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Journal of Intensive and Critical Care Nursing | Volume 2
October 24-25, 2019 | Zurich, Switzerland
2nd European
Nursing Congress
International Conference on
Clinical Nursing & Practice
Joint Event
&
J Intensive Crit Care Nurs, Volume 2
Advancing in the humanization of care to the pregnant and the new-born: Skin to skin in
caesarean section
Silvia Evora Lebrero, Estefania Rapapport Martín, Marta Bustos Sepúlveda
and
Maria del Mar García
Hospital Universitario del Sureste, Spain
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, andwhich 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.
Speaker 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:
silvia.evora@salud.madrid.org