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. 2019 Feb 19:93:e201902006.

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

[Article in Spanish]
Marta Costa Romero  1 , Paula Lalaguna Mallada  2 , Nieves Marta Díaz Gómez  3
Affiliations

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

[Article in Spanish]
Marta Costa Romero et al. Rev Esp Salud Publica. .

Abstract
in English, Spanish

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.

El contacto piel con piel (CPP) entre la madre y el recién nacido tras el nacimiento es considerado como uno de los indicadores de Buenas Prácticas Clínicas, ya que ofrece múltiples beneficios para ambos: reduce el nivel de estrés en la madre, facilita el desarrollo del vínculo afectivo, el éxito de la lactancia materna y la adaptación del recién nacido a la vida extrauterina. Sin embargo, en la mayoría de los hospitales se separa a madre e hijo el tiempo que dura la recuperación tras la cesárea, lo que puede extenderse varias horas. En este artículo se analizaron las ventajas del CPP tras las cesáreas y las principales dificultades para llevarlo a cabo, que incluyen inestabilidad materna o neonatal y reticencias de los propios profesionales. Se detalla un modelo de procedimiento de actuación para su puesta en marcha, de forma segura y que a la vez contribuya a humanizar el nacimiento.

Keywords: Breastfeeding; Cesarean section; Mother–infant interaction; Skin-to-skin care; Spain.

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Conflict of interest statement

Los autores declaran que no existe conflicto de intereses.

Figures

Figura 1.
Figura 1.. Colocación del niño sobre el pecho de la madre durante la intervención.
Figura 2.
Figura 2.. Inicio de la lactancia materna en quirófano.
Figura 3.
Figura 3.. Organigrama de los profesionales implicados y las tareas para la prevención del colapso súbito del recién nacido tras el parto.
See this image and copyright information in PMC

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