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Immediate skin-to-skin contact with unstable newborns improves survival chances

376 点作者 billyharris将近 4 年前

17 条评论

reacharavindh将近 4 年前
Interesting to read this here. When my son was born (naturally, normal weight, fully healthy, and around expected due date), the midwife in Denmark had educated us about the Danish way of handling the birth - as soon as the baby comes out, they literally put the baby on mom’s chest, and leave us(parents, and baby) alone in the room for about an hour. Nothing needs to be done other than the baby being in care of it’s parents! They believed it helps the baby form a natural bond, but also acclimate to the outside world better than being whisked away and cleaned.<p>It was such a lovely experience. One of the many things I am thankful to Denmark for.<p>Several things that I was surprised to learn while going through this in DK.<p>1. Childbirth is handled by midwives (Jordemothers) instead of doctors. Doctors are brought only when medication or any treatment is necessary.<p>2. Child birth is considered a natural process and never treated&#x2F;thought of as a sickness or medical condition. This is reflected in the whole process.<p>3. The social healthcare system works great. It changed my perspective even more. Not having to think about hospital bills or insurance leaves us parents to enjoy the arrival of our little one.<p>4. If everyone in the country, regardless of their current financial condition gets such an experience for their childbirth, I will gladly pay my taxes, and never complain. Healthcare should not be a business imho.
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jonathanlydall将近 4 年前
Interesting.<p>Our baby arrived 10 weeks premature and although it wasn&#x27;t immediately after birth (as I&#x27;ll explain why below), the hospital strongly encouraged the kangaroo care as mentioned in the article, which mom did daily until we could take our baby home.<p>In a week it will be a full year since birth and the baby is in no way behind developmentally compared to other 10 month olds (when adjusting age due to prematurity). So although anecdotal, I can believe this can be a very helpful practice.<p>Due to arriving mid-pandemic and because neither of us had COVID tests prior to the unexpectedly premature birth, we weren&#x27;t allowed to visit the baby in the NICU until our tests came back negative, which was about 30 hours later. I wasn&#x27;t even allowed to be with mom during delivery, but the doctor did allow me to see the baby for a couple of minutes from a distance and under the proviso that I touched nothing in the NICU (including things like walls, windows, doors, handles, etc).<p>Anyway, somewhat superfluous information at the end there, but it was quite an experience and I&#x27;m just happy everything turned out fine.
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tenfourwookie将近 4 年前
I received the opposite care. Was delivered by C-section, no contact with anyone while in incubation for several weeks. My mother would often tell the story of how she was unable to touch me for weeks after my birth.<p>45 years on and I haven’t a single bond, not with family, not with friends, not even with animals. Like a ghost floating through the world with no attachments and seemingly no compelling interest in them. Active avoidance is on point. But don&#x27;t be sad for me. It&#x27;s just the way I developed. And the lack of bonding, skin-to-skin contact with my mother is one possible reason.<p>They’ve tried to make a number of diagnoses fit, from autism to Schizoid Personality Disorder, Bipolar to Asperger&#x27;s. Nothing. Nothing fits. There&#x27;s nothing wrong with me except that I don&#x27;t bond, at all.<p>One of the more disturbing experiences was watching what happened to chimpanzees when their mothers were taken away from them after birth (or were denied bonding entirely). They rock back and forth with anxiety; they grapple for the nearest comfy thing; more rocking. It was like watching myself. I&#x27;m typing this 45 years later holding a pillow for comfort. You&#x27;ll rarely see me seated without one. I rock all the time. The pillow, the rocking. They fill a hole. It&#x27;s protective somehow. I&#x27;m sure a shrink would say it reminds me of the womb that was stolen from me.<p>And I know I&#x27;ll live the rest of my life like this, without bond, alone, and not really sad because of it, just totally missing what compels others towards their own kind, to bond.<p>So, yeah, more skin-to-skin sooner. No more lost people like me. Again: not sad about it, but life without others (and very much not wanting them) can be a severe challenge. You have only yourself.
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jeduehr将近 4 年前
I will say this is something we&#x27;ve known for a while: <a href="https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;27885658&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;27885658&#x2F;</a>
