Császármetszés és szoptatás

Midwives׳ experiences with mother-infant skin-to-skin contact after a caesarean section: 'Fighting an uphill battle'.

Zwedberg S, Blomquist J, Sigerstad E.
Midwifery. 2015 Jan;31(1):215-20.

Abstract

OBJECTIVE: to explore midwives׳ experiences and perceptions of skin-to-skin contact between mothers and their healthy full-term infants immediately and during the first day after caesarean section.

DESIGN: qualitative interviews with semi-structured questions.

SETTING AND PARTICIPANTS: eight midwives at three different hospitals in Stockholm participated in the study. All participants provided care for mothers and their newborn infants after caesarean birth.

Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature

Stevens J, Schmied V, Burns E, Dahlen H.
Maternal & Child Nutrition. doi: 10.1111/mcn.12128

Abstract

The World Health Organization and the United Nations International Children's Emergency Fund recommends that mothers and newborns have skin-to-skin contact immediately after a vaginal birth, and as soon as the mother is alert and responsive after a Caesarean section. Skin-to-skin contact can be defined as placing a naked infant onto the bare chest of the mother. Caesarean birth is known to reduce initiation of breastfeeding, increase the length of time before the first breastfeed, reduce the incidence of exclusive breastfeeding, significantly delay the onset of lactation and increase the likelihood of supplementation. The aim of this review is to evaluate evidence on the facilitation of immediate (within minutes) or early (within 1 h) skin-to-skin contact following Caesarean section for healthy mothers and their healthy term newborns, and identify facilitators, barriers and associated maternal and newborn outcomes.

Császár után

Egy éve dolgozom az egészségügyben. Egy év alatt annyit tanultam, mint azelőtt összesen. Többek között azt, milyen fontos néha csak ülni valahol, és nem csinálni semmit. Ilyen helyzet, amikor anya és baba először találkoznak.

Eddig bába és szülész ismerőseimtől hallottam arról, mekkora művészet valahol csak ott lenni, nem is szólni, szinte észrevétlenül belesimulni a környezetbe, csak annyira látszani, hogy az anya biztonságérzete meglegyen. Sokan erre képtelenek, úgy érzik, tenni kell valamit, különben miért is lennének ott. Vagy tenni kell valamit a fizetésükért/fizetségükért. Vagy azért, hogy bebizonyítsák: itt szükség van a szaktudásukra. Vagy azért, hogy végre történjen már valami. Pedig néha fontos, hogy úgy legyünk az anya mellett, mintha ott sem lennénk.

Early Skin-to-Skin After Cesarean to Improve Breastfeeding

Hung KJ, Berg O.
MCN Am J Matern Child Nurs. 2011 Sep-Oct;36(5):318-24.

Abstract

This article describes a quality improvement project in which early skin-to-skin (STS) contact, in the operating room (OR) and during recovery, was used as an intervention to increase the success of breastfeeding initiation among healthy infants after cesarean, at a large, urban, acute care teaching hospital. The nursing role is key for the intervention, but the program involves the entire perinatal team, including the obstetricians, pediatricians, and anesthesiologists.

Diversity of the Lactobacillus group in breast milk and vagina of healthy women and potential role in the colonization of the infant gut

R. Martín, G.H.J. Heilig, E.G. Zoetendal, H. Smidt and J.M. Rodríguez

Journal of Applied Microbiology 103 (6), 2638–2644.

Abstract

Aims: To evaluate the diversity of the Lactobacillus group in breast milk and the vagina of healthy women and understand their potential role in the infant gut colonization using the 16S rRNA gene approaches.

Methods and Results: Samples of breast milk, vaginal swabs and infant faeces were aseptically collected from five mothers whose neonates were born by vaginal delivery and another five that had their babies by caesarean section. After polymerase chain reaction (PCR) amplification using Lactobacillus group-specific primers, amplicons were analysed by denaturing gradient gel electrophoresis (DGGE). Clone libraries were constructed to describe the Lactobacillus group diversity. DGGE fingerprints were not related to the delivery method. None of the species detected in vaginal samples were found in breast milk-derived libraries and only few were detected in infant faeces.

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