Does Skin to Skin Contact Promote Breastfeeding in Neonates  Research Paper
- Length: 7 pages
- Sources: 4
- Subject: Children
- Type: Research Paper
- Paper: #23737588
Excerpt from Research Paper :
Back in the day, when babies were born in homes they were kept close to the mother following the birth. As society evolved and the deliveries started occurring in nursing homes or hospitals, the skin to skin contact (SSC) norm began fading away. Some introduction should be given about what SSC really is. SSC is basically when the naked new born baby is placed on the mother's bare chest subsequent to the birth. (Moore, Anderson, Bergman & Dowswell, 2012) Interventions were done on mammals to reveal how separation of the baby and mother went on to affect the baby.
The idea for the closeness for breast feeding came forward when this pattern was observed in animals. If the mammal delivery and post partum behavior is needed, then it is seen that the interactions of the mother and the pup for instance is mandatory. It is required because that encourages the mammal attaining milk from the mother thus leading it to survival. In case the animal is separated from the mother during this time, distress cries are heard which shows that they are affected. When this sort of behavior is observed in animals, something similar is also seen in humans as well. Babies who were placed in their respective cots as opposed to next to their mothers made more noise and were whining more as opposed to infants placed near their mothers. (Moore et al., 2012)
The reason why this research is an important one is due to the growing trend of separating mothers from babies after birth. The trend is still being continued despite the knowledge of benefits of post birth SSC. The procedures that carry on in the delivery room in the hospital after the delivery become an obstacle in close bonding between mothers and neonates. Breastfeeding is one of the close bonds that develop soon after birth. It has been stated that the baby has an adrenaline rush right after birth due to which he or she wishes to breastfeed right that instant. Since there is a possibility that the separation of child and mother after birth can go on to cause problems that persist throughout the life, then this needs to be looked into with more detail. (Moore et al., 2012)
Another reason why this study is being conducted is due to the growing amount of women turning away from breastfeeding. As it is known, breast feeding has many advantages. It is important for the emotional and intellectual growth of the baby. Apart from passing crucial immunization to the baby, it develops a bond between the mother and the child. After looking at the data taken up by the U.S. Food and Drug Administration in the years 2005 to 2007, it is has been revealed that 83% of the women started off breast feeding to their babies, however only 43% retained the activity during the hospital stay. (Moore et al., 2012) Out of all the studies done regarding the topic of skin to skin contact, the outcome that is being sought after is whether skin to skin contact does promote breastfeeding. Breastfeeding isn't as simple and easy as it looks. The baby has to develop a bond to his mother where as the mother needs to feel confident enough to be a good breast feeder. (Moore et al., 2012)
The participants that were taken were mothers and their newborn babies. The babies were either full term or premature babies. In one of the study, the SSC was started in time less than 24 hours subsequent to birth. It should be noted that the mothers who were taken were of different race and gender and ages. This study represents a cumulative data of different studies carried out. No correlation or link was placed in any of the studies conducted. That is to say that the result of the reviews regarding this topic merely depended on the fact that whether the babies were given skin to skin contact or not.
As for the study for infant suckling competency, the population taken was from childbirth preparation classes. The study took place at Vanderbilt University Medical Center in Nashville in the labor and delivery unit. (Moore&Anderson, 2010) Overall description of the women was that they were older than 18 and did not have any medical problems from before. The women had neither a chronic illness nor a drug abuse problem. The population was also keen on having their delivery vaginally and they were also enthusiastic about having breastfeeding done for at least one month after the delivery. This was a significant factor as many women in the industrialized countries now prefer to put their babies on bottle as soon as their born. Their reluctance to not breast feed could end up in a limitation in the study thus leading to inaccurate results. Another major factor that was significant about this population was that all the babies were full term and they had to weigh more five pounds. Thus this gives an assortment in studies whereas the former study consisted of both pre-term and full term babies. The population chosen also went on to be more specific since the women had to be in for this experience for the first time. Since this study also went on to see the results subsequent to the birth, and then the presence of a previous breastfeeding experience or any other children at home would give inaccurate conclusions.
Another study was done which reviewed a collected forty right studies. The study was funded by the national institute of health. This study was again not homogenous such that it comprised of low birth weight infants, pre-mature infants and even babies on respiratory support. (Renfrew, Dyson, McCormick, Misso, Stenhouse, King & Williams, 2009)
The study to see the effect on Kangaroo Mother care was observed at four varied NICUs located hospital in assorted countries in Sweden. (Flacking, Ewald & Wallin, 2011) This study was different tin the sense that it only included the pre-term infants. That is to say that the babies selected had to be less than 37 weeks of gestation. The final set included of 300 babies out of which 103 were born before 32 weeks and 197 were born between 32 to 36 weeks. (Flacking, Ewald & Wallin, 2011)
As mentioned earlier, the studies that were conducted on this topic compared the usual post partum behavior as opposed to SSC. It should be noted that SSC has to be done in a specific manner. Three categories were chosen to express the issues of SSC. Firstly, there was birth SSC in which the baby was placed in just a minute after birth. As mentioned earlier, the baby should be placed naked on mother's bare chest or abdomen. In this method, if suctioned was required it would be done so while the baby was on the mother. To make sure that the temperature doesn't drop, the infant's head was covered with a dry cap or back had blanket on top of it. The second intervention that was taken up was very early SSCs in which the contact begins 30-40 minutes subsequent to birth. In this scenario there was no requirement for a cap or not. The third and subsequent intervention in one of the studies was where the SSC could have been carried out any time between one to twenty four hours. (Moore et al., 2012) Again, emphasis was required to assure that the baby was naked and the contact that was carried out should have been from front of the body to front of the body. In medical terms, that is stated that contact should be ventral to ventral.
The interventions in one group of studies included simultaneous milk ejection from breasts in early weeks after delivery, the support of the community and the hospital, Kangaroo skin to skin contact, and staff training. (Renfew et al., 2009) A major interest was shown in how effective and supportive staff can really enhance SSC and eventually lead to beneficial results. Renfew et al., 2009)
The intervention of the study of KMC was done on what the parents filled out in the report. The parents were supposed to fill a form which states the duration and the onset of KMC between the mother and the baby. They had to keep a record of how it done and for how long the KMC was conducted. Subsequent to that nurses contacted the mothers via phone at the end of two weeks to ask about the breastfeeding progress. With gaps of two weeks, the results kept being collected from the mother at 2, 4 and 6 months of age of the baby. (Flacking, Ewald & Wallin, 2011) The questions specially focused on whether the infant took milk from the breasts or whether other methods were used or not.
When the question of whether SSC promotes breast feeding comes up front, the study that was done a comparison of two types of post partum behavior. It is not in…