Document Detail


A pilot study of a nursing intervention protocol to minimize maternal-infant separation after Cesarean birth.
MedLine Citation:
PMID:  19614878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To pilot test a standardized intraoperative and postoperative nursing intervention protocol to minimize maternal-infant separation after Cesarean. DESIGN: Randomized-controlled trial. SETTING: A 250-bed acute care community hospital labor/delivery/recovery/postpartum unit with approximately 150 repeat Cesarean deliveries per year. PARTICIPANTS: Fifty women having a live, term, singleton, repeat Cesarean delivery and their newborns. INTERVENTION: A standardized nursing intervention protocol was designed and administered to minimize the amount of maternal-infant spatial, tactile, olfactory, auditory, and visual separation post-Cesarean. MAIN OUTCOME MEASURES: Maternal outcomes included maternal pain, anxiety, and childbirth perception. Infant outcomes included respiratory rate, temperature, stress (infant salivary cortisol), and breastfeeding rates. RESULTS: Compared with the control group, the intervention group experienced earlier first physical contact and feedings and a longer interval until the infant first bath. Differences were found between treatment groups for infant temperatures and respiratory rates. Three infants in the control group experienced suboptimal temperatures. Infants in the intervention group had significantly higher salivary cortisol levels but were within the normal upper level range. No differences were noted in maternal pain, maternal anxiety, or perception of birth experience among treatment groups. CONCLUSIONS: The pilot was valuable in examining intervention feasibility, appropriate outcome measures, and data collection strategies. The standardized intervention protocol shows promise for positively affecting maternal-infant outcomes after Cesarean delivery and merits further testing.
Authors:
Anne Nolan; Carol Lawrence
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  38     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-07-20     Completed Date:  2009-10-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  430-42     Citation Subset:  IM; N    
Affiliation:
School of Nursing, Florida Gulf Coast University, 10501 FGCU Boulevard South, Fort Myers, FL 33965-6565, USA. anolan@fgcu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section*
Feasibility Studies
Female
Humans
Infant, Newborn
Intraoperative Care / nursing*
Mother-Child Relations*
Object Attachment
Pilot Projects
Postoperative Care / nursing*
Pregnancy
Sensation / physiology
Touch / physiology*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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