OBJECTIVE: to examine the effect of skin-to-skin contact and breast feeding within 30 minutes of birth, on the rate of primary postpartum @entity548 (PPH) in a sample of @entity1 who were at mixed-risk of PPH. DESIGN: retrospective cohort study. SETTING: two obstetric units plus a freestanding birth centre in New South Wales (NSW) Australia. @entity1 : after excluding @entity1 (n=3671) who did not have opportunity for skin to skin and breast feeding, I analysed birth records (n=7548) for the calendar years 2009 and 2010. Records were accessed via the electronic data base ObstetriX. INTERVENTION: skin to skin contact and breast feeding within 30 minutes of birth. MEASURES: outcome measure was PPH i.e. @entity190 of 500ml or more estimated at birth. Data was analysed using descriptive statistics and logistic regression (unadjusted and adjusted). FINDINGS: after adjustment for covariates, @entity1 who did not have skin to skin and breast feeding were almost twice as likely to have a PPH compared to @entity1 who had both skin to skin contact and breast feeding (aOR 0.55, 95% CI 0.41-0.72, p<0.001). This apparently protective effect of skin to skin and breast feeding on PPH held true in sub-analyses for both @entity1 at 'lower' (OR 0.22, 95% CI 0.17-0.30, p<0.001) and 'higher' risk (OR 0.37 95% CI 0.24-0.57), p<0.001. KEY CONCLUSIONS AND IMPLICATION FOR PRACTICE: this study suggests that skin to skin contact and breastfeeding immediately after birth may be effective in reducing PPH rates for @entity1 at any level of risk of PPH. The greatest effect was for @entity1 at lower risk of PPH. The explanation is that pronurturance promotes endogenous @entity398 release. Childbearing @entity1 should be educated and supported to have pronurturance during third and fourth stages of labour.

Does skin-to-skin contact and breast feeding at birth affect the rate of primary postpartum XXXX : Results of a cohort study.

@entity1 :: ('9606', 'Species') :: ['women', 'PARTICIPANTS'] @entity398 :: ('MESH:D010121', 'Chemical') :: ['oxytocin'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage']
@entity548 :: (MESH:D006470,Disease) :: ['haemorrhage']
