Effectiveness of early skin-to-skin contact on neonatal outcome

Author Name: Trupti Gajjar1, P. Vadivukkarasi2, Anjali Prajapati3

Volume: 01/02

Country: India

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/11.2023-93372424/GIJNR

Affiliation:

1. M.Sc. Nursing, Dept. of Obstetrics and Gynecology, Shri Vinoba Bhave College of Nursing, Silvassa.
2. Professor, Dept. of Obstetrics and Gynecology (N), Shri. Vinoba Bhave College of Nursing, Silvassa.
3. Assistant Professor, Dept. of Obstetrics and Gynecology (N), Shri. Vinoba Bhave College of Nursing, Silvassa

ABSTRACT

Background and Aim: Motherhood is the state of being a mother or raising a child. Skin‐to‐skin contact begins ideally at birth and should last continually until the end of the first breastfeeding. All mothers irrespective of parity, age, education, religion, or working status can provide effective skin-to-skin contact. The time frame immediately post birth may represent a 'sensitive period' for programming Skin-to-skinny behavior. Much research finds post-birth that skin-to-skin contact is safe, effective in maintaining temperature, encourages exclusive and prolonged breastfeeding skin-to-skin child survival, and helps in better cognitive development. Both mother and baby prolonged to enjoy the experience; the baby goes to quiet sleep, which is most beneficiaries for his growth and development. The aim of the study was to assess the neonatal outcome after early skin-to-skin contact of mother and neonate. Methodology: Quantitative research approach with true experimental time series control growth the p the research design was adopted. Simple random sampling (Lottery method) was used to select 60 mothers and allocated randomly to control and experimental group. An interview lottery was used to collect the data. It includes Section-I: Socio- Demo the graphic variables, Section-II: Neonatal Clinical Variables, Section-III: Neonatal outcome. Collected data was analyzed by using both descriptive and inferential statistics. Results: LATCH total score at the time of birth (t (58, 0.05) = 6.425, 0.000; p<0.05), 12th hour (t (58, 0.05) = 11.128, 0.000; p<0.05), 24th hour (t (58, 0.05) = 9.602, 0.000; p<0.05) and 36th hour (t (58, 0.05) = 10.01,0.000; p<0.05) shows it is very highly effective. Number of breastfeeding at 12th hour (t (58, 0.05) = 9.464, 0.000; p<0.05), 24th hour (t (58, 0.05) = 8.848, 0.000; p<0.05) and 36thhour (t (58, 0.05) = 6.963, 0.000; p<0.05) which shows it is very highly effective. Effectiveness of early skin-to-skin contact on number of wet nappies at 12th hour (t (58, 0.05) = 6.644, 0.000; p<0.05), 24th hour (t (58, 0.05) = 6.851, 0.000; p<0.05) and 36th hour (t (58, 0.05) = 7.350, 0.000; p<0.05) which shows it is very highly effective. Effectiveness of early skin-to-skin contact on number of stools passed at 12 hour (t (58, 0.05) = 7.469, 0.000; p<0.05), 24 hour (t (58, 0.05) = 8.323, 0.000; p<0.05) and 36 hour (t (58, 0.05) = 7.685, 0.000; p<0.05) which shows it is very highly effective. There is no significant association between LATCH score and socio-demographic variables such as age, education, occupation, family monthly income (Rs), type of family, marital status and area of residence. Conclusion: present study shows that early skin-to-skin contact between mother and neonate was effective, and helps to improve the LATCH Score, number of breastfeeding, number of wet nappies, and number of stools passed.

Key words: Early skin-to-skin contact, True experimental study design, Time Series research design, LATCH Score.