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Skin-to-skin contact after cesarean delivery: an experimental study.
Nurs Res. 2010 Mar-Apr; 59(2):78-84.NR

Abstract

BACKGROUND

The effectiveness of skin-to-skin contact (SSC) after vaginal delivery has been shown. After cesarean births, SSC is not done for practical and medical safety reasons because it is believed that infants may suffer mild hypothermia.

OBJECTIVE

The aim of this study was to compare mothers' and newborns' temperatures after cesarean delivery when SSC was practiced (naked baby except for a small diaper, covered with a blanket, prone on the mother's chest) with those when routine care was practiced (dressed, in the bassinet or in the mother's bed) in the 2 hours beginning when the mother returned from the operating room.

METHODS

An experimental, noninferiority adaptive trial was designed with four levels of analysis: 34 pairs of mothers and newborns, after elective cesarean delivery, were randomized to SSC (n = 17) or routine care (n = 17). Temporal artery temperature was taken with an infrared ray thermometer at half-hour intervals.

RESULTS

Compared with newborns who received routine care, SSC cesarean-delivered newborns were not at risk for hypothermia. The mean temperatures of both groups were almost identical: after 30 min, 36.1 degrees C for both groups (+/-0.4 degrees C for SSCs and +/-0.5 degrees C for the controls), and after 120 min, 36.2 degrees C +/- 0.3 degrees C for SSCs versus 36.4 degrees C +/- 0.7 degrees C for the controls (no significant differences). Time from delivery to the mothers' return to their room was 51 +/- 10 min. The SSC newborns attached to the breast earlier (nine SSC newborns and four controls after 30 min) were breast-fed (exclusively or prevalently) at discharge (13 SSCs and 11 controls) and at 3 months (11 SSCs and 8 controls), and the SSC mothers expressed high levels of satisfaction with the intervention.

DISCUSSION

Cesarean-delivered newborns who experienced SSC within 1 hour of delivery are not at risk for hypothermia.

Authors+Show Affiliations

Research and Education Unit, Ospedali Riuniti, Pinerolo, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20179657

Citation

Gouchon, Silvia, et al. "Skin-to-skin Contact After Cesarean Delivery: an Experimental Study." Nursing Research, vol. 59, no. 2, 2010, pp. 78-84.
Gouchon S, Gregori D, Picotto A, et al. Skin-to-skin contact after cesarean delivery: an experimental study. Nurs Res. 2010;59(2):78-84.
Gouchon, S., Gregori, D., Picotto, A., Patrucco, G., Nangeroni, M., & Di Giulio, P. (2010). Skin-to-skin contact after cesarean delivery: an experimental study. Nursing Research, 59(2), 78-84. https://doi.org/10.1097/NNR.0b013e3181d1a8bc
Gouchon S, et al. Skin-to-skin Contact After Cesarean Delivery: an Experimental Study. Nurs Res. 2010 Mar-Apr;59(2):78-84. PubMed PMID: 20179657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Skin-to-skin contact after cesarean delivery: an experimental study. AU - Gouchon,Silvia, AU - Gregori,Dario, AU - Picotto,Amabile, AU - Patrucco,Giovanna, AU - Nangeroni,Marco, AU - Di Giulio,Paola, PY - 2010/2/25/entrez PY - 2010/2/25/pubmed PY - 2010/4/2/medline SP - 78 EP - 84 JF - Nursing research JO - Nurs Res VL - 59 IS - 2 N2 - BACKGROUND: The effectiveness of skin-to-skin contact (SSC) after vaginal delivery has been shown. After cesarean births, SSC is not done for practical and medical safety reasons because it is believed that infants may suffer mild hypothermia. OBJECTIVE: The aim of this study was to compare mothers' and newborns' temperatures after cesarean delivery when SSC was practiced (naked baby except for a small diaper, covered with a blanket, prone on the mother's chest) with those when routine care was practiced (dressed, in the bassinet or in the mother's bed) in the 2 hours beginning when the mother returned from the operating room. METHODS: An experimental, noninferiority adaptive trial was designed with four levels of analysis: 34 pairs of mothers and newborns, after elective cesarean delivery, were randomized to SSC (n = 17) or routine care (n = 17). Temporal artery temperature was taken with an infrared ray thermometer at half-hour intervals. RESULTS: Compared with newborns who received routine care, SSC cesarean-delivered newborns were not at risk for hypothermia. The mean temperatures of both groups were almost identical: after 30 min, 36.1 degrees C for both groups (+/-0.4 degrees C for SSCs and +/-0.5 degrees C for the controls), and after 120 min, 36.2 degrees C +/- 0.3 degrees C for SSCs versus 36.4 degrees C +/- 0.7 degrees C for the controls (no significant differences). Time from delivery to the mothers' return to their room was 51 +/- 10 min. The SSC newborns attached to the breast earlier (nine SSC newborns and four controls after 30 min) were breast-fed (exclusively or prevalently) at discharge (13 SSCs and 11 controls) and at 3 months (11 SSCs and 8 controls), and the SSC mothers expressed high levels of satisfaction with the intervention. DISCUSSION: Cesarean-delivered newborns who experienced SSC within 1 hour of delivery are not at risk for hypothermia. SN - 1538-9847 UR - https://www.unboundmedicine.com/medline/citation/20179657/Skin_to_skin_contact_after_cesarean_delivery:_an_experimental_study_ L2 - https://doi.org/10.1097/NNR.0b013e3181d1a8bc DB - PRIME DP - Unbound Medicine ER -