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The Role of Skin-to-Skin Contact and Breastfeeding on Postpartum Hemorrhage

Almutairi, Wedad Matar

Abstract Details

2017, Doctor of Philosophy, Case Western Reserve University, Nursing.
In the United States, postpartum hemorrhage (PPH) rate increased by 27.5% from 1995 to 2004, and the increase occurred in 19.1% of all hospitals. The incidence of severe PPH doubled from 2001/2002 to 2011/2012. Prevention of PPH focuses on medical and pharmacological methods. Other non-pharmacological interventions to prevent PPH have been sparsely reported in medical literature, but skin-to-skin contact (SSC) between mother and newborn and breastfeeding (BF) immediately or shortly after birth are becoming common practice in the United States, and they have been identified as possible psychophysiological interventions to reduce PPH but lack evidence based on U.S. practices. The purposes were to (a) determine and compare the incidence of PPH, estimated blood loss, and duration of the 3rd stage of labor in women with PPH and who had SSC only, or BF only, or SSC + BF, or no SSC/no BF within the first 2 hours post birth and (b) determine and compare the estimated blood loss and duration of the 3rd stage of labor in women without PPH who had SSC only, BF only, SSC + BF, or no SSC/no BF within the first 2 hours post birth from 2009 to 2015 at UH hospitals. The retrospective comparative chart review was conducted using codes of women with PPH (ICD9-666.1 or CD10-072.1 codes) and women without PPH (no codes). Eligible data sets were in 154 charts. One-way ANOVAs for each group and 2-way ANOVA were used. The BF only subgroup was not included because sample size was too small (n = 6). A total of 79 (51.3%) charts represented women with PPH and 75 (48.7%) women without PPH. PPH incidence increased from 3.54% in 2009 to 7.10% in 2015. For women with PPH, estimated blood loss in the SSC + BF subgroup was significantly lower than in the no SSC/no BF subgroup. For women without PPH, estimated blood loss in the SSC only subgroup was significantly lower than in the no SSC/no BF subgroup. Duration of the 3rd stage of labor for women with PPH was longer than for women without PPH. The combination of SSC + BF had a positive impact on the duration of the 3rd stage of labor and estimated blood loss for women with PPH.
Wdad Ludington (Advisor)
Mary Quinn Griffin (Committee Member)
Christopher Burant (Committee Member)
Brooke Macnamara (Committee Member)
108 p.

Recommended Citations

Citations

  • Almutairi, W. M. (2017). The Role of Skin-to-Skin Contact and Breastfeeding on Postpartum Hemorrhage [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1492689214882551

    APA Style (7th edition)

  • Almutairi, Wedad. The Role of Skin-to-Skin Contact and Breastfeeding on Postpartum Hemorrhage. 2017. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1492689214882551.

    MLA Style (8th edition)

  • Almutairi, Wedad. "The Role of Skin-to-Skin Contact and Breastfeeding on Postpartum Hemorrhage." Doctoral dissertation, Case Western Reserve University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=case1492689214882551

    Chicago Manual of Style (17th edition)