Early skin-to-skin contact after cesarean section: A randomized clinical pilot study

Autor: Lisa Aldrian, Barbara Obermayer-Pietsch, Berndt Urlesberger, Philipp Klaritsch, Sereina A. Herzog, Reinhard B. Raggam, Uwe Lang, M Kollmann, Anna Scheuchenegger, Eva Mautner
Rok vydání: 2017
Předmět:
Hydrocortisone
Maternal Health
lcsh:Medicine
Social Sciences
Pilot Projects
Biochemistry
Body Temperature
law.invention
Families
Labor and Delivery
0302 clinical medicine
Obstetrics and gynaecology
Randomized controlled trial
Heart Rate
Pregnancy
law
Medicine and Health Sciences
Psychology
Prospective Studies
Lipid Hormones
030212 general & internal medicine
lcsh:Science
Prospective cohort study
Children
Multidisciplinary
integumentary system
Vaginal delivery
Obstetrics
Obstetrics and Gynecology
Pain Perception
Mother-Child Relations
Chemistry
Salivary alpha-Amylases
Obstetric Procedures
Austria
Physical Sciences
Female
Apgar score
Engineering sciences. Technology
Infants
Research Article
Chemical Elements
Adult
medicine.medical_specialty
Cardiology
Psychological Stress
Surgical and Invasive Medical Procedures
03 medical and health sciences
Stress
Physiological
030225 pediatrics
Mental Health and Psychiatry
Heart rate
medicine
Humans
Saliva
Steroid Hormones
Cesarean Section
business.industry
lcsh:R
Stressor
Infant
Newborn
Biology and Life Sciences
Neonates
medicine.disease
Hormones
Kangaroo-Mother Care Method
Oxygen
Age Groups
People and Places
Apgar Score
Birth
Women's Health
lcsh:Q
Population Groupings
business
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 2, p e0168783 (2017)
ISSN: 1932-6203
Popis: Objective Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was to investigate the impact of intraoperative bonding (early SSC) after cesarean section on neonatal adaptation, maternal pain and stress response. Study design This prospective, randomized-controlled pilot study was performed at a single academic tertiary hospital (Department of Obstetrics and Gynecology, Medical University of Graz, Austria) between September 2013 and January 2014. Women were randomly assigned to intraoperative ("early") SCC (n = 17) versus postoperative ("late") SCC (n = 18). Main variables investigated were neonatal transition (Apgar score, arterial oxygen saturation, heart rate and temperature), maternal pain perception and both maternal and neonatal stress response by measuring the stress biomarkers salivary free cortisol and salivary alpha amylase. Results There was no evidence for differences in parameters reflecting neonatal transition or stress response between the 'Early SSC Group' and the 'Late SSC Group'. Maternal salivary cortisol and alpha-amylase levels as well as maternal wellbeing and pain did not differ between the groups. However, the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group' (p = 0.004). Conclusions This study did not reveal significant risks for the newborn in terms of neonatal transition when early SSC is applied in the operating room. Maternal condition and stress marker levels did not differ either, although the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group', which may indicate a stressor sign due to intensive activation of the sympathetic-adreno-medullary-system. This needs to be further evaluated in a larger prospective randomized trial. Trial registration ClinicalTrials.gov NCT01894880.
Databáze: OpenAIRE
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