Date of Graduation

Summer 8-9-2017

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Nancy Taquino

Abstract

Newborn Kangaroo Care Immediately after Cesarean Birth

Sarah Abdolcader

Global Aim: Improve exclusive breastfeeding rates from 76% to 80% in the Perinatal Unit during the newborn’s hospital admission by February 2018.

Project Aim: Improve the percentage of mother/baby skin-to-skin (kangaroo holding) from a baseline of 55% to 65% by August 2017.

Setting: Perinatal Units

Participants: Newborns birthed via cesarean section

Evidence: According to the World Health Organization (2003), hospitals should have a goal of >80% exclusive breastfeeding rates for all newborns during their acute hospital stay and it begins with skin-to-skin contact (SSC), newborn’s bare chest placed on mom’s bare chest immediately after birth which does not exclude the operating room. SSC after cesarean decreases breastfeeding initiation time, increase the rates of breastfeeding duration and exclusivity, enhance infant feeding responses (Conroy & Cottrell, 2015). An estimate that the United States would save $13 billion annually if 90% of infants were exclusively breast fed in the first six months of life (Hung & Berg, 2011, 319).

Method: Two nurses were assigned to the operating room for delivery. CNL to review electronic medical records (EMR) to evaluate if skin-to-skin is completed in less than ten minutes and is appropriately documented.

Results: After education to 86% of the labor and delivery staff nurses, a review of the EMRs for all cesarean section deliveries was completed and skin-to-skin occurred 70% of the time. This result exceeded the initial goal of 65%.

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