Skin to Skin Presented By: Connie Chrisman, Lindy Hilding, Venus Johnston, & Tammie McDaniel
Research Question’s • What is skin to skin? • What are the benefits for the mother/baby dyad? • How does skin to skin benefit breastfed babies?
What is skin to skin • within one hour of birth • Dried • Diapered & capped • prone between mothers breasts • Warm Blanket • First feeding
Benefits of Skin to Skin • a healthy transition • Promotes breastfeeding • Bonding & comfort
Risks during Cesarean Deliveries • Practical & medical safety • Belief that infants may suffer mild hypothermia • Risk’s for hypothermia • Operating room temperatures • Mothers themselves • Anesthesia • Distribution of body heat
Skin to skin contact after cesarean delivery • Background • purpose • Method • Hypothesis • Interventions • variables
RESULTS • BOTHGROUPS COMPARABLE • No post surgical complications • No Morphine • TEMPERATURES • 30 MINUTES • 120 MINUTES • FATHERS • MOTHERS • ATTACHMENT & breastfeeding • Average time • Suckling & First Feeding • Discharge & 3 Months
conclusion • Satisfaction • Feasibility • EASILY ADOPTED • DURATION OF Skin to skin • Result participants
Kangaroo care at birth for full term infants • Purpose • Methods • Results • Extra Benefit findings
Conclusion • Results • Pilot study • Ease of use • Satisfaction
Adverse Physiological Effects of Crying in Neonates • Elevated heart rates • Elevated blood pressure • Shunting of unoxygenated blood • Arteriovenous spasms in brain • Cerebral blood flow changes • Cortical activation in both hemispheres of brain
Kangaroo care Reduces Crying Response to Pain in Preterm Neonates Background purpose Method Hypothesis Interventions variables
Results • Both Groups Studied • Heel sticks conducted by consistent neonatal phlebotomist • Standard procedure from National Association of Neonatal Nursing • Infant remained in same position • Minimal inaudible crying time noted in each phase • Crying Times • Infants in Kangaroo Care had less crying time during heel sticks and recovery phase • than infants in incubators.
Conclusion • Feasibility • EASILY ADOPTED • DURATION OF Skin to skin • Result participants
Effect of early skin to skin mother infant contact during the first three hours following birth on exclusive breastfeeding during the maternity hospital • Background • Purpose • Method • Contractual Participation • Three Implementations • Breastfeeding management class • Practice 24 hour rooming-in • Early skin to skin
Early Skin to Skin Continued… • Hypothesis • Independent Variable • Variables • Outcome Variables • Feasibility
Conclusion and… • Conclusion • Positive or negative • Study critique • Majority Hispanic • Focused sided training
Current practices in area hospitals • Spectrum health united hospital • Sheridan community hospital • St. Mary's hospital • Carson city hospital
analysis • Comparing the articles • Pilot studies • Experimental study • Cohort study • Bringing it together
recommendation • Non-invasive • Physician order not required • Beneficial for baby & parents • Positive outcomes • Satisfied patients • Continued practice
References Bramson, L., Lee, J.W., Moore, E., Montgomery, S., Neish, C., Bahjri, K., & Melcher, C. L. (2009). Effect of early skin-to- skin mother-infant contact during the first three hours following birth on exclusive breastfeeding during the maternity hospital stay. Journal of Human Lactation. doi: 10.1177/0890334409355779 CNN. (2012, September 14). Hospitals Use Skin to Skin Contact to Help Mom and Baby [Video file]. Retrieved from http://www.youtube.com/watch?v=DfYdsCLXVWs&featur e=youtu.be Gouchon, S., Dario, G., Picotto, A., Patrucco, G., Nangeroni, M., & Di Giulio, P. (2010). Skin-to-skin contact after cesarean delivery. Nursing Research, 59(2), 78-84.
References Continued Healthy Children CFB. (2010, December 14). Magical Hour Preview [Video File]. Retrieved from http://www.youtube.com/watch?v=pfNUkcxJyhI Kostandy, R. R., Ludington-Hoe, S. M., Cong, X., Abouelfettoh, A., Bronson, C., Stankus, A., & Jarrell, J. R. (2008). Kangaroo care (skin contact) reduces crying response to pain in preterm neonates: pilot results. Pain Management Nursing, 9(2), 55-65. Walters, M. W., Boggs, K. M., Ludington-Hoe, S., Price, K. M., & Morrison, B. (2007). Kangaroo care at birth for full term infants. The American Journal of Maternal/Child Nursing, 32(6), 375-381.