Early skin-to-skin contact after cesarean section: A randomized clinical pilot study

Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was to investigate the impact of intraoperative bonding (early SSC) after cesarean section on neonatal adaptation, maternal pain and stress re...

Full description

Saved in:
Bibliographic Details
Published in:PloS one Vol. 12; no. 2; p. e0168783
Main Authors: Kollmann, Martina, Aldrian, Lisa, Scheuchenegger, Anna, Mautner, Eva, Herzog, Sereina A., Urlesberger, Berndt, Raggam, Reinhard B., Lang, Uwe, Obermayer-Pietsch, Barbara, Klaritsch, Philipp
Format: Journal Article
Language:English
Published: United States Public Library of Science 23.02.2017
Public Library of Science (PLoS)
Subjects:
Adult
Amylases
Analysis
Apgar Score
Austria
Biology and Life Sciences
Biomarkers
Body Temperature
Bonding
Breastfeeding & lactation
Cesarean section
Cesarean Section - methods
Child development
Childbirth & labor
Clinical trials
Female
Gynecology
Health aspects
Health informatics
Health risk assessment
Heart Rate
Hormones
Humans
Hydrocortisone
Hydrocortisone - analysis
Infant, Newborn
Internal medicine
Intervention
Kangaroo-Mother Care Method - methods
Medicine
Medicine and Health Sciences
Mother-Child Relations
Mother-infant relations
Neonates
Newborn babies
Newborn infants
Obstetrics
Oxygen
Oxygen content
Pain
Pain Perception
Parent-child relations
Pediatrics
People and Places
Physical Sciences
Pilot Projects
Pregnancy
Prospective Studies
Saliva - chemistry
Salivary alpha-Amylases - analysis
Skin
Social Sciences
Stress
Stress response
Stress, Physiological
Stresses
Studies
Temperature perception
Vagina
α-Amylase
Austria
ISSN:1932-6203, 1932-6203
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was to investigate the impact of intraoperative bonding (early SSC) after cesarean section on neonatal adaptation, maternal pain and stress response. This prospective, randomized-controlled pilot study was performed at a single academic tertiary hospital (Department of Obstetrics and Gynecology, Medical University of Graz, Austria) between September 2013 and January 2014. Women were randomly assigned to intraoperative ("early") SCC (n = 17) versus postoperative ("late") SCC (n = 18). Main variables investigated were neonatal transition (Apgar score, arterial oxygen saturation, heart rate and temperature), maternal pain perception and both maternal and neonatal stress response by measuring the stress biomarkers salivary free cortisol and salivary alpha amylase. There was no evidence for differences in parameters reflecting neonatal transition or stress response between the 'Early SSC Group' and the 'Late SSC Group'. Maternal salivary cortisol and alpha-amylase levels as well as maternal wellbeing and pain did not differ between the groups. However, the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group' (p = 0.004). This study did not reveal significant risks for the newborn in terms of neonatal transition when early SSC is applied in the operating room. Maternal condition and stress marker levels did not differ either, although the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group', which may indicate a stressor sign due to intensive activation of the sympathetic-adreno-medullary-system. This needs to be further evaluated in a larger prospective randomized trial. ClinicalTrials.gov NCT01894880.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
content type line 14
ObjectType-Feature-3
ObjectType-Evidence Based Healthcare-1
ObjectType-Article-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
Competing Interests: The authors have declared that no competing interests exist.
Conceptualization: MK EM SAH BU RBR BOP UL PK.Data curation: MK LA AS SAH.Formal analysis: MK SAH.Investigation: MK LA AS EM RBR BOP PK.Methodology: MK LA AS EM SAH BU RBR UL BOP PK.Project administration: MK PK.Software: SAH.Supervision: MK PK.Validation: MK SAH.Visualization: MK SAH.Writing – original draft: MK PK.Writing – review & editing: MK LA AS EM SAH BU RBR UL BOP PK.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0168783