An implementation algorithm to improve skin-to-skin practice in the first hour after birth.
An implementation algorithm to improve skin-to-skin practice in the first hour after birth.
复制标题
DOI：
10.1111/mcn.12571
复制
发表时间：
2018-04
影响因子：
3.4
通讯作者：
Takahashi Y
中科院分区：
文献类型：
--
作者：
Brimdyr K;Cadwell K;Stevens J;Takahashi Y
支持皮肤接触和出生后不久母乳喂养的证据表明，对母亲和婴儿都有生理，社会和心理上的好处。2009年修订的世卫组织/儿童基金会“成功母乳喂养的十个步骤”第4步详细阐述了母亲与新生儿之间的皮肤接触做法，指出这种做法应该是“立即”和“不分离”的，除非有记录在案的延迟接触或中断的医学上合理的原因。当婴儿在出生后的第一个小时内与母亲进行即时，连续，不间断的皮肤接触时，婴儿会经历9个本能，复杂，独特和可观察的阶段，包括自我依恋和吮吸。然而，最近的科克伦对早期皮肤接触的审查引用了实践中的不一致性;作者发现“关于细节的证据不足.本文介绍了一种新的算法来分析的做法，皮肤皮肤在第一个小时内使用两个数据集，并建议的机会，实践改进。该算法考虑了母亲的罗布森标准、皮肤接触经验和Widström的9个阶段。该算法使用日本阴道分娩和澳大利亚剖腹产的数据，以一种新的方式利用数据来突出最佳实践的挑战。使用工具来分析出生后第一个小时内皮肤对皮肤护理的实施情况，阐明了实现婴儿护理标准的成功、障碍和改进机会。未来的应用应涉及更多样化的设施和罗布森的分类。
Evidence supporting the practice of skin‐to‐skin contact and breastfeeding soon after birth points to physiologic, social, and psychological benefits for both mother and baby. The 2009 revision of Step 4 of the WHO/UNICEF “Ten Steps to Successful Breastfeeding” elaborated on the practice of skin‐to‐skin contact between the mother and her newly born baby indicating that the practice should be “immediate” and “without separation” unless documented medically justifiable reasons for delayed contact or interruption exist. While in immediate, continuous, uninterrupted skin‐to‐skin contact with mother in the first hour after birth, babies progress through 9 instinctive, complex, distinct, and observable stages including self‐attachment and suckling. However, the most recent Cochrane review of early skin‐to‐skin contact cites inconsistencies in the practice; the authors found “inadequate evidence with respect to details … such as timing of initiation and dose.” This paper introduces a novel algorithm to analyse the practice of skin to skin in the first hour using two data sets and suggests opportunities for practice improvement. The algorithm considers the mother's Robson criteria, skin‐to‐skin experience, and Widström's 9 Stages. Using data from vaginal births in Japan and caesarean births in Australia, the algorithm utilizes data in a new way to highlight challenges to best practice. The use of a tool to analyse the implementation of skin‐to‐skin care in the first hour after birth illuminates the successes, barriers, and opportunities for improvement to achieving the standard of care for babies. Future application should involve more diverse facilities and Robson's classifications.
登录
查看更多内容
影响因子：
3.8
作者：
CHRISTENSSON, K;CABRERA, T;WINBERG, J
通讯作者：
WINBERG, J
影响因子：
3.7
作者：
Betrán AP;Vindevoghel N;Souza JP;Gülmezoglu AM;Torloni MR
通讯作者：
Torloni MR
影响因子：
0.6
作者：
Brimdyr, Kajsa;Widstrom, Ann-Marie;Turner-Maffei, Cynthia
通讯作者：
Turner-Maffei, Cynthia
影响因子：
2.5
作者：
Brimdyr, Kajsa;Cadwell, Karin;Phillips, Raylene
通讯作者：
Phillips, Raylene
DOI：
10.2011/jcpsp.601605
发表时间：
2011-10-01
影响因子：
1
作者：
Mahmood, Iqbal;Jamal, Mahmood;Khan, Nusrat
通讯作者：
Khan, Nusrat