Presented By: Connie Chrisman, Lindy Hilding,

Venus Johnston, & Tammie McDaniel

SKIN TO SKIN

Research Question’s•What is skin to skin?

•What are the benefits for the mother/baby dyad?

•How does skin to skin benefit breastfed babies?

What is skin to skin• within one hour of birth

• Dried

• Diapered & capped

• prone between mothers breasts

•Warm Blanket

• First feeding

Benefits of Skin to Skin

• a healthy transition

• Promotes breastfeeding

• Bonding & comfort

Risks during Cesarean Deliveries• Practical & medical safety • Belief that infants may suffer mild hypothermia

• Risk’s for hypothermia

• Operating room temperatures• Mothers themselves• Anesthesia• Distribution of body heat

Skin to skin contact after cesarean delivery

• Background

• purpose

• Method

• Hypothesis

• Interventions

• variables

RESULTS

• BOTH GROUPS COMPARABLE• No post surgical complications• No Morphine • TEMPERATURES• 30 MINUTES• 120 MINUTES • FATHERS• MOTHERS • ATTACHMENT & breastfeeding• Average time• Suckling & First Feeding•Discharge & 3 Months

conclusion• Satisfaction

• Feasibility

• EASILY ADOPTED

• DURATION OF Skin to skin

• Result participants

Kangaroo care at birth for full term infants

• Purpose

• Methods

• Results

• Extra Benefit findings

Conclusion• Results

• Pilot study

• Ease of use

• Satisfaction

Adverse Physiological Effects of Crying in Neonates

• Elevated heart rates

• Elevated blood pressure

• Shunting of unoxygenated blood

• Arteriovenous spasms in brain

• Cerebral blood flow changes

• Cortical activation in both hemispheres of brain

Kangaroo care Reduces Crying Response to Pain in Preterm Neonates

Background

purpose

Method

Hypothesis

Interventions

variables

Results• Both Groups Studied

• Heel sticks conducted by consistent neonatal phlebotomist

• Standard procedure from National Association of Neonatal Nursing

• Infant remained in same position

• Minimal inaudible crying time noted in each phase

• Crying Times• Infants in Kangaroo Care

had less crying time during heel sticks and recovery phasethan infants in incubators.

Conclusion

• Feasibility

• EASILY ADOPTED

•DURATION OF Skin to skin

• Result participants

Effect of early skin to skin mother infant contact during the first three hours following birth on exclusive breastfeeding

during the maternity hospital

• Background

• Purpose

• Method• Contractual Participation• Three Implementations

a. Breastfeeding management classb. Practice 24 hour rooming-inc. Early skin to skin

Early Skin to Skin Continued…

• Hypothesis

• Independent Variable

• Variables

• Outcome Variables

• Feasibility

Conclusion and…• Conclusion• Positive or negative

• Study critique• Majority Hispanic• Focused sided training

Current practices in area hospitals• Spectrum health united hospital

• Sheridan community hospital

• St. Mary's hospital

• Carson city hospital

analysis

• Comparing the articles

• Pilot studies

• Experimental study

• Cohort study

• Bringing it together

recommendation• Non-invasive

• Physician order not required

• Beneficial for baby & parents

• Positive outcomes

• Satisfied patients

• Continued practice

Time for questions

ReferencesBramson, L., Lee, J.W., Moore, E., Montgomery, S., Neish, C., Bahjri, K., & Melcher, C. L. (2009). Effect of early skin-to- skin mother-infant contact during the first three hours following birth

on exclusive breastfeeding during the maternity hospital stay. Journal of Human Lactation. doi:

10.1177/0890334409355779

CNN. (2012, September 14). Hospitals Use Skin to Skin Contact to Help Mom and Baby [Video file]. Retrieved from

http://www.youtube.com/watch?v=DfYdsCLXVWs&feature=youtu.be

Gouchon, S., Dario, G., Picotto, A., Patrucco, G., Nangeroni, M., & Di Giulio, P. (2010). Skin-to-skin contact after

cesarean delivery. Nursing Research, 59(2), 78-84.

References Continued Healthy Children CFB. (2010, December 14). Magical Hour Preview

[Video File]. Retrieved from http://www.youtube.com/watch?v=pfNUkcxJyhI

Kostandy, R. R., Ludington-Hoe, S. M., Cong, X., Abouelfettoh, A., Bronson, C., Stankus, A., & Jarrell, J. R. (2008). Kangaroo care (skin contact) reduces crying response to pain in preterm neonates: pilot results. Pain Management Nursing, 9(2), 55-65.

Walters, M. W., Boggs, K. M., Ludington-Hoe, S., Price, K. M., & Morrison, B. (2007). Kangaroo care at birth for full term infants. The American Journal of Maternal/Child Nursing, 32(6), 375-381.