Effect of early maternal newborn skin to skin contact in labour room on third stage of labour and success at breastfeeding

Authors

  • Purvi M. Parikh Department of Obstetrics and Gynecology, Smt NHL MMC, Ahmedabad, Gujarat, India
  • Saumya P. Agrawal Department of Obstetrics and Gynecology, Smt NHL MMC, Ahmedabad, Gujarat, India
  • Rupa C. Vyas Department of Obstetrics and Gynecology, Smt NHL MMC, Ahmedabad, Gujarat, India
  • Sapana R. Shah Department of Obstetrics and Gynecology, Smt NHL MMC, Ahmedabad, Gujarat, India
  • Khushi P. Joshi Department of Obstetrics and Gynecology, Smt NHL MMC, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20184957

Keywords:

Breastfeeding, Skin to skin contact, Third stage of labour

Abstract

Background: Immediate postpartum period and birth pose many challenges for the mother and the new-born. Initiation of early skin to skin contact in the labour room can be beneficial to both of them.

Methods: Randomized control trial conducted over a period of 7 months in a tertiary care centre enrolling 400 laboring women.200 in the control group were given routine care. In the 200women in the study group, the newborn was given immediate skin to skin contact by placing him/her on the mother’s chest.

Results: Duration of third stage of labour was less than 10 minutes in 95%women of study group compared to 56% women in the control group(p<0.01). Placenta was expulsed as a whole in 98% cases in the study group compared to 81% in the control group. Successful breastfeeding was observed in 88% women in study group compared to 54%in the control group(p<0.01). Breastfeeding was initiated within 30 minutes of birth in 96%women in the study group compared to 41% in the control group.

Conclusions: Uterus could contract faster with the complete expulsion of placenta and shortening of the third stage of labour with early skin to skin contact. The newborn showed early initiation, success at breastfeeding and longer first breastfeeding with early skin to skin contact.

References

Venancio S, Almeida H. Kangaroo Mother Care: scientific evidences and impact on breastfeeding. Journal de Pediatrica. 2004;80(5):S173-8.

Phillips R. The Sacred Hour: Uninterrupted Skin-to-Skin Contact Immediately After Birth. Newborn and Infant Nurs Rev. 2013;13(2):67-72.

Kiss A, Mikkelsen J. Oxytocin – anatomy and functional assignments: A mini review. Endocr Regul. 2005;39(3):97-105.

Matthews MK. Developing an instrument to assess infant breastfeeding behavior in the early neonatal period. Midwife. 1988;4(4):154-65

Essa RM, Ismail NI. Effect of early maternal/newborn skin-to-skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. J Nurs Edu Prac. 2015;5(4):98.

Srivastava S, Gupta A, Bhatnagar A, Dutta S. Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian J Pub Health. 2014;58(1):22.

Mejbel M, Ali R. Effectiveness of Skin- to Skin Contact on duration of third stage of labour in Baghdad Teaching Hospital: Comparative Study. Kufa J Nurs Sci. 2012;2(3):1-13.

Joshi S. The effect of birth kangaroo care on maternal and neonatal outcome: A randomized, controlled trial. Sinhgad e J Nurs. 2012; 2(2):13- 7.

Marín Gabriel MA, Llana Martín I, López Escobar A, Fernández Villalba E, Romero Blanco I, Touza Pol P. Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn. Acta Pædiatrica. 2010; 99(11): 1630-4.

Dordevic G, Jovanovic B, Dordevic M. An early contact with the baby - benefit for the mother. Medicina Preglio. 2008;61(11-12):576-9.

Redshaw M, Hennegan J, Kruske S. Holding the baby: Early mother–infant contact after childbirth and outcomes. Midwifery. 2014; 30(5):e177-87.

American College of Nurse-Midwives. Promoting Skin-to-Skin Contact. J Midwife Women’s Health. 2013;58(3):359-60.

Svensson KE, Velandia MI, Matthiesen AS, Welles-Nyström BL, Widström AM. Effects of mother infant skin-to-skin contact on severe latch-on problems in older infants: a randomized trial. Int Breastfeed J. 2013; 8(1): 1-13.

Mahmood I, Jamal M, Khan N. Effect of mother-infant early skin-to-skin contact on breastfeeding status: a randomized controlled trial. Journal of the College Physician Surg-Pakistan: JCPSP. 2011;21(10):601-5.

Khadivzadeh T, Karimi A. The effects of post-birth mother-infant skin to skin contact on first breastfeeding. IJNMR. 2009;14(3):111-116.

Moore E, Anderson G. Randomized controlled trial of very early mother-infant skin-to-skin contact and breastfeeding status. J Midwifery Women’s Health. 2007;52(2):116-25.

Carfoot S, Williamson P, Dickson R. A randomized controlled trial in the north of England examining the effects of skin-to-skin care on breast feeding. Midwifery. 2005;21(1):71-9.

Downloads

Published

2018-11-26

Issue

Section

Original Research Articles