• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Increasing Early Skin-to-Skin for Newborns of Uncomplicated Cesarean Birth

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Showunmi_CBnewborns_2019 .pdf
    Size:
    228.2Kb
    Format:
    PDF
    Download
    Author
    Showunmi, Harsana
    Advisor
    Hoffman, Ann G.
    Date
    2019-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Other Titles
    Early Skin-to-Skin Contact
    Abstract
    Background: Following a cesarean birth (CB), newborns can be separated from the mother for up to 3 hours, delaying skin-to-skin contact (SSC). Immediate or early SSC is recommended as a standard of care to prevent hypothermia, hypoglycemia, tachypnea in newborns and to increase bonding, yet few newborns of CB engage in this practice. When mothers are unable to engage in SSC, fathers/support persons are viable options to facilitate early SSC in newborns. Local Problem: The proposed clinical site houses a small labor and delivery unit where it was not standard practice for newborns of cesarean births to engage in SSC within 1 hour following delivery. The purpose of this quality improvement (QI) project is to implement early SSC between fathers/support persons and stable, full-term newborns of uncomplicated cesarean births when the mother is unable to provide SSC. For this QI project, early SSC was considered to be SSC within 1 hour of birth Interventions: A process change was introduced to allow fathers/support persons perform SSC soon after CB. Nurses learned how to identify eligible participants and a checklist was used to serve as a reminder for when and how to execute the new process. Once identified, families were educated on SSC, then the mother appointed an alternative SSC provider. Unit practice was changed to allow fathers/support persons to follow the newborn and the nurse to the nursery after an uncomplicated CB for an opportunity to perform early SSC. If newborns were determined to be stable, SSC was initiated. During the course of the project, goals, information and results were disseminated on the unit via presentations, discussions, posters and handouts. Results: There was a total of 21 CBs during the implementation timeline; nine ineligible cases and twelve eligible cases. Out of the 12 eligible cases, 5 newborns received SSC in less than 1 hour, 5 newborns received SSC more than 1 hour but less than 2 hours and 2 newborns did not receive SSC in the required time frame. The nurses also engaged mothers in early SSC with their newborns. As a result, outcomes included 6 mothers who performed SSC with their newborns within 2 hours of birth. Conclusions: Creating an environment that incorporates early SSC as a standard of care, regardless of method of delivery, is important to improving newborn and family outcomes. In situations where mothers are not available to perform SSC, it is feasible for fathers/support persons to act as alternative SSC provider. This process change allows the newborns of uncomplicated CB to safely enjoy the same benefits as newborns of vaginal deliveries, who routinely perform immediate or early SSC. During this QI project, the checklist made it easier for the nurses to facilitate early SSC. Although adoption to utilize the checklist was slow, when used, it served to streamline the process change. By the end of implementation there was an increased awareness of fathers/support persons as alternative SSC providers and increased action to initiate SSC earlier for newborns of uncomplicated CB on the unit.
    Keyword
    skin-to-skin contact
    Cesarean Section
    Infant, Newborn
    Perinatal Care--methods
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/9490
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.