SKIN TO SKIN CONTACT AND BREAST FEEDING NNAJI GLADYS CHINAZAEKPERE GROUP 37 SKIN TO SKIN CONTACT AND KANGAROO DEFINITION Kangaroo: prolonged abdomen to abdomen contact with mother or father premature baby Skin-to-skin: immediate nude abdomen to nude abdomen at least 1 to 2 hours without interruption mother and term infant SAFE SKIN TO SKIN CONTACT • Nude newborn’s abdomen directly on mother’s nude chest, without drying • Skin-to-skin is immediate (directly from the mother) • Newborn is completely nude (no diaper, …) • Baby is extended as much as possible, so as much skin contact as possible (oxytocin) • Baby is dried, especially back and head • Newborn is then covered with a dry blanket SAFE SKIN TO SKIN CONTACT • Inform parents of the safe practice of skin-to-skin, especially fathers • Prepare mother’s gown so to remove it completely at the time of birth • Place baby on the mother’s skin immediately at birth, without drying • Dry the baby’s back and head thoroughly. • Expand baby’s body as much as possible on mother’s chest to avoid pressure on the thorax, to better breathing • Make sure the baby’s nose and mouth are free to secure free airways. Baby should always be free to lift head • Remove all wet blankets. Cover baby with one dry blanket. • Avoid overheating WHY IS SKIN TO SKIN CONTACT PERFORMED? First, introduction in industrialized countries in order to • facilitate mother’s first attachment experiences • encourage first close contacts between parents and baby • Exposes baby to home flora • Passive immunity • facilitate initiation of breastfeeding 10 STEPS TO SUCCESSFUL BREAST FEEDING • Routinely communicate a written policy. • Train all staff to implement this policy. • Inform all pregnant woman about the benefits and management of breastfeeding. • Help initiate breastfeeding within 30 minutes of birth. • Show mothers how to breastfeed. • Feed newborns breastmilk only, unless medically indicated. • Practice rooming-in. • Encourage breastfeeding on demand. • Give no artificial teats or pacifiers. • Foster breastfeeding support groups and refer moms to them BENEFITS OF BREAST FEEDING FOR BABY Breastmilk: • Reduces postneonatal mortality rates • Contains antibodies that protect infants against infection • Digests more easily than formula • May protect against diseases in later life • Breastfeeding facilitates maternal-infant attachment. BENEFITS OF BREAST FEEDING FOR MOTHER • Lactational amenorrhea • May reduce the risk for breast cancer • May reduce the risk for uterine and ovarian cancers • Decreases postpartum bleeding and helps speed the uterus to a nonpregnant state • Facilitates postpartum weight loss • May reduce the risk for postmenopausal osteoporosis and hip fracture FINANCIAL BENEFITS OF BREAST FEEDING • Breastmilk is less expensive than formula. • Breastfed infants have fewer illnesses than formula-fed infants, resulting in less burden on the health care system. • Breastmilk is environmentally friendly. THANK YOU