Ignite Creation Date:
2024-05-06 @ 5:23 PM
Last Modification Date:
2024-10-26 @ 2:28 PM
Study NCT ID:
NCT05292924
Status:
UNKNOWN
Last Update Posted:
2022-03-23
First Post:
2022-03-15
Brief Title:
Early Versus Inmediately Skin to Skin Contact in Cesarean Section
Sponsor:
Asociación Mexicana de Salud Primal
Organization:
Asociación Mexicana de Salud Primal
Study Overview
Official Title:
Immediate vs Early Skin-to-skin Contact in Cesarean Births and Its Effect on Breastfeeding
Status:
UNKNOWN
Status Verified Date:
2022-03
Last Known Status:
NOT_YET_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Breastfeeding plays a fundamental role in the health of girls and boys by providing adequate nutrition promoting development and mainly preventing diseases Different maternal factors such as education or obesity and perinatal factors such as the route of birth or skin-to-skin contact among many others can influence its onset proper establishment and duration Caesarean section and instrumental delivery are directly related to a delay in the early initiation of breastfeeding in newborns In Mexico the rate of caesarean sections is well above that recommended by the World Health Organization in addition to being a country with very low rates of exclusive breastfeeding at 6 months of age of the newborn without having achieved the proposed objectives to improve it in recent years
Newborns who experience skin-to-skin contact with their mother develop behaviors such as crawling to the breast and more effective suckling with greater lactogenesis by the mother The World Health Organization WHO defines skin-to-skin contact SSC as direct immediate and uninterrupted contact of the infant with the mothers skin and promotes it because it is important for establishment of breastfeeding neonatal and child survival and development It has been seen that the ideal time to start this CPP is within the first 30 minutes of life of the newborn in any birth route so it has been recommended that it be started in the recovery room or even in the operating room during birth by caesarean section in order to make a mark in the programming of the future physiology and behavior of the dyad
The foregoing leads us to ask ourselves the following research questions Can we in our public hospitals in Mexico carry out the CPP procedure between mother and baby during cesarean births And if so will there be a difference in breastfeeding by Mexican women performing skin-to-skin contact immediately even in the operating room between mother and baby in cesarean births versus if it is carried out after the surgical procedure
Newborns who experience skin-to-skin contact with their mother develop behaviors such as crawling to the breast and more effective suckling with greater lactogenesis by the mother The World Health Organization WHO defines skin-to-skin contact SSC as direct immediate and uninterrupted contact of the infant with the mothers skin and promotes it because it is important for establishment of breastfeeding neonatal and child survival and development It has been seen that the ideal time to start this CPP is within the first 30 minutes of life of the newborn in any birth route so it has been recommended that it be started in the recovery room or even in the operating room during birth by caesarean section in order to make a mark in the programming of the future physiology and behavior of the dyad
The foregoing leads us to ask ourselves the following research questions Can we in our public hospitals in Mexico carry out the CPP procedure between mother and baby during cesarean births And if so will there be a difference in breastfeeding by Mexican women performing skin-to-skin contact immediately even in the operating room between mother and baby in cesarean births versus if it is carried out after the surgical procedure
Detailed Description:
Breastfeeding plays a fundamental role in the health of girls and boys by providing adequate nutrition promoting development and mainly preventing diseases Different maternal factors such as education or obesity and perinatal factors such as the route of birth or skin-to-skin contact among many others can influence its onset proper establishment and duration Caesarean section and instrumental delivery are directly related to a delay in the early initiation of breastfeeding in newborns The cause of this effect has been related to the limitation in maternal movement the pain of the wound or the difficulty in maternal positioning It has also been seen that newborns by caesarean section or instrumental delivery may have more problems with attachment and inadequate suction In Mexico the rate of caesarean sections is well above that recommended by the World Health Organization in addition to being a country with very low rates of exclusive breastfeeding at 6 months of age of the newborn without having achieved the proposed objectives to improve it in recent years
Cesarean section traditionally implies a separation between the mother and her newborn which is contrary to the recommendations to promote better breastfeeding and establishment of the bond between the mother and her baby There is evidence that demonstrates the relationship between skin-to-skin contact and higher rates of exclusive breastfeeding This contact between the naked baby on the naked torso of her mother as soon as possible after birth is also recommended in cesarean births as soon as possible for the mother to perform it
Newborns who experience skin-to-skin contact with their mother develop behaviors such as crawling to the breast and more effective suckling in addition to having the opportunity to manifest the necessary demands for attention that trigger neuropsychobiological pathways that activate maternal behaviors and a immediate response to the needs of the infant with greater lactogenesis by the mother The World Health Organization WHO defines skin-to-skin contact SSC as direct immediate and uninterrupted contact of the infant with the mothers skin and promotes it because it is important for establishment of breastfeeding neonatal and child survival and development It has been seen that the ideal time to start this CPP is within the first 30 minutes of life of the newborn in any birth route so it has been recommended that it be started in the recovery room or even in the operating room during birth by caesarean section in order to make a mark in the programming of the future physiology and behavior of the dyad
