Use of a Video-Ethnographic Intervention, PRECESS Immersion Method, to Improve Skin-to-Skin Care and Breastfeeding Rates

Brimdyr, Kajsa; Champion, Jane Dimmitt; Gilder, Richard E.; Winslow, Elizabeth H.; Svennson, Kristin; Widström, Ann‐Marie; Cadwell, Karin

doi:10.1111/j.1552-6909.2012.01362_44.x

Cited by 8 publications

(59 citation statements)

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“…Additionally, the authors had the opportunity to improve skin‐to‐skin care after birth, both in vaginal and caesarean delivery at 10 hospitals in Egypt and the United States according to a 5‐day video‐ethnographic intervention. This methodology has five features: (i) a lecture educating staff (obstetricians, paediatricians, midwives, nurses and other staff at the delivery – and neonatal wards) about the theory behind the procedure of skin‐to‐skin care; (ii) practical application of the skin‐to‐skin procedure, with the American and Swedish team and staff working at the delivery ward together, to continue the educational process; (iii) videotaping the evolving process as the hospital staff work to implement the new procedures; (iv) conducting an interaction analysis workshop to review videotapes and discuss barriers and solutions; and (v) administering the continuing application of the procedure .…”

Section: Methodsmentioning

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: Methodsmentioning

confidence: 99%

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

Brimdyr²,

et al. 2019

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“…Finigan & Davies () and Crenshaw et al . () achieved the highest possible CASP scores (Table ). A couple of the CASP questions for randomised controlled trials are ‘Were the patients, health workers and study personnel “blind” to treatment?’ and ‘Can the results be applied to the local population?’ (Critical Appraisal Skills Programme International Network 2013b).…”

Section: Quality Assessmentmentioning

confidence: 99%

“…; Crenshaw et al . ). These behaviours include the birth cry, relaxation, awakening, activity, crawling, resting, familiarisation, suckling and sleeping (Widstrom et al .…”

Section: Introductionmentioning

confidence: 97%

Immediate or early skin‐to‐skin contact after a Caesarean section: a review of the literature

Stevens

Schmied

Burns

et al. 2014

Maternal & Child Nutrition

191

147

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The World Health Organization and the United Nations International Children's Emergency Fund recommends that mothers and newborns have skin-to-skin contact immediately after a vaginal birth, and as soon as the mother is alert and responsive after a Caesarean section. Skin-to-skin contact can be defined as placing a naked infant onto the bare chest of the mother. Caesarean birth is known to reduce initiation of breastfeeding, increase the length of time before the first breastfeed, reduce the incidence of exclusive breastfeeding, significantly delay the onset of lactation and increase the likelihood of supplementation. The aim of this review is to evaluate evidence on the facilitation of immediate (within minutes) or early (within 1 h) skin-to-skin contact following Caesarean section for healthy mothers and their healthy term newborns, and identify facilitators, barriers and associated maternal and newborn outcomes. A range of electronic databases were searched for papers reporting research findings published in English between January 2003 and October 2013. Seven papers met the criteria. This review has provided some evidence that with appropriate collaboration skin-to-skin contact during Caesarean surgery can be implemented. Further evidence was provided, albeit limited, that immediate or early skin-to-skin contact after a Caesarean section may increase breastfeeding initiation, decrease time to the first breastfeed, reduce formula supplementation in hospital, increase bonding and maternal satisfaction, maintain the temperature of newborns and reduce newborn stress.

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“…Babies cry less (Christensson, Cabrera, Christensson, Uvnäs‐Moberg, & Winberg, ; Mazurek et al, ) and have improved the cardiopulmonary dynamics during the early hours after birth (Takahashi et al, ). SSC has been shown to increase breastfeeding initiation and exclusive breastfeeding, reduce formula supplementation in hospital, lead to an earlier successful first breastfeed (Bramson et al, ; Crenshaw et al, ; Mahmood, Jamal, & Khan, ; Marín Gabriel et al, ; Mikiel‐Kostyra, Mazur, & Bołtruszko, ; Srivastava, Gupta, Bhatnagar, & Dutta, ), and promote more optimal suckling (Righard & Alade, ). For the mother, early SSC leads to earlier expulsion of the placenta (Marín Gabriel et al, ), reduced bleeding (Dordević, Jovanović, & Dordević, ), lowered maternal stress levels (Handlin et al, ), and enhanced breastfeeding self‐efficacy (Aghdas, Talat, & Sepideh, ).…”

Section: Introductionmentioning

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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Use of a Video-Ethnographic Intervention, PRECESS Immersion Method, to Improve Skin-to-Skin Care and Breastfeeding Rates

Cited by 8 publications

References 0 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

Immediate or early skin‐to‐skin contact after a Caesarean section: a review of the literature

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

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