THE EFFECT OF SKIN-TO-SKIN CONTACT ON UTERUS INVOLUTION

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Retno Kurniawati
Riana Pascawati

Abstract

Background: Skin-to-skin contact affects the release of mothers’ oxytocin through sensory   stimuli like warmth, touches, and kisses. Oxytocin is closely related to membrane receptors of   myometrium cells and stimulates the release of intracellular calcium and uterus contraction, which streamlines the process of involution. Uterine atony, occuring when uterus fails to contract, in mothers in the postpartum period can cause what is called subinvolution, which if left without treatment will cause postpartum haemorrhage, or excessive bleeding, and even mortality.


Objective: This evidence-based case report aimed to know the effect of skin-to-skin contact on the uterus involution of mothers in the postpartum period at Solokan Jeruk Community health center


Method: The search for articles about comparative studies on labor positions was run on Google scholar and PubMed by doing a keyword search for the two terms: skin-to-skin contact and involution. After the selection process, only two articles, each posted on Google Scholar and PubMed, were considered to be eligible according to the inclusion and exclusion criteria. Critically analyzed, both articles were deemed to be important and applicable to patients.


Results: Evidence Based Case Report (EBCR) involving a mother in the postpartum period who made a mother-child skin-to-skin contact for 30 minutes in the first hour after childbirth, the researcher found that the height of uterus fundus in the first, second, third, fourth, and sixteenth hours was 13,5 cm, 12,7 cm, 12,5 cm, 12,2 cm, and 11,6 cm respectively.


Conclusion: mother-baby skin-to-skin contact can be an effective treatment method in the postpartum period.

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