The positive short- and long-term psychosocial economic environmental and physical health effects on both maternal and infant health of adequate breastfeeding are well recognized in the literature and yet their impact on maternal health It is not fully valued in Mexico which maintains a very low prevalence of exclusive breastfeeding at six months of life of newborns According to UNICEF the prevalence of exclusive breastfeeding in Mexico is only 288 when in other Latin American countries it reaches 664 583 and 532 as is the case in Peru Bolivia and Guatemala respectively In 2018 Mexico is reported as having one of the lowest breastfeeding rates in the world despite having had an increase from 144 to 286 at the national level in the rate of exclusive breastfeeding
It is very important to assess the regional conditions of our population The cause of this low tendency to breastfeed exclusively and for a long time may have different origins in our country such as poor or inadequate information from mothers prior to birth false beliefs or taboos lack of adequate support for mothers after of birth and high rates of cesarean delivery However it is also described that during cesarean birth it is possible to carry out actions that favor the mother-child bond and the first food to the mothers womb within the first hour of life favoring better breastfeeding This is achieved by favoring the skin-to-skin contact between mother and baby
However the difficulties in ensuring that mother and baby meet in SSC may vary depending on whether it is carried out in the operating room during surgery or after it in the recovery room It is about a procedure in which the mother-baby dyad participates as the center of care but also all the professional support staff such as nurses anesthesiologists and staff responsible for the care of the newborn in addition to the obstetric staff who performs the surgery
The foregoing leads us to ask ourselves the following research questions Can we in our public hospitals in Mexico carry out the CPP procedure between mother and baby during cesarean births And if so will there be a difference in breastfeeding by Mexican women performing skin-to-skin contact immediately even in the operating room between mother and baby in cesarean births versus if it is carried out after the surgical procedure
Cesarean section traditionally implies a separation between the mother and her newborn which is contrary to the recommendations to promote better breastfeeding and establishment of the bond between the mother and her baby There is evidence that demonstrates the relationship between skin-to-skin contact and higher rates of exclusive breastfeeding This contact between the naked baby on the naked torso of her mother as soon as possible after birth is also recommended in cesarean births as soon as possible for the mother to perform it
Newborns who experience skin-to-skin contact with their mother develop behaviors such as crawling to the breast and more effective suckling in addition to having the opportunity to manifest the necessary demands for attention that trigger neuropsychobiological pathways that activate maternal behaviors and a immediate response to the needs of the infant with greater lactogenesis by the mother The World Health Organization WHO defines skin-to-skin contact SSC as direct immediate and uninterrupted contact of the infant with the mothers skin and promotes it because it is important for establishment of breastfeeding neonatal and child survival and development It has been seen that the ideal time to start this CPP is within the first 30 minutes of life of the newborn in any birth route so it has been recommended that it be started in the recovery room or even in the operating room during birth by caesarean section in order to make a mark in the programming of the future physiology and behavior of the dyad
The positive short- and long-term psychosocial economic environmental and physical health effects on both maternal and infant health of adequate breastfeeding are well recognized in the literature and yet their impact on maternal health It is not fully valued in Mexico which maintains a very low prevalence of exclusive breastfeeding at six months of life of newborns According to UNICEF the prevalence of exclusive breastfeeding in Mexico is only 288 when in other Latin American countries it reaches 664 583 and 532 as is the case in Peru Bolivia and Guatemala respectively In 2018 Mexico is reported as having one of the lowest breastfeeding rates in the world despite having had an increase from 144 to 286 at the national level in the rate of exclusive breastfeeding
It is very important to assess the regional conditions of our population The cause of this low tendency to breastfeed exclusively and for a long time may have different origins in our country such as poor or inadequate information from mothers prior to birth false beliefs or taboos lack of adequate support for mothers after of birth and high rates of cesarean delivery However it is also described that during cesarean birth it is possible to carry out actions that favor the mother-child bond and the first food to the mothers womb within the first hour of life favoring better breastfeeding This is achieved by favoring the skin-to-skin contact between mother and baby
However the difficulties in ensuring that mother and baby meet in SSC may vary depending on whether it is carried out in the operating room during surgery or after it in the recovery room It is about a procedure in which the mother-baby dyad participates as the center of care but also all the professional support staff such as nurses anesthesiologists and staff responsible for the care of the newborn in addition to the obstetric staff who performs the surgery
The foregoing leads us to ask ourselves the following research questions Can we in our public hospitals in Mexico carry out the CPP procedure between mother and baby during cesarean births And if so will there be a difference in breastfeeding by Mexican women performing skin-to-skin contact immediately even in the operating room between mother and baby in cesarean births versus if it is carried out after the surgical procedure
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None