RESUMEN
Skin to skin contact (SSC) between mother and child immediately after birth is now considered to be an indicator of good clinical practice as it offers multiple benefits for both: it reduces stress levels of the mother, it facilitates affective bonding, breastfeeding and the newborns adaptation to extra-uterine life. However, in the vast majority of hospitals, mother and child are separated until complete recovery following a caesarean section, which can be several hours. In this article the advantages of SSC after a caesarean section, were analyzed, as well as the main difficulties in order to carry it out, which include maternal or neonatal instability and the reticence of the professionals themselves. An actuation procedure model is detailed, for its implementation in a safe manner and that at the same time, contribute to humanize the birth.
El contacto piel con piel (CPP) entre la madre y el recién nacido tras el nacimiento es considerado como uno de los indicadores de Buenas Prácticas Clínicas, ya que ofrece múltiples beneficios para ambos: reduce el nivel de estrés en la madre, facilita el desarrollo del vínculo afectivo, el éxito de la lactancia materna y la adaptación del recién nacido a la vida extrauterina. Sin embargo, en la mayoría de los hospitales se separa a madre e hijo el tiempo que dura la recuperación tras la cesárea, lo que puede extenderse varias horas. En este artículo se analizaron las ventajas del CPP tras las cesáreas y las principales dificultades para llevarlo a cabo, que incluyen inestabilidad materna o neonatal y reticencias de los propios profesionales. Se detalla un modelo de procedimiento de actuación para su puesta en marcha, de forma segura y que a la vez contribuya a humanizar el nacimiento.
Asunto(s)
Cesárea , Método Madre-Canguro/métodos , Cuidados Posoperatorios/métodos , Femenino , Humanos , Recién Nacido , Método Madre-Canguro/psicología , Método Madre-Canguro/normas , Relaciones Madre-Hijo , Cuidados Posoperatorios/psicología , Cuidados Posoperatorios/normas , EmbarazoRESUMEN
El contacto piel con piel (CPP) entre la madre y el recién nacido tras el nacimiento es considerado como uno de los indicadores de Buenas Prácticas Clínicas, ya que ofrece múltiples beneficios para ambos: reduce el nivel de estrés en la madre, facilita el desarrollo del vínculo afectivo, el éxito de la lactancia materna y la adaptación del recién nacido a la vida extrauterina. Sin embargo, en la mayoría de los hospitales se separa a madre e hijo el tiempo que dura la recuperación tras la cesárea, lo que puede extenderse varias horas. En este artículo se analizaron las ventajas del CPP tras las cesáreas y las principales dificultades para llevarlo a cabo, que incluyen in estabilidad materna o neonatal y reticencias de los propios profesionales. Se detalla un modelo de procedimiento de actuación para supuesta en marcha, de forma segura y que a la vez contribuya a humanizar el nacimiento
Skin to skin contact (SSC) between mother and child immediately after birth is now considered to be an indicator of good clinical practice as it offers multiple benefits for both: it reduces stress levels of the mother, it facilitates affective bonding, breastfeeding and the newborns adaptation to extra-uterine life. However, in the vast majority of hospitals, mother and child are separated until complete recovery following a caesarean section, which can be several hours. In this article the advantages of SSC after a caesarean section, were analyzed, as well as the main difficulties in order to carry it out, which include maternal or neonatal instability and the reticence of the professionals themselves. An actuation procedure model is detailed, for its implementation in a safe manner and that at the same time, contribute to humanize the birth
Asunto(s)
Humanos , Femenino , Embarazo , Recién Nacido , Cesárea , Método Madre-Canguro/métodos , Cuidados Posoperatorios/métodos , Método Madre-Canguro/psicología , Método Madre-Canguro/normas , Relaciones Madre-Hijo , Cuidados Posoperatorios/psicología , Cuidados Posoperatorios/normasRESUMEN
Background: Maternal obesity is known to affect human milk composition. Long-chain polyunsaturated fatty acids (LCPUFA) are vital nutrients to the nervous system development and precursors of eicosanoids related to obesity (prostaglandin E2-PGE2-and leukotriene E4-LTE4). The aim of the present research was to study the lipid profiles, with particular emphasis to LCPUFAs, and the concentrations of eicosanoids PGE2 and LTE4, involved in adipose tissue development, in human milk from overweight mothers compared with normal weight mothers. Materials and Methods: Study including 46 overweight and 86 normal weight breastfeeding volunteers was carried out. Fatty acids and eicosanoids (PGE2 and LTE4) were analyzed in mature human milk. Fatty acids quantification was determined by gas chromatography and mass spectrometry. PGE2 and LTE4 were measured by immununoassay. Results: Human milk of overweight mothers had lower contents of n-3 LCPUFA, including eicosapentaenoic acid (20:5n-3, EPA) and docosahexaenoic acid (22:6n-3, DHA) and higher levels of total n-6 LCPUFA, compared with normal weight mothers (0.45 ± 0.23 versus 0.58 ± 0.38, p = 0.016; 0.05 ± 0.04 versus 0.08 ± 0.08, p = 0.005; 0.26 ± 0.15 versus 0.34 ± 0.22, p = 0.015; 0.84 ± 0.25 versus 0.74 ± 0.20, p = 0.029; respectively). Multiple regression analyses showed that maternal overweight was associated with human milk fatty acid profile. The levels of PGE2 and LTE4 in human milk did not show significant differences between groups. Conclusions: Our findings support the hypothesis that mother weight status influences human milk n-3 LCPUFA lipid composition, but not its relationship with PGE2 and LTE4 levels.