Authors (including presenting author) :
NG SM(1), WAN WY(1)
Affiliation :
(1) Department of Obstetrics & Gynaecology, Prince of Wales Hospital, Hong Kong
Keyword 1: :
skin to skin contact
Introduction :
Immediate Skin to Skin Contact (SSC) between newborns and mothers significantly enhances breastfeeding initiation and promotes maternal-newborn interactions through sensory stimuli such as touch, warmth, and scent. Thus, all newborns and mothers, without immediate intervention should initiate SSC right after birth.
For safety, every newborn must have a SpO₂ sensor to monitor oxygen saturation and heart rate during SSC. The first reading must exceed 90% within the first five minutes of life before SSC can commence.
Relying solely on monitor alarms or parental observation poses substantial risks, as equipment may malfunction and caregivers might overlook subtle clinical changes. To address these concerns, a targeted improvement program has been implemented across the department since 2024, including the antenatal outpatient clinic, antenatal ward, and delivery suite.
Objectives :
Enhance parents' understanding on SSC Bolster Midwives' Expertise in SSC
Ensure Oximeter Monitoring Functions Effectively with Maximum Alarm Alerts
Develop Comprehensive Documentation for SSC Instruction
Methodology :
1. Antenatal Outpatient Clinic
•Enhance education on SSC during Breastfeeding Group Discussions •Invite mothers for return demonstrations using baby dolls to practice proper positioning.
2.Antenatal Wards
•Ensure staff to provide “Safe SSC” leaflet to all women upon admission.
•Reinforce knowledge on correct SSC positioning using baby doll for demonstrations, emphasizing risks of improper positioning •Standardize documentation with pre-printed labels 3.Labour Ward
•Post “Safety Tips for SSC” in all delivery rooms as reminders •Ensure appropriate lighting and ambient temperature.
•Before Initiating SSC:
•Confirm the mother is well-rested and the newborn is ready •Verify understanding by having the couple repeat key points •Allow the couple to stop SSC any time, ensuring they are not left unattended.
•Closely observe the newborn to ensure unobstructed breathing and timely document observations on the SSC chart.
•Oximeter Machine:
•Check and record oximeter settings each shift to ensure proper functioning and set the alarm at high alert. Regularly perform maintenance on the machine.
Result & Outcome :
•100% of mothers received thorough SSC instruction before initiation.
•Documentation practices were standardized and consistently maintained.
•No SSC-related incidents have occurred since program implementation.
•Expansion of the program is recommended, including additional educational resources for families to emphasize ongoing SSC benefits.
