+1 (629)348-3199Advancing in the humanization of care to the pregnant and the new-born: Skin to skin in caesarean section
Joint Event on 2nd European Nursing Congress & International Conference on Clinical Nursing & Practice
October 24-25, 2019 | Zurich, Switzerland
Silvia Evora Lebrero, Estefania Rapapport Martin, Marta Bustos Sepulveda and Maria del Mar Garcia
Hospital Universitario del Sureste, Spain
Scientific Tracks Abstracts : J Intensive Crit Care Nurs
Abstract:
Introduction: The current scientific evidence and new
knowledge show us that in the new-born healthy and
vigorous term, excessive interventionism should be avoided,
without, therefore, guarantee the quality of care and safety
in the new-born and his mother. Precocious skin to skin
contact is a practice with many benefits for the new-born and
his mother, but not free of risk, so it must be carried out by
professionals who are knowledgeable about the risk factors
and highly qualified in their attendance in case of occurrence
of unexpected situations.
Objectives:
1. Provide the best quality of care
2. Application of care based on evidence
3. Increase breastfeeding rates at discharge.
4. Increase the confidence of mothers in the Hospital.
5. Increase deliveries in the Hospital
Material and Method: Creation of skin to skin protocol in
the caesarean sections programmed with the support of
the management, multidisciplinary team and collaborating
services in the implantation
Continuous improvement cycle DEMING
Registration of skin to skin data in scheduled caesarean
sections, through the HCE forms.
Results: Modification in lactation results. With the available
data we have gone from 13% of lactation initiated in the
immediate puerperium in the scheduled caesarean sections
to 52%.
We have received several congratulations in Patient Care,
making express mention of this protocol.
Optimization of the use of hospital resources: The puerperal
women return to the delivery room in the immediate
postpartum, freeing the space in resuscitation for use with
surgical patients.
Conclusions: There is clear evidence of an increase in the
rates of breastfeeding initiated in the immediate puerperium
after skin to skin contact.
There has been an impact on perceived quality, which has yet
to be quantified, and which seems to be one of the reasons for
the relative increase in the number of births compared to the
surrounding hospitals. Excellent point of exchange between
Primary Care and Specialized Care, as well as multidisciplinary
dialogue.
Biography:
Slivia Evora Lebrero has completed her degree in nursing management of centers and services for dependency from University of Ramon Llull, Spain. She completed her masters Nursing Management from the UDIMA. Currently she is working as a supervisor at the Hospital Universitario del Sureste at Maternal and Child Neonatal Unit.
E-mail: silvia.evora@salud.madrid.org
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