World Health Organization recommends that all healthy mothers and babies, regardless of feeding preference and method of birth, have uninterrupted skin-to-skin care beginning immediately after birth for at least an hour, and until after the first feeding, for breastfeeding women. It provides both the mother and the newborn with many short-term and long-term benefits. (See Figure 1) This practice should be the standard in healthcare due to its many benefits. To implement this evidence-based practice, health professionals and patients involved in the perinatal period should be trained in the practice of skin-to-skin contact in immediate postpartum.
Mothers and babies have a physiological need to be together at the moment of birth and during the
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Educational lectures should be mandatory, and offered several times, on different shifts, to reach all nurses of a maternity unit. Web-based communications could also be used to reduce the barriers to participation and optimize this care in clinical practice. (Crenshaw, 2014)
An educational tool on early skin-to-skin contact should be provided to families to promote patient education. The education on skin-to-skin contact should begin during pregnancy because it encourages mothers to perform early skin-to-skin contact and should be continued after birth and during the hospitalization period (Bigelow et al., 2014).
Conclusion
Evidence has shown what mothers and newborns need after birth, each other. There are many opportunities for skin-to-skin care and breastfeeding. Nurses and healthcare professionals must support the physiological need that mothers and newborns have for each other after the birthing process. It is crucial that the nurses recognize the short- and longterm health benefits for the mothers and newborns that result from skin-to-skin care. Therefore, as healthcare professionals it is important to educate the patients and prevent separation of a mother and her newborn as a healthy birth
closeness with her newborn” (United Sates 3). With all of these proven health benefits, there is
There will be a task force to put the new practice into place. The leaders of the task force will be the surgical director and the nursery director. The directors will plan the task force meetings. They will act as resources for the rest of the team. The directors will recruit nurse leaders to participate in facilitating the change to skin to skin. The directors will make sure the staff gets the appropriate training for the skin to skin conversion. There will be at least two registered nurses from the Labor and Delivery unit attending the task force. These nurses will already have experience with infants being skin to skin immediately after delivery. The nurses can help train the operating room staff and perform check-offs of staff for the conversion. The directors will consult with the employee educator for appropriate competency training. An anesthesiologist will also attend the task force meetings. The
With a cesarean, mothers and babies are less likely to have skin-to-skin contact immediately after birth. Skin to skin contacts have several
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the
Skin to skin contact in the delivery room and breastfeeding are best for mothers and infant. Skin to skin contact helps mothers become confident with their infants, decreases the mother’s anxiety toward motherhood, helps produce more breast milk, and helps them become aware of their infant’s cues, not to mention an incredible lifelong bonding experience. As for the infant’s benefits of skin to skin contact, it helps with temperature regulation, stabilization of the heart rate, control of the infant’s blood sugar, and helps with weight gain. When initiating immediate skin to skin contact, infants should be placed on their mother’s chest for instinctive skills. The infant begins to smell their mother’s breast and look at their mother, which
Parents of premature infants are also provided the opportunity to participate in Kangaroo Care – a form of skin-to-skin contact that encourages bonding, interaction and cuddling between parents and small babies. In addition to the emotional and psychological benefits of Kangaroo Care, this technique encourages breastfeeding, helps baby to sleep better and contributes to being released from hospital earlier. At Sharp Mary Birch’s hospital the NICU has a multidisciplinary team which consists of lactation specialists, neonatal nurse practitioners, nurses, nutritionists, occupational and physical therapists, physicians, respiratory care practitioners and social workers. Whether a baby was born prematurely is with other complications, this specialty care unit is a place where babies can grow, heal, and receive the highest quality medical care and attention. The Maternal Infant Services (MIS) Unit at Sharp Mary Birch provides care for women after their delivery of their babies. They monitor the mothers and babies physical recoveries and provide education and practice in caring for the new baby. Sharp Mary Birch has some of the best combination of technology, medical services and the healing arts programs for their patients, which also include cord blood banking. Sharp HealthCare has partnered
This hospital-based, prospective cohort study investigates how mother-infant-skin-to-skin contact after 3 hours of singleton births may result in exclusive breastfeeding success during the mother and baby’s hospital stay compared to those mother-infants who do not receive skin-to-skin contact three hours after birth. The title is appropriate and accurately portrays the study’s purpose and content. However, the title is quite lengthy. The reader can easily recognize from the title that the article investigates how early skin-to-skin mother-infant contact influences exclusive breastfeeding success during the mother and infant’s hospital stay. The key terms “exclusive breastfeeding”, “early skin-to-skin contact”, and “intrapartum variables” allows readers to easily access this article and similar articles in a library data base.
The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and
The latest research of skin-to-skin care is that when it is used there should be modified visiting policies and cluster care to allow more uninterrupted time for the parents and the newborn. More of the research has shown that door hangers should be provided to mothers when they do not want to be disturbed. Also, a garment should be given to mothers and fathers to facilitate skin-to-skin care. One last part of the newest research is to institute an afternoon naptime for mothers to decrease fatigue and safety concerns (Ferrarello & Hatfield, 2014). In the end, Evidence Based Practice will improve patient outcomes and help healthcare professionals make the best decisions when it comes to their
A UAA nursing student conducted an assessment of the educational needs and desires of the Labor and Delivery Unit (L&D) at Providence Alaska Medical Center in Anchorage, Alaska. The nursing staff there is currently involved in promoting Skin-To-Skin contact among mothers and babies following birth, but expressed further interest in the topic. One nurse on the unit gave the following perspective: “We know skin-to-skin contact is important, but what are ways we can work on implementing it more? What does the research say about kangaroo care? I feel that we all would love to learn more about it since we facilitate it often.” (personal interview, March 11th, 2018). Therefore, the nursing student took the assessment findings collected and conducted
Mothers and newborns have a physiologic need to be together during the first moment of birth. Interrupted skin-to-skin attachment between mothers and babies can be harmful and can negatively impact short and long term health outcomes and breastfeeding success. Evidence supports instant skin-to-skin care after the birth, vaginally and C-section, during and after cesarean surgery for all stable mothers and newborns will enhance limitless opportunities for care and breastfeeding. Skin-to-skin contact after delivery is golden opportunity. Many studies validate that mothers and babies should be skin-to-skin promptly after birth. Not only promotes healthier baby and successful breastfeeding outcome, it is also
Spending a few days with the newborn, doesn’t give adequate time for the mother to structure any type of connection with the child. The first months of the baby’s life are essential for its progress. In the later years when it’s time for the mother to come home, she and the child are strangers. Not having developed that bond at an early age causes the child to be unfamiliar with its own mother, which leads to long term sentimental and conduct issues.
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
There is about a six week to six month period right after a child is born where forming a bond with your child is quite significant. This period of time will help the child with setting a certain healthy routine, getting the house set for the child, and adjusting to the new life in the household. The value of having both parents by the child’s side can make a difference in how the child is raised or even how the child may perceive their own life. There has been occurrences where people feel worthless without one parent in their life. The bond that you create with your family in those six weeks or so is important to uphold and will make for stronger families. Those children that have been
By responding with care and comfort, this enables for an “attachment bond” to form between the infant and caregiver, most commonly the mother (White et al., 2013). Following on from Bowlby’s theory, Mary Ainsworth investigated the theory of attachment through observing the reactions of infants when their mothers left them alone with strangers. The investigation was named as the “Ainsworth’s strange situation assessment” (White et al., 2013). It was discovered through this investigation that infants who had secure attachments with their mothers were upset when separated and were easily soothed when the mother returns. This investigation implies that infants with secure attachment to their mothers show signs of normal social development.