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Exploring the skin-to-skin contact experience during cesarean section.

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Skin-to-skin contact (SSC) after cesarean birth fosters mutual caregiving between mother and neonate. This practice highlights the benefits of early bonding, even within the cesarean environment.

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Area of Science:

  • Maternal-Neonatal Health
  • Cesarean Delivery Outcomes
  • Postpartum Care

Background:

  • Cesarean delivery is a prevalent surgical procedure in the United States.
  • Skin-to-skin contact (SSC) is recognized for its benefits in the neonatal period.
  • Understanding the maternal experience of SSC immediately postpartum is crucial.

Purpose of the Study:

  • To explore and describe the mother's experience of holding her neonate in skin-to-skin contact (SSC) immediately after cesarean delivery.
  • To understand the mother-neonate interaction during SSC in the surgical closure and recovery phases.

Main Methods:

  • Ethnographic study involving 11 mothers aged 23-38 years with full-term gestations (39.1-40.2 weeks).
  • Data collection through observations and interviews with mothers 24-48 hours postpartum.
  • Content analysis of observational notes and transcribed interviews.

Main Results:

  • The primary theme identified was mutual caregiving, emphasizing the reciprocal relationship and benefits of SSC for both mother and neonate.
  • The father's influence on the SSC experience was identified as a contextual factor.
  • The cesarean delivery environment was also illuminated as a contextual element impacting the SSC experience.

Conclusions:

  • SSC immediately following cesarean delivery facilitates a unique mother-neonate bond characterized by mutual caregiving.
  • Advanced practice nurses play a vital role in promoting SSC during cesarean births.
  • Nurses can educate patients and influence institutional policies to support SSC in cesarean deliveries.