96%(53)51 out of 53 people found this document helpful
This preview shows page 1 - 4 out of 21 pages.
Running Title: TRANSLATIONAL RESEARCH FOR PRACTICE AND POPULATIONS 1Translational Research for Practice and PopulationsShellee BradtmillerWestern Governors University
Running Title: TRANSLATIONAL RESEARCH FOR PRACTICE AND POPULATIONS 2Nursing Practice IdentificationIn 2012, Dupont Hospital began implementing initiatives to reach their journey for a Baby Friendly Hospital. One of those initiatives was early skin to skin contact (also called Kangaroo care) of a healthy full-term infant beginning immediately after birth and continuing forthe first hour or first breastfeed. Skin to skin contact can be described as placing the unclothed newborn on mother’s bare chest in an upright prone position. By placing the newborn in this position immediately after birth increases breast feeding success, temperature regulation for bothnewborn and mother, and boding. Term newborns that are placed skin to skin with their mothers immediately after birth make the transition from fetal to newborn life with greater respiratory, temperature, and glucose stability and significantly less crying (Phillips, 2013). Dupont Hospital has had great success in achieving this goal of early skin to skin contact after a vaginal delivery, but lacks the ability to support this practice in the OR following a cesarean birth. With a greater demand of requests for the natural birthing experience, patients are having a desire for skin to skin contact immediately after their cesarean birth (family centered cesarean) which is the identified change in practice Dupont Hospital’s Birthplace will need to implement. Not only is it the desired experience, but studies show skin to skin contact even in low birth weight newborns influences breastfeeding which improves glucose levels in the newborn. Nursing Practice DescriptionDupont Hospital’s current practice in the OB OR is to immediately take the newborn once the physician suctions infant’s nose and mouth and clamps and cuts the umbilical cord to the warmer for the Neonatal team to evaluate. At this time, 1 and 5 minute apgars are obtained aswell as monitoring of airway and respiratory stability, measurements such as weight and vital signs. While in the Neonatal care at the bedside, newborns also receive an injection of Vitamin
Running Title: TRANSLATIONAL RESEARCH FOR PRACTICE AND POPULATIONS 3K. Skin to skin contact has been shown to reduce the response of newborns to painful stimuli, including a decrease in facial grimace, heart rate, and crying time when compared to those who were not skin to skin (Lui, Zhao, and Li, 2015). When the newborn appears to be stable, it is wrapped in a warm blanket and handed to the significant other supporting mother during the cesarean birth. If baby is unstable, it remains with the neonatal team for further evaluation and possible removal to the newborn nursery for transition of care.