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Skin to Skin

Skin to Skin. Presented By: Connie Chrisman, Lindy Hilding , Venus Johnston, & Tammie McDaniel. 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

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Skin to Skin

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  1. Skin to Skin Presented By: Connie Chrisman, Lindy Hilding, Venus Johnston, & Tammie McDaniel

  2. 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?

  3. What is skin to skin • within one hour of birth • Dried • Diapered & capped • prone between mothers breasts • Warm Blanket • First feeding

  4. Benefits of Skin to Skin • a healthy transition • Promotes breastfeeding • Bonding & comfort

  5. 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

  6. Skin to skin contact after cesarean delivery • Background • purpose • Method • Hypothesis • Interventions • variables

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

  8. conclusion • Satisfaction • Feasibility • EASILY ADOPTED • DURATION OF Skin to skin • Result participants

  9. Kangaroo care at birth for full term infants • Purpose • Methods • Results • Extra Benefit findings

  10. Conclusion • Results • Pilot study • Ease of use • Satisfaction

  11. 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

  12. Kangaroo care Reduces Crying Response to Pain in Preterm Neonates Background purpose Method Hypothesis Interventions variables

  13. 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 phase • than infants in incubators.

  14. Conclusion • Feasibility • EASILY ADOPTED • DURATION OF Skin to skin • Result participants

  15. 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 • Breastfeeding management class • Practice 24 hour rooming-in • Early skin to skin

  16. Early Skin to Skin Continued… • Hypothesis • Independent Variable • Variables • Outcome Variables • Feasibility

  17. Conclusion and… • Conclusion • Positive or negative • Study critique • Majority Hispanic • Focused sided training

  18. Current practices in area hospitals • Spectrum health united hospital • Sheridan community hospital • St. Mary's hospital • Carson city hospital

  19. analysis • Comparing the articles • Pilot studies • Experimental study • Cohort study • Bringing it together

  20. recommendation • Non-invasive • Physician order not required • Beneficial for baby & parents • Positive outcomes • Satisfied patients • Continued practice

  21. Time for questions

  22. References Bramson, 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&featur e=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.

  23. 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.

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