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GET NAKED!. In The PACU!. Debbie Purser, RN, Ana Rodriguez, RN, Louanne Shea, RN. WHO and WHY??. Babies and Moms!! (not the staff) Skin-to-skin contact between newborn babies and their moms (also known as Kangaroo Care) has been shown to: *Facilitate thermoregulation for both mom and baby - PowerPoint PPT Presentation

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  • Debbie Purser, RN, Ana Rodriguez, RN, Louanne Shea, RN In The PACU!

  • WHO and WHY?? Babies and Moms!! (not the staff)

    Skin-to-skin contact between newborn babies and their moms (also known as Kangaroo Care) has been shown to:

    *Facilitate thermoregulation for both mom and baby *Facilitate and increase breastfeeding success. *Promote maternal-infant bonding *Decrease maternal discomfort

  • Its easy for babies to Get Naked...theyre born that way!

  • For moms... After her admission assessment in PACU.we can pull the gown aside so her naked baby can nestle on her naked chest!

  • Place baby in a prone position (naked) on moms bare chest, between her breasts.

    Place a fresh, warm blanket (straight from the blanket warmer) over both of them.

    This warms both baby and mom, as well as promoting bonding and breastfeeding

    Let them snuggle..skin-to-skin..

  • Some babies will nestle between moms breasts for a whilethen make movements toward finding the nipple

    If soits OK to help guide babybut no need to force the breast on the baby

  • Its OK to just let them snuggle

  • Babys vital signs can be taken without disturbing skin-to-skin time

    Babys heel stick for blood glucose can even be done this way!

    Yes, moms fundus can be checked with a baby on her chest!!

  • If baby has just had a bath.

    Dry the baby well. Dress the baby in its baby capotherwise stay naked and place baby skin-to-skin on the moms naked chest.

    Cover both of them with a fresh warm blanket that remains partially folded (so it is a few layers thick to retain its heat)

  • You do not have to separate mom and baby just because of the bath!!

    Most babies increase or maintain their temperature just fine if they are kept skin-to-skin with the mom (or dad if mom is not available)

  • This approach to the mother/baby couplet has been shown to:

    Increase moms satisfaction with the C/S process

    Increase breastfeeding success

    And I bet if they could talk.Increase babies satisfaction!! Who wants to lie alone in a warmer when they can snuggle with mom??!!

  • So lets give it a try!!!Initial assessments of mom and baby as always upon arrival in the PACU

    As soon as the maternal assessment is completedplace the naked baby on moms naked chest.

    Cover both of them with a fresh warm blanket

  • Subsequent vital signs, fundal checks and even blood glucose checks can be completed while moms and baby enjoy getting to know each other.

  • Happy, Healthy Moms and Babies

    Isnt this what we are all about???

    See attached articles for more info re: skin-to-skin and/or Kangaroo Care.

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