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Beyond Pain Management: Skin-to-Skin Contact as a Humanization Strategy in Cesarean Delivery: A Randomized Controlled
José Miguel Pérez-Jiménez1,2,3, Rocío de-Diego-Cordero1,3, Álvaro Borrallo-Riego1,4
1Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.
Immediate skin-to-skin contact (SSC) after cesarean delivery significantly reduces postoperative pain and enhances maternal satisfaction. This non-pharmacological approach also improves uterine contractions, promoting better maternal recovery and bonding.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Postpartum Care
Background:
- Postoperative pain management after cesarean section is critical for maternal recovery.
- Non-pharmacological methods like skin-to-skin contact (SSC) are underutilized.
- Effective pain control aids early bonding and breastfeeding.
Purpose of the Study:
- To assess the impact of immediate SSC on postoperative pain after cesarean.
- To evaluate SSC's effect on uterine contraction quality.
- To explore integrating SSC into routine postpartum care for enhanced recovery.
Main Methods:
- Randomized clinical trial involving 80 women undergoing cesarean.
- Comparison between an immediate skin-to-skin contact (SSC) group and a control group.
- Pain assessed via Visual Analog Scale (VAS); contractions and satisfaction evaluated clinically.
Main Results:
- The SSC group reported significantly lower pain scores at 2 and 3 hours postpartum (p < 0.001).
- Stronger infraumbilical uterine contractions were observed in the SSC group (92.5%, p < 0.001).
- Maternal satisfaction was markedly higher in the SSC group (9.98 vs. 6.50, p < 0.001).
Conclusions:
- Immediate SSC is an effective, humanizing intervention post-cesarean.
- SSC reduces pain, improves uterine contractions, and increases maternal satisfaction.
- Integration of SSC into standard care is recommended to enhance recovery and patient autonomy.
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