Early skin-to-skin contact after cesarean section: A randomized clinical pilot study

• DOI: 10.1371/journal.pone.0168783
• Publication Date: 2017-02-23T18:44:37Z
• Authors: Martina Kollmann; Lisa Aldrian; Anna Scheuchenegger; Eva Mautner; Sereina A. Herzog; Berndt Urlesberger; Reinhard B. Raggam; Uwe Lang; Barbara Obermayer...; Philipp Klaritsch
• Keywords: Apgar score

Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was investigate the impact intraoperative (early SSC) after cesarean section on neonatal adaptation, maternal pain stress response.This prospective, randomized-controlled pilot performed at a single academic tertiary hospital (Department Obstetrics Gynecology, Medical University Graz, Austria) between September 2013 January 2014. Women were randomly assigned ("early") SCC (n = 17) versus postoperative ("late") 18). Main variables investigated transition (Apgar score, arterial oxygen saturation, heart rate temperature), perception both response measuring biomarkers salivary free cortisol alpha amylase.There no evidence differences in parameters reflecting or 'Early SSC Group' 'Late Group'. Maternal alpha-amylase levels as well wellbeing did not differ groups. However, rise directly delivery higher compared (p 0.004).This reveal significant risks newborn terms when early is applied operating room. condition marker either, although Group', which may indicate stressor sign due intensive activation sympathetic-adreno-medullary-system. This needs further evaluated larger prospective randomized trial.ClinicalTrials.gov NCT01894880.