to "increase relaxation, attraction, facial recognition, and maternal care-giving behaviors" (p. 68) [20]. All of these are supportive in the bonding process.…”

Section: Antecedents and Consequencesmentioning

confidence: 99%

“…The term attachment is an attribute of bonding and sometimes used interchangeably. Phillips [20] stated, "hormones known to influence attachment behaviors are increased by skin-to-skin contact" (p. 68). Phillips [20] focused on the first hour after birth, which was referred to as "the sacred hour" (p. 67).…”

Section: Antecedents and Consequencesmentioning

confidence: 99%

“…Phillips [20] stated, "hormones known to influence attachment behaviors are increased by skin-to-skin contact" (p. 68). Phillips [20] focused on the first hour after birth, which was referred to as "the sacred hour" (p. 67). Particular emphasis was on the hormone oxytocin, which was shown to "increase relaxation, attraction, facial recognition, and maternal care-giving behaviors" (p. 68) [20].…”

Section: Antecedents and Consequencesmentioning

confidence: 99%

See 2 more Smart Citations

Maternal-Newborn Bonding Concept Analysis

Barker¹,

Daniels²,

O’Neal³

et al. 2017

Int J Nurs Clin Pract

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Maternal-newborn bonding is the complex process of attachment between a mother and newborn. The authors used the Walker and Avant methodology to conduct a concept analysis regarding maternalnewborn bonding as it relates to advanced practice nurse (APN), the patient, and health care. The attributes of maternal-newborn bonding include affection, association, attachment, and relationship. The consequences of maternal-newborn bonding include love, trust, protection, and maternal-child relationship. The APN must be able to recognize and understand the importance of maternal-newborn bonding to have anoptimal outcome for the patient. A model case, borderline case, and contrary case were discussed to provide an example of the maternal-newborn bonding concept. Discussion regarding empirical referents is also included. Maternal-Newborn Bonding Concept Analysis Publication History:Received: January 27, 2017 Accepted: April 04, 2017 Published: April 06, 2017 Keywords:Love, Maternal-newborn bond, Protection, Relationship, Trust Concept AnalysisOpen Access Description of ConceptMaternal-newborn bonding is a concept used throughout the obstetrical and pediatric fields, but not widely known amongst all clinicians. The connection made after birth directly affects both the mother and newborn physiologically, psychologically and emotionally. A strong bond formed between a mother and infant leads to positive outcomes and impacts the maternal child relationship through the lifespan. "The parent-infant bond provides a foundation for future adaptation, relationships, and mental health for children and adults" (p. 246) [1]. Difficulty forming a bond could lead to detrimental problems for the mother, child, society and the healthcare system.The maternal-newborn bond directly influences the healthcare system in a variety of ways. The initial bond that occurs between the mother and child after delivery can play a fundamental role in many physiological and psychological aspects. Physiological or psychological instability could potentially lead to a prolonged length of stay, a higher level of care and increased medical costs. A positive bond leads to a positive home life and good health. Good health could be directly related the mother providing basic needs and medical care for the child. As a result, the children have improved health, a decreased number of medical visits and decreased medical care costs throughout the lifespan. Inversely, a study described a situation of impaired maternal-newborn attachment, a bonding disorder can occur [2]. The impaired bond could lead to a decline in basic needs of the child being met and decrease in necessary medical care needed for healthy growth and development.The concept of maternal-newborn bonding also directly influences advanced practice nurses (APN). Understanding the concept can give the APN an inside view of the relationship that the mother and child have whether positive or negative. A positive maternal-newborn bond detected by the APN provides assurance that needs of the newborn are ...

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Section: Antecedents and Consequencesmentioning

confidence: 99%

Section: Antecedents and Consequencesmentioning

confidence: 99%

Section: Antecedents and Consequencesmentioning

confidence: 99%

See 1 more Smart Citation

Maternal-Newborn Bonding Concept Analysis

Barker¹,

Daniels²,

O’Neal³

et al. 2017

Int J Nurs Clin Pract

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“…The vast majority of mothers who undergo cesarean surgery are alert and responsive when spinal or epidural anesthetic is used. Women who experienced skin-toskin care during a cesarean described the experience as meaningful, were not "aware" of the surgical procedure because they focused on their newborn, and reported that they would welcome the opportunity to do so again if given the opportunity (Crenshaw et al, 2012;Phillips, 2013). No evidence exists for delaying skin-to-skin care until a mother and her baby are in a recovery room or postanesthesia care unit.…”

Section: Early Skin-to-skin Care After Vaginal Birth and Cesarean Surmentioning

confidence: 99%

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

Crenshaw¹

2014

J Perinat Educ

129

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Mothers and babies have a physiologic need to be together at the moment of birth and during the hours and days that follow. Keeping mothers and babies together is a safe and healthy birth practice. Evidence supports immediate, uninterrupted skin-to-skin care after vaginal birth and during and after cesarean surgery for all stable mothers and babies, regardless of feeding preference. Unlimited opportunities for skinto-skin care and breastfeeding promote optimal maternal and child outcomes.

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“…Maternal and fetal outcomes are profoundly improved when doula care is provided (American College of Obstetricians and Gynecologists 2014) along with 'natural birth' (Mercer et al 2007;Smith, Plaat & Fisk 2008), as well as when the ecologically-valid environment that produces the 'GxE' described earlier is ensured. Although the technology and skills available for newborn and preterm care are wonderful, they do not require separation; they should instead be applied to the right place, the mother's chest (Phillips 2013;White 2004). In this way, maternal, physiological regulation will be working in synergy with the baby's ANS, the need for technology will be lessened and the intensity thereof can be reduced, with better outcomes.…”

Section: The Impact Of Zero Separation On the Mothermentioning

confidence: 99%

The neuroscience of birth – and the case for Zero Separation

Bergman

2014

curationis

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Currently, Western maternal and neonatal care are to a large extent based on routine separation of mother and infant. It is argued that there is no scientific rationale for this practice and a body of new knowledge now exists that makes a case for Zero Separation of mother and newborn. For the infant, the promotion of Zero Separation is based on the need for maternal sensory inputs that regulate the physiology of the newborn. There are harmful effects of dysregulation and subsequent epigenetic changes caused by separation. Skin-to-skin contact is the antithesis to such separation; the mother’s body is the biologically ‘normal’ place of care, supporting better outcomes both for normal healthy babies and for the smallest preterm infants. In the mother, there are needed neural processes that ensure enhanced reproductive fitness, including behavioural changes (e.g. bonding and protection) and improved lactation, which are supported by the practice of Zero Separation. Zero Separation of mother and newborn should thus be maintained at all costs within health services.

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The Sacred Hour: Uninterrupted Skin-to-Skin Contact Immediately After Birth

Cited by 117 publications

References 23 publications

Maternal-Newborn Bonding Concept Analysis

Maternal-Newborn Bonding Concept Analysis

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

The neuroscience of birth – and the case for Zero Separation

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