Implementing Skin to Skin Contact Routine Practice following Birth
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Implementing Skin to Skin Contact Routine Practice following Birth By Margaret O’Leary C.M.S. Lactation & Margaret Hynes C.M.S. Lactation
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Implementing Skin to Skin Contact Routine Practice following Birth. By Margaret O’Leary C.M.S. Lactation & Margaret Hynes C.M.S. Lactation. Baby Friendly Hospital Initiative (BFHI). Launched in 1991 by WHO/UNICEF Aim – to counteract worldwide decline in breastfeeding - PowerPoint PPT Presentation
Transcript of Implementing Skin to Skin Contact Routine Practice following Birth
Implementing Skin to Skin Contact
Routine Practice following Birth
By Margaret O’Leary C.M.S. Lactation
& Margaret Hynes C.M.S. Lactation
Baby Friendly Hospital Initiative (BFHI)
• Launched in 1991 by WHO/UNICEF
• Aim – to counteract worldwide decline in breastfeeding
• BFHI is
• Mother / Baby Friendly
• Global Initiative
• Health Promoting
Baby Friendly Hospital Initiative (B.F.H.I)
Cert of commitment
- 1999
- 2001
Full Award
- 2004
Baby dried & wrapped in blanket Held by parents
or Put in incubator within mother’s
view Generally feeding established in
postnatal ward
Common PracticePrior to B.F.H.I.
Implementing Change
Change in practice and routine
Policies to ensure sustainability
Why Skin to Skin ?
• Reduces by 74% the production of stress hormones in baby which aids digestion & reduces incidence of hypoglycaemia.
• Calms baby.• Regulates baby’s heart beat & breathing.• Maintains core body tempeture in baby.• Helps establish & sustain breastfeeding.• Promotes close mother/baby relationship.
Practice/Routine Staff education
– Training
– Video
– Written information
– Photographs
Parent education– Antenatal classes
– Skills workshop
– Private & public antenatal clinic
– Written information
Hospital PoliciesHospital Clinical Guideline on management
of breastfeeding & lactation“Within half an hour of birth all mothers regardless of feeding
choice will be given their baby to hold with skin to skin contact
for at least 30 minutes”
Hospital policy for mothers
Hypoglycaemia policy
Regional Breastfeeding Policy
Obstacles
Large number of staff
Turnover of patients in labour ward –
“too busy”
Old habits die hard
Consistency in recording in maternity
notes – incidence, duration and reason
for discontinuing
Overcoming Obstacles
Parentcraft team
Role of the Clinical Midwifery Specialist (CMS)
Additional education time at antenatal clinic
Informing mothers antenatally
Key people from each area in Hospital Baby
Friendly Hospital Initiative Committee
Providing research based articles on
importance of skin to skin
Initial B.F.H.I assessment for full award
was June 2004
78% of mothers met the criteria
(Minimum requirement is 80%)
What can we do to improve?
“Never give up”
Recommence on postnatal wards
Following infant’s first bath
Co-operation of postnatal & neonatal ward
staff
Checking charts for documentation
Feeding back at ward report time
Care attendants
What’s beneficial to achieve & maintain
practice Rooming in
No “well baby” nurseries
Supportive staff in all areas
Safety rails on beds in postnatal wards
Infant bathing at bedside
Feedback to staff of positive comments from
mothers
Baby Friendly Award
Audit of Practice
February 2005
Questionnaires
• To 120 women (+ 36 weeks gestation)
• To 100 mothers (Day 2 Postnatal)
ResultsAntenatal Questionnaire 84% returned
What is skin to skin contact? 93% knew
Others Thoughts linked with breastfeeding
and childbirth – more vague
Mother’s perceptionWhen will skin to skin contact be initiated? 94% immediately or shortly after birth
Others Perceived it would happen with breastfeeding
Why? Bonding - 79% Antibody/Immune system - 23% Comfort/Safety - 9% Breastfeeding - 6% Temperature control - 4% Heart rate - 4%
Postnatal Questionnaires Results
70 out of 100 replied
68 of these received skin to skin contact
100% - positive feedback from this group
When?
81% - immediately after birth
22% - on admission to ward
16% - following bath
What did mothers say?- good for mother
84%- Bonding/sense of comforting/liked baby
next to them
16%- Sense of relief!
Many individual positive comments
What did mothers say?- good for baby
56% - Relaxing, soothing, reassuring, security, happy, calm, comfort
53% - Bonding, including smell, heart rate, sight of mother
24% - Warmth ( temperature)
2% - Sleep 2% - Make baby alert
Individual Comments
“It reassured me baby was ok”
“Made me feel like a mother”
“Just amazing, no words can
describe it”
“I found the
experience very
rejuvenating”
“ A complete
high”
“The feeling of bonding was very natural”
Individual Comments
“Made the arrival of the baby
more real”
“Breastfeeding started quicker”
“Reassurance that I was able to calm baby”
“Lovely to let him and I bond and be quiet
together”
“ Calmed baby after
birth”
“Very relaxing and
great for bonding”
