Pérez-Jiménez José Miguel, de-Diego-Cordero Rocío, Borrallo-Riego Álvaro, Luque-Oliveros Manuel, de-Pedro-Jimenez Domingo, Coheña-Jimenez Manuel, Sierra Patricia Bonilla, Guerra-Martín María Dolores
Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.
Anaesthesiology and Resuscitation Clinical Management Unit, University Hospital Virgen Macarena, 41009 Sevilla, Spain.
Healthcare (Basel). 2025 Jul 30;13(15):1866. doi: 10.3390/healthcare13151866.
Postoperative pain management after a cesarean section remains a significant challenge, as inadequate control can delay maternal recovery and hinder early bonding and breastfeeding. While multimodal analgesia is the standard approach, non-pharmacological strategies like immediate skin-to-skin contact (SSC) are often underused despite their potential benefits in reducing pain, improving uterine contractions, and increasing maternal satisfaction.
To evaluate the effects of immediate SSC on postoperative pain perception, uterine contraction quality, and maternal satisfaction, and to explore ways to incorporate SSC into routine post-cesarean care to promote recovery and humanized care.
A randomized clinical trial was conducted with 80 women undergoing elective cesarean sections, divided into two groups: SSC (40 women) and control (40 women). Postoperative pain was measured using the Visual Analog Scale (VAS) at various intervals, while uterine contraction quality and maternal satisfaction were assessed through clinical observation and a Likert scale, respectively.
We found that women in the SSC group experienced significantly lower pain scores (VAS2 and VAS3, < 0.001), stronger infraumbilical uterine contractions (92.5%, < 0.001), and higher satisfaction levels (average 9.98 vs. 6.50, < 0.001). An inverse correlation was observed between pain intensity and satisfaction, indicating that SSC enhances both physiological and psychological recovery.
Immediate SSC after cesarean is an effective, humanizing intervention that reduces pain, supports uterine contractions, and boosts maternal satisfaction. These findings advocate for integrating SSC into standard postoperative care, aligning with ethical principles of beneficence and autonomy. Further research with larger samples is necessary to confirm these benefits and facilitate widespread adoption in maternity protocols.
剖宫产术后的疼痛管理仍然是一项重大挑战，因为控制不当会延迟产妇恢复，并阻碍早期母婴亲密接触和母乳喂养。虽然多模式镇痛是标准方法，但像立即进行皮肤接触（SSC）这样的非药物策略尽管在减轻疼痛、改善子宫收缩和提高产妇满意度方面有潜在益处，却常常未得到充分利用。
评估立即进行SSC对术后疼痛感知、子宫收缩质量和产妇满意度的影响，并探索将SSC纳入剖宫产术后常规护理以促进恢复和人性化护理的方法。
对80例行择期剖宫产的女性进行了一项随机临床试验，分为两组：SSC组（40名女性）和对照组（40名女性）。术后在不同时间间隔使用视觉模拟量表（VAS）测量疼痛，同时分别通过临床观察和李克特量表评估子宫收缩质量和产妇满意度。
我们发现SSC组女性的疼痛评分显著更低（VAS2和VAS3，<0.001），脐下子宫收缩更强（92.5%，<0.001），满意度更高（平均9.98对6.50，<0.001）。观察到疼痛强度与满意度呈负相关，表明SSC可促进生理和心理恢复。
剖宫产术后立即进行SSC是一种有效的人性化干预措施，可减轻疼痛、支持子宫收缩并提高产妇满意度。这些发现主张将SSC纳入标准术后护理，这符合行善和自主的伦理原则。需要进行更大样本的进一步研究以证实这些益处，并促进在产科护理方案中的广泛应用。
