Trends in Maternity Care Practice Skin-to-Skin Contact Indicators: United States, 2007–2015
| Autor: | Ellen O. Boundy, Heather C. Hamner, Ruowei Li, Cria G. Perrine, Chloe M. Barrera |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Skin to skin Breastfeeding Pediatrics Article 03 medical and health sciences Maternity care 0302 clinical medicine Pregnancy 030225 pediatrics Maternity and Midwifery medicine Humans Natural Childbirth 030212 general & internal medicine Skin integumentary system Cesarean Section business.industry Health Policy Infant Newborn Obstetrics and Gynecology Standard of Care Mother-Child Relations United States Breast Feeding Cross-Sectional Studies Touch Health Care Surveys Family medicine Female business |
| Zdroj: | Breastfeed Med |
| ISSN: | 1556-8342 1556-8253 |
| DOI: | 10.1089/bfm.2018.0035 |
| Popis: | BACKGROUND: Mother-infant skin-to-skin contact (SSC) immediately after birth helps transition infants to the post-uterine environment and increases the likelihood of breastfeeding initiation and duration. This study examines trends in U.S. maternity practices related to SSC, and variations by facility demographics. METHODS: Data were from the Maternity Practices in Infant Nutrition and Care (mPINC) surveys (2007–2015), a biennial assessment of all U.S. maternity facilities. Facilities reported how often patients were encouraged to practice mother-infant SSC for ≥30 minutes within 1 hour of uncomplicated vaginal birth and 2 hours of uncomplicated cesarean birth, and how often routine infant procedures are performed while in SSC. We calculated the percentage of maternity facilities reporting these indicators for ≥90% of patients across the United States for each survey year. Estimates by facility characteristics (size, type, and state) were calculated for 2015 only. RESULTS: The percentage of facilities reporting “Most (≥90%)” women, which were encouraged to practice early SSC, increased from 2007 to 2015 following both vaginal (40.4% to 83.0%) and cesarean (29.3% to 69.9%) births. The percentage of facilities reporting routine infant procedures were performed “Almost always (≥90%),” while mother and infant were SSC increased from 16.6% to 49.5% (2007 to 2015) for vaginal births and from 2.2% to 10.7% (2009 to 2015) for cesarean births. Variations in SSC practice by facility type, size, and state were noted. CONCLUSIONS: Significant progress has been made in increasing hospital encouragement of early SSC for both vaginal and cesarean births. Continued efforts to support evidence-based maternity practices are needed. |
| Databáze: | OpenAIRE |
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