Impact of skin-to-skin contact on maternal comfort in patients with elective caesarean section: A pilot study

Journal of Gynecology Obstetrics and Human Reproduction
Clémence VamourThameur Rakza

Abstract

Caesarean section is a well-known cause of difficulties in breastfeeding initiation. Mother-infant skin-to-skin contact allows to improve breastfeeding and maternal comfort but remains few practiced during caesarean section. Our objective was to evaluate maternal comfort before and after immediate skin-to-skin contact in case of elective caesarean section. This was a prospective, observational, monocenter study including patients with elective caesarean section. Mother-infant skin-to-skin contact was begun immediately after birth. The Analgesia Nociception Index (ANI) is a well know heart rate variability (HRV) index, currently used in anesthesia, which decreases during painful stimulation and increases with maternal comfort. The Analgesia Nociception Index was compared before and after skin-to-skin contact. 53 patients were included. Skin-to-skin contact was started on average 4min (2-14, IIQ (3-5)) after birth. The median duration was 21min (4-40, IIQ (12.3-29.5)). It was interrupted in 24 patients: 9 from mother's wish, 11 for maternal reasons (drowsiness, stress, pain, maternal hypothermia, lipothymia, vertigo, nausea, cough) and 4 for the newborn (respiratory distress, low pH). The median Analgesia Nociception Index at the...Continue Reading

References

Mar 6, 2007·Journal of Midwifery & Women's Health·Elizabeth R Moore, Gene Cranston Anderson
Jul 21, 2009·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Anne Nolan, Carol Lawrence
Jan 30, 2010·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Leslie BramsonCarolyn Lopez Melcher
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Nov 13, 2013·Women and Birth : Journal of the Australian College of Midwives·Karimi AghdasBagheri Sepideh
Apr 12, 2014·Maternal & Child Nutrition·Jeni StevensHannah Dahlen

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Citations

Oct 24, 2020·MCN. the American Journal of Maternal Child Nursing·Anitra FrederickLicia Clowtis

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