As a nurse, I think we all know the benefits of skin-to-skin contact immediately after delivery. But after cesarean delivery?! Yes 🙂 With a little bit of work, it can be done. And the patient’s ❤ it!
- staffing –
- In our old approach, the nursery nurse that “caught” the baby would immediately take the baby back to the nursery. The baby would be fully assessed, medications and bath would be given, and the baby would be taken back to the mom 4 hours later. (This seems so cruel writing it out on paper!)
- In our new approach, a newborn transition nurse stays with the baby until the PACU recovery of the mother is completed. Baby stays with mom and dad in the OR and then mother is transferred to recovery room with baby skin-to-skin. When recovery of mom is completed, care of mom and baby (as long as both are stable) is given to a family nurse (that’s what we call couplet care nurses).
- One of the first things we did was target one anesthesiologist. Their buy-in was paramount. Their main concern was that we were not expecting them to take care of mom and baby. We also gave them literature that moms who experienced skin-to-skin in the OR were less likely to need antiemtics and experienced less pain and anxiety.
- obstetrician –
- Once we had buy in from one anesthesiologist, we then targeted one physician. Initially, this was tricky. We had to convince them that the baby would not interfere with their sterile field.
- patient –
- Once we had a couple of physicians in mind that we thought we could approach with the idea, we targeted a patient that we thought would be interested in the idea in one of our prenatal classes. Once we had the patient picked out, we went to her OB with “this is something that your patient has requested.”
When we were ready to trial this one patient, with our one anesthesiologist, with our one OB physician, we made a really big deal about it. We called the local paper and they wrote up a great article. When the mom came out of the OR, all the nurse’s had lined up outside of the OR and were clapping as she made her way to our recovery room with her baby skin-to-skin. We had balloons and our director bought our unit cake and icecream. It was great 🙂 The physician loved his patient’s response to the experience so much that he started asking that all of his cesarean patients be given the opportunity to utilize skin-to-skin in the OR. Word quickly caught on and more and more physicians wanted to do it. By then, we were already educating our moms in our prenatal classes to talk to their OBs about skin-to-skin in the OR prior to being admitted into the hospital.
I’m going to post some quick links with some good articles, but I’m working on compiling a link with journal articles supporting skin-to-skin in the OR.