Renee Billner-Garcia1, Arlene Spilker, Deepika Goyal. 1. Renee Billner-Garcia is a Nurse Professional Development Specialist for the Packard Intermediate Care and Sequoia Special Care Nurseries at Lucile Packard Children's Hospital, Stanford, Palo Alto, CA. The author can be reached via e-mail at renee63bsn@gmail.com Arlene Spilker is an Assistant Professor, The Valley Foundation School of Nursing, San José State University, San Jose, CA. Deepika Goyal is a Professor, The Valley Foundation School of Nursing, San José State University, San Jose, CA.
Abstract
PURPOSE: The purpose of this project was to assess temperature stability in newborns undergoing early intraoperative skin-to-skin contact (SSC) after elective cesarean birth. METHOD: This feasibility study examined electronic medical record data of 91 mother-baby dyads who participated in early intraoperative SSC after an elective cesarean birth. Infant axillary temperatures were obtained just before initiation and upon completion of intraoperative SSC. RESULTS: The mean age of women in this sample was 35 (SD, 4.2) years. They were an average of 39 4/7 weeks gestation, and largely Caucasian 55% (n = 50) and Asian 30 (33%). Fifty-eight percent (n = 53) of infants were male, weighing an average of 3,566 g (SD, 401.83). Nineteen (21%) of infants demonstrated no temperature change pre to post SSC, with an increase noted in 32 (35%) infants, and a decrease in 40 (44%). CLINICAL IMPLICATIONS: Findings provide support for continued intraoperative SSC. Areas for improvement were also identified, for example, missing medical record data.
PURPOSE: The purpose of this project was to assess temperature stability in newborns undergoing early intraoperative skin-to-skin contact (SSC) after elective cesarean birth. METHOD: This feasibility study examined electronic medical record data of 91 mother-baby dyads who participated in early intraoperative SSC after an elective cesarean birth. Infant axillary temperatures were obtained just before initiation and upon completion of intraoperative SSC. RESULTS: The mean age of women in this sample was 35 (SD, 4.2) years. They were an average of 39 4/7 weeks gestation, and largely Caucasian 55% (n = 50) and Asian 30 (33%). Fifty-eight percent (n = 53) of infants were male, weighing an average of 3,566 g (SD, 401.83). Nineteen (21%) of infants demonstrated no temperature change pre to post SSC, with an increase noted in 32 (35%) infants, and a decrease in 40 (44%). CLINICAL IMPLICATIONS: Findings provide support for continued intraoperative SSC. Areas for improvement were also identified, for example, missing medical record data.
Authors: Jeannette T Crenshaw; Ellise D Adams; Richard E Gilder; Kristine DeButy; Kristin L Scheffer Journal: Breastfeed Med Date: 2019-11-18 Impact factor: 1.817