Effect of Immediate Maternal-Neonatal Skin-to-Skin Contact on the Outcomes of the Third Stage of Labor | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 1, March 2025, Pages 159-170 PDF (287.32 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2025.414967 | ||
| Authors | ||
| Amal Ahmed Mohamed , Saeed1; Amany Ahmed Gamal El-Din , Mahmoud2; Yasser Saad El-Kassar3; Sahar Mansour Lamadah4 | ||
| 1Assistant Lecturer Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University | ||
| 2Professor Emeritus Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University | ||
| 3Professor Obstetric and Gynecologic Medicine, Faculty of Medicine, Alexandria University | ||
| 4Professor Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Background: Third stage of labor is the shortest yet the most treacherous, as it may be compounded by the risk of postpartum hemorrhage (PPH). Managing such perilous stage effectively is an imperative to accomplish a safe outcome for the parturients. Immediate skin-to-skin contact (SSC) upon birth could be a protective strategy to mitigate the frequency and severity of PPH during labor, thus securing a safe positive childbirth experience for the mothers. Objective: To assess the effect of immediate maternal-neonatal SSC on the outcomes of the third stage of labor. Settings: This study was implemented at the labor and delivery unit of El-Shatby Hospital for Obstetrics and Gynecology, affiliated to Alexandria University, Egypt. Subjects: A convenient sample of sixty parturients was enrolled from the formerly identified setting and equally allocated into a study (30) and a control (30) group. Tools: Three tools were utilized. Tool-I: Basic data structured interview schedule. Tool-II: Third-stage of labor structured assessment sheet. Tool-III: Quantification of maternal blood loss during the third-stage of labor. Results: Statistically significant differences were revealed between both groups in relation to the outcomes of the third stage of labor. In which a shorter mean duration of the third stage of labor (6.62 ± 2.96 minutes) and less mean amount of blood loss (301.03 ± 51.17 ml) was found among the study group parturients than among the control group parturients (11.58 ± 2.13 minutes and 389.77 ± 84.25 ml, respectively). Also, higher percentages of the study group parturients demonstrated a firm contracted uterus located around the level of umbilicus following the delivery of a complete intact placenta and membranes, with less need for additional therapeutic measures relative to the control group ones. Conclusion: Immediate maternal-neonatal SSC produced positive effects on the outcomes of the third stage of labor. Recommendations: Training programs for maternity nurses would encourage them to adopt the practice of maternal-neonatal SSC. | ||
| Keywords | ||
| labor; third stage; skin-to-skin contact; outcomes | ||
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