Effect of Immediate Postnatal Skin to Skin Contact between Mother Newborn on Time of Placental Delivery and Initiation of Breastfeeding | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 18, Issue 2, December 2016, Page 93-106 PDF (529.57 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2016.208675 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Reda Nabil Aboushay* 1; Khadiga Abd Elgied Gomaa2 | ||||
| 1Maternal and Newborn Nursing, Faculty of Nursing, Cairo University | ||||
| 2Pediatric Nursing, Faculty of Nursing, Port Said University | ||||
| Abstract | ||||
| Skin-to-Skin Contact (SSC) has a significant positive effect on exclusive breastfeeding and time of placental delivery. It is a cost-effective method to improve the quality of postnatal care, and is one of the basic steps in achieving Millennium Development Goals 4 and 5 of lowering the mortality of the child and improvement of maternal well-being. Objective: Evaluate the effect of immediate postnatal mothers and newborns skin to skin contact on time of placental delivery and initiation of breast feeding. Setting: This study was conducted at the delivery room in maternity department at Shaqra General Hospital, Shaqra, Kingdom of Saudi Arabia. Subjects: A purposive sample of 100 laboring women was divided into study and control groups (50 for each). Tools: Four tools were used: 1) Laboring Women Structured Interview schedule, 2) Assessment of Labor and Immediate Postnatal, 3) Infant Breastfeeding Assessment (IBFAT) and 4) Neonatal Assessment. Results: There was a significant difference between study and control groups regarding (complete placental separation, uterine contraction immediately after birth, uterus position between umbilical and pubic bone, and uterine atony). The first breastfeed was 58% more successful in SSC group as compared to routine hospital care group (RHC) (88% SSC & 30% with a p-value of 0.001). In SSC group, the mean time to initiate first breastfeeding was 70.8 minutes shorter than RHC group (37.96 ± 14.80 vs. 108.82± 31.50 minutes; p < 0.001). Mean time to achieve effective breastfeeding was 275.08 minutes earlier in SSC group (121.92 ±39.97 vs. 397± 105.54 minutes; p < 0.001). Similarly, 82% mothers of SSC group showed a preference for similar care in future as compared to 32% in RHC group. Conclusion: SSC was associated with shortage in the time of placental delivery as well as, decrease in time between birth and breastfeeding initiation, more success in the first breastfeeding and longer duration of first breastfeeding. Recommendations: Nurses should encourage mothers to practice skin-to-skin contact immediately after birth. Continuous educational and training program concerning benefits and practice of SSC among health personnel is necessary. | ||||
| Keywords | ||||
| Skin to Skin Contact (SSC); Initiation of breastfeeding; Time of placental delivery | ||||
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