Cited by 58Breastfeeding Practices and InfluencesMaternal and Perinatal Health InterventionsInfant Development and Preterm Care

An Interprofessional Quality Improvement Project to Implement Maternal/Infant Skin‐to‐Skin Contact During Cesarean Delivery

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Brady, Karen, Bulpitt, Denise, Chiarelli, Caren·2014·Journal of Obstetric, Gynecologic & Neonatal Nursing

Abstract

Immediate skin-to-skin contact between a mother and her newborn has been associated with successful breastfeeding outcomes. One of the challenges nurses face in promoting skin-to-skin occurs in the operating room during a cesarean delivery. Utilizing an interprofessional approach for this quality improvement project, we successfully implemented skin-to-skin contact for all eligible mother/infant couplets after cesarean birth. Exclusive breastfeeding rates for these women increased as a result.

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Crossref · 10.1111/1552-6909.12469

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  • Skin-to-skin cesarean births are the exception rather than the norm, and translating knowledge into routine practice for scheduled cesarean births has been challenging.

    “Despite a push to increase skin-to-skin contact after cesarean birth (skin-to-skin cesarean birth),23–25 such births are the exception rather than the norm, since translating this knowledge into routine practice for scheduled cesarean births has been challenging.”

    From Women’s experiences of skin-to-skin cesarean birth compared to standard cesarean birth: a qualitative study (2021) · cites this paper as [25]

    The Project Background describes difficulty making skin-to-skin contact routine during cesarean delivery, and the Outcomes report that 43% of women undergoing cesarean delivery received it in the operating room after the first month of implementation. These findings support the implementation challenge, but the paper does not establish that skin-to-skin cesarean births are generally the exception rather than the norm or address scheduled cesarean births specifically. Page numbers are unavailable in our copy. (LLM, conf=0.86)

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  1. Bartick M Reinhold A The burden of suboptimal breastfeeding in the United States: A pediatric cost analysis Pediatrics 2010 125 5 e1048 e1056 20368314
  2. Gouchon S Gregori D Picotto A Patrucco G Nangeroni M Di Guilio P Skin-to-skin contact after cesarean delivery Nursing Research 2010 39 2 78 84 20179657
  3. Hamilton BE Martin JA Ventura SJ Births: Preliminary data for 2011 National Vital Statistics Reports 2012 61 5 24979973
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  5. Mangan S Mosher S Challenges to skin-to-skin kangaroo care: Cesarean delivery and critically ill NICU patients Neonatal Network, The Journal of Neonatal Nursing 2012 31 4 258 261 22763254
  6. Murray EK Ricketts S Dellaport J Birth 2007 34 202 211 Hospital practices that increase breastfeeding duration: Results from a population-based study. doi: 10.1111/j.1523-536X.2007.00172.x 17718870 · DOI
  7. Rowe-Murray HJ Fisher JRW Baby-Friendly hospital practices: Cesarean section is a persistent barrier to early initiation of breastfeeding Birth 2002 29 2 124 131 12000413
  8. Rutherford P Phillips J Coughlan P Lee B Moen R Peck C Taylor J Transforming care at the bedside how-to guide: Engaging front-line staff in innovation and quality improvement 2008 Cambridge, MA Institute for Healthcare Improvement Retrieved from http://www.ihi.org/resources/Pages/Tools/TCABHowToGuideEngagingStaff.aspx
  9. U.S. Department of Health and Human Services 2010 November Healthy people 2020 (ODPHP Publication No. B0132). Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26 26095483
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Authors
Brady, K., Bulpitt, D., & Chiarelli, C.
Affiliations
  • St. Vincent's Medical Center (US)
  • The University of Texas Southwestern Medical Center (US)
Venue
Journal of Obstetric, Gynecologic & Neonatal Nursing
Publisher
Elsevier BV
Published
2014-07
Volume
43
Issue
4
Pages
488-496
ISSN
  • 0090-0311 (ISSN-L)
  • 0884-2175
OpenAlex
W1516738755
Cited by
58
References
0
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 9 · 2020: 2 · 2019: 5 · 2018: 9 · 2017: 6 · 2016: 7 · 2015: 2
FWCI
3.52
Type
journal article
Language
en
Open access
Locations
  • Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
skin-to-skin contact, cesarean section, immediate postpartum care, interprofessional collaboration, exclusive breastfeeding, breastfeeding outcomes, operating room nursing, quality improvement implementation
MeSH terms
Breast Feeding, Cesarean Section, Female, Humans, Infant, Newborn, Interprofessional Relations, Male, Mother-Child Relations, Object Attachment, Obstetric Nursing, Postnatal Care, Postoperative Period, Pregnancy, Time Factors, Touch, Nurse's Role, Quality Improvement

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