Exploring outcomes for women and neonates having skin-to-skin contact during caesarean birth: A quasi-experimental design and qualitative study |
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| Institution: | 1. Nepean Blue Mountains Local Health District, Nepean Hospital, NSW 2745, Australia;2. School of Nursing and Midwifery, Western Sydney University, Centre for Nursing and Midwifery Research. Nepean Hospital, NSW 2745, Australia;1. School of Nursing Midwifery and Social Work, University of Queensland, Level 3 Chamberlain Building, St Lucia, Queensland, Australia;2. Central Coast Local Health District, Holden Street, Gosford, NSW 2250, Australia;3. North Sydney Local Health District, Coronation Street, Mona Vale, NSW 1660, Australia;4. School of Health Sciences, University of Skovde, Box 408, SE541 28, Sweden;5. Molly Wardaguga Research Centre, College of Nursing & Midwifery, Charles Darwin University, Level 11, East Building, 410 Ann St, Brisbane, Queensland, 4000, Australia;1. University College South Denmark, Degnevej 16, 6705 Esbjerg Ø, Denmark;2. University of Southern Denmark, Department of Clinical Research, Winsløwparken 19, 5000 Odense, Denmark;3. Aarhus University Hospital, Unit for Perinatal Loss, Palle Juul-Jensens Blvd. 99, DK- 8200 Aarhus N, Denmark;4. University of Southern Denmark, Department of Public Health, J.B. Winsløwsvej 9B, 5000 Odense, Denmark;1. Central Clinical School, Faculty of Medicine and Health, and Charles Perkins Centre, University of Sydney, Australia;2. Department of Women’s Health, Neonatology and Paediatrics, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;3. Child Population and Translational Health Research, The Children’s Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Australia;4. Department of Endocrinology, Royal Prince Alfred Hospital, Sydney Local Health District, Australia;1. Hurlstone Park, 2193, NSW, Australia;2. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia;1. Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Institution of Clinical Sciences Lund, Lund University, Lund, Sweden;2. Department of Obstetrics & Gynaecology, Skåne University Hospital, Malmö, Sweden;3. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;4. Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynaecology, Gothenburg, Sweden;5. Department of Obstetrics and Gynaecology, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden;6. Institute for Maternal and Child Health - IRCCS “Burlo Garofolo” - WHO Collaborating Centre for Maternal and Child Health, Trieste, Italy |
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| Abstract: | ProblemWomen having an elective caesarean birth are often separated from their babies at birth with newborns transferred to a postnatal ward with the significant other.BackgroundTwo midwives were employed in 2019 to provide skin-to-skin contact for women who planned for elective caesarean births in a public hospital in metropolitan New South Wales with 4000 births per year and a 39% CB rate (57.8% of these births being elective).AimTo compare the outcomes for women and their newborns on the effects of skin-to-skin contact at elective caesarean births within the first five minutes of birth to those who did not have skin-to-skin contact and to explore the lived experiences of women having skin-to-skin contact during their elective caesarean births.MethodsA quasi-experimental design study with a qualitative component of in-depth interviews. Quantitative analyses included independent t-tests, chi square and logistic regression. Thematic analysis was used for the qualitative data.FindingsIn the quantitative results, there was a reduction in the time to the first feed (t(100) = ?11.32, p < 0.001) (M = 38.9, SE = 20.7) (M = 124.9, SE = 50.1) and the first breastfeed (t(100) = ?5.2, p < 0.001) (M = 53.2, SE = 82.5) (M = 277, SE = 295.8) with increased breastfeeding on discharge for women that had skin-to-skin contact at caesarean birth in comparison to those who did not receive skin-to-skin contact χ2(1) = 10.22, p < 0.05. In the qualitative results, women who had skin-to-skin contact during their caesarean birth had a positive experience with improved bonding and reported less anxiety and depression than their previous caesarean birth.ConclusionThis study provides evidence of the benefits of skin-to-skin contact during a caesarean birth. |
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| Keywords: | Caesarean birth Skin-to-Skin contact Skin-to-skin care Newborn Breastfeeding Bonding Hypoglycaemia Women |
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