Pilot Study: Sectio Bonding/Early Skin-to-skin Contact (SSC) After Caesarean Section

Medical University of Graz

Status

Completed

Conditions

Early Skin-to-skin Contact

Treatments

Procedure: late SSC

Procedure: early SSC

Study type

Interventional

Funder types

Other

Identifiers

NCT01894880

25-425ex12/13

Details and patient eligibility

About

In the past decades frequency of cesarean section was increasing. Bonding or early skin-to-skin contact (SSC) starts ideally straight after birth. After vaginal delivery bonding/early SSC is already well-established. After cesarean section this important process starts after termination of operation. A Cochran review analyzed randomized studies and shows positive effects of early SSC. Possible concerns to adopt bonding in the operating room are beside organizational ones (change of established processes) also a different ambiance in the operating room (temperature, light, noise). In a prospective randomized trial, early SSC after cesarean section should be analyzed.

Hypothesis

Mothers, who have the chance to bond immediately after birth in the operating room, have lower cortisol, chromogranin A and alpha amylase levels as well as higher oxytocin levels. Adaptation of the newborn is within the normal range. Early bonding has a further positive effect on breast feeding, maternal pain processing and mental health.

Enrollment

35 patients

Sex

Female

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age > 18 years
signed written informed consent
single pregnancy
elective cesarean section (between 7am and 15pm)
Bleeding prophylaxis with Pabal® (carbetocin)

Exclusion criteria

Age < 18 years
disabled to give signed written informed consent
Disease of mother or unborn, which could influence the study or makes the study impossible (e.g. severe malformation)
Non elective cesarean
Desire to wean
Desire to leave the hospital within 6 hours after birth
Bleeding prophylaxis with Syntocinon® (oxytocin)