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[剖宫产术后的皮肤接触。主题更新与启动建议]

[Skin to skin contact after cesarean delivery.Theme update and actuation proposal].

作者信息

Costa Romero Marta, Lalaguna Mallada Paula, Díaz Gómez Nieves Marta

机构信息

Neonatología. Hospital Universitario de Cabueñes. Gijón. Asturias. España.

Servicio de Pediatría. Hospital de Barbastro. Barbastro. Huesca. Aragon. España.

出版信息

Rev Esp Salud Publica. 2019 Feb 19;93:e201902006.

PMID:30773531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10308826/
Abstract

Skin to skin contact (SSC) between mother and child immediately after birth is now considered to be an indicator of good clinical practice as it offers multiple benefits for both: it reduces stress levels of the mother, it facilitates affective bonding, breastfeeding and the newborns adaptation to extra-uterine life. However, in the vast majority of hospitals, mother and child are separated until complete recovery following a caesarean section, which can be several hours. In this article the advantages of SSC after a caesarean section, were analyzed, as well as the main difficulties in order to carry it out, which include maternal or neonatal instability and the reticence of the professionals themselves. An actuation procedure model is detailed, for its implementation in a safe manner and that at the same time, contribute to humanize the birth.

摘要

产后母婴立即进行皮肤接触(SSC)现在被认为是良好临床实践的一个指标,因为它对双方都有多重益处:它能降低母亲的压力水平,促进情感联结、母乳喂养以及新生儿对宫外生活的适应。然而,在绝大多数医院,剖宫产术后母婴会被分开,直到母亲完全恢复,这可能需要几个小时。本文分析了剖宫产术后进行SSC的优势以及实施过程中的主要困难,这些困难包括母亲或新生儿的不稳定以及专业人员自身的不情愿。详细介绍了一个操作程序模型,以便以安全的方式实施,同时有助于使分娩更加人性化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/fcc0533d0359/1135-5727-resp-93-e201902006-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/2b274ff7e817/1135-5727-resp-93-e201902006-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/84796190707d/1135-5727-resp-93-e201902006-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/fcc0533d0359/1135-5727-resp-93-e201902006-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/2b274ff7e817/1135-5727-resp-93-e201902006-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/84796190707d/1135-5727-resp-93-e201902006-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f721/10308826/fcc0533d0359/1135-5727-resp-93-e201902006-g003.jpg

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本文引用的文献

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Implementing Skin-to-Skin Contact for Cesarean Birth.实施剖宫产术中的母婴皮肤接触。
AORN J. 2017 Jun;105(6):579-592. doi: 10.1016/j.aorn.2017.04.003.
2
Early skin-to-skin contact for mothers and their healthy newborn infants.母亲与健康新生儿的早期肌肤接触。
Cochrane Database Syst Rev. 2016 Nov 25;11(11):CD003519. doi: 10.1002/14651858.CD003519.pub4.
3
Commentary: Developing the future: life course epidemiology, DOHaD and evolutionary medicine.评论:开创未来:生命历程流行病学、健康与疾病的发育起源及进化医学。
Does immediate skin-to-skin contact at caesarean sections promote uterine contraction and recovery of the maternal blood haemoglobin levels? A randomized clinical trial.
剖宫产术中即刻皮肤接触是否促进子宫收缩和产妇血红蛋白水平恢复?一项随机临床试验。
Nurs Open. 2023 Feb;10(2):649-657. doi: 10.1002/nop2.1331. Epub 2022 Sep 27.
4
[Evaluation of good practices about breastfeeding in a mother and child hospital.].[一家妇幼医院母乳喂养良好做法的评估。]
Rev Esp Salud Publica. 2019 Nov 6;93:e201911088.
Int J Epidemiol. 2016 Aug;45(4):993-996. doi: 10.1093/ije/dyw105.
4
The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum.剖宫产对产后前四个月母乳喂养开始、持续时间及困难情况的影响。
BMC Pregnancy Childbirth. 2016 Apr 26;16:90. doi: 10.1186/s12884-016-0876-1.
5
What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies.在人群层面,剖宫产的最佳比率是多少?生态学研究的系统评价。
Reprod Health. 2015 Jun 21;12:57. doi: 10.1186/s12978-015-0043-6.
6
A quality improvement project focused on women's perceptions of skin-to-skin contact after cesarean birth.一个质量改进项目,聚焦于剖宫产术后女性对母婴皮肤接触的认知。
Nurs Womens Health. 2014 Aug-Sep;18(4):294-303. doi: 10.1111/1751-486X.12135.
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An interprofessional quality improvement project to implement maternal/infant skin-to-skin contact during cesarean delivery.一项在剖宫产过程中实施母婴皮肤接触的跨专业质量改进项目。
J Obstet Gynecol Neonatal Nurs. 2014 Jul-Aug;43(4):488-96. doi: 10.1111/1552-6909.12469. Epub 2014 Jun 30.
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