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dools将近 4 年前
Lots to be learned about the microbiome, and how vaginal birth, breastfeeding and skin contact feeds that. The trend towards caesarian births and formula feeding countervenes this trend in health research.
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mensetmanusman将近 4 年前
It’s not unsurprising reading about western doctor’s historical skepticism of this practice.<p>Reading about the history of child birth in the U.S. over the last century is messed up. No wonder we have such high mortality rates still.<p>I remember having to change hospitals in Boston because they were proud of the fact that 50% of the births were c-sections…
philliphaydon将近 4 年前
Home birth, natural, c-sect, whatever works for you to have a happy healthy baby.<p>We had c-sect under GA, as my wife was scared of birth and c-sect, so we opted for GA. So there wasn’t even an option for skin to skin, or me to even be in the room during the procedure.<p>But our daughter came out happy and healthy. Wouldn’t change a thing.
locusofself将近 4 年前
Not getting skin-to-skin contact with our daughter (and only child we will have) for several days because of very minor complications is something we really resent.
alexmr将近 4 年前
We had a preemie baby at 26 weeks in December and feel fortunate our hospital (UCSF) practiced this recommendation. I was surprised they could do kangaroo care that fast (was a few hours after birth), but we did it then and everyday our daughter was in the ICN for 4 months. I&#x27;m convinced it made a difference and am sad when I hear about parents who can&#x27;t do this.<p>I hope this research helps this become more standard practice.
neilpmas将近 4 年前
I&#x27;m sceptical of single study medical research and especially that which involves the crazily political world of birth. It might be better to wait until the Cochrane collaboration does a meta analysis on multiple studies before anyone changes what they are currently doing.
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MarketingJason将近 4 年前
I wish we could have experienced this. Our OBGYN didn&#x27;t catch (after we insisted) that the baby was breach. After 2 hours of labor we were rushed to an emergency c-section.<p>I&#x27;m thankful that my wife did get a little skin-to-skin but it was not immediate and it was for maybe 5 minutes before they were seperated. I think we got to see our baby about an hour later.<p>The whole experience during and after was horrible but I&#x27;m not sure if we or the hospital could have handled it better other than if we had insisted more strongly that the position felt wrong weeks before delivery.
pella将近 4 年前
imho: correction of the side effects of &quot;evidence-based medicine&quot;<p>related-satire:<p>&quot;Satirical paper puts evidence-based medicine in the spotlight&quot;<p>&quot;A spoof paper about mothers kissing their children’s ‘boo-boos’ draws attention on social media.&quot;<p><a href="https:&#x2F;&#x2F;www.nature.com&#x2F;news&#x2F;satirical-paper-puts-evidence-based-medicine-in-the-spotlight-1.19133" rel="nofollow">https:&#x2F;&#x2F;www.nature.com&#x2F;news&#x2F;satirical-paper-puts-evidence-ba...</a><p><i>&quot;The paper’s underlying message is in line with the journal’s philosophy, says Miles, who is also senior vice-president of the European Society for Person Centered Healthcare in London and Madrid. In medicine, he notes, scientific research is only one type of knowledge, which must sit alongside other forms, such as professional medical experience, and not above them. “Over-reliance on science is a very dangerous thing,” Miles says. Next month, the journal will publish another article unpacking the lessons contained in the satirical paper, he adds.&quot;</i>
newobj将近 4 年前
Is this news? This was the crunchy stuff we did when my son was born ~13 years ago. It seemed like crunchy 101 then, shrug.
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mberning将近 4 年前
There is a lot of “woo woo” crap in the child birth industry. All the way from hardcore “all natural” proponents to traditional “hospital birth no matter what” people. Unfortunately this causes a lot of anxiety and second guessing on the part of new parents. I really didn’t appreciate the quasi-relgious or cult-like guidance we received on breast feeding our son, only to have him lose 15% of his body weight and not gain it back until we supplemented with formula.
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alephnan将近 4 年前
Reminded me of the Behavioral Despair experiment on the psychology of hope<p><a href="https:&#x2F;&#x2F;en.m.wikipedia.org&#x2F;wiki&#x2F;Behavioural_despair_test" rel="nofollow">https:&#x2F;&#x2F;en.m.wikipedia.org&#x2F;wiki&#x2F;Behavioural_despair_test</a>
barrenko将近 4 年前
Newborns can die from lack of food, water or touch.
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moonbug将近 4 年前
Based on this, expect US hospital prices for that service to go up.
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