تأثير تماس پوستي مادر و نوزاد بر اضطراب موقعيتي مادران بستري در بخش سزارين

Abstract

Introduction: T his study aimed at investigating the effect of skin to skin contact (SSC) on maternal state anxiety (MSA) in cesarean section unit in Akbarabadi Hospital in Tehran. Methods: In a randomized controlled trial, 60 Iranian mothers with at least one record of cesarean section delivery were assigned to two intervention (SSC) and control groups. In the morning shift and two hours after the operation, as a routine postoperative care, pain-killers were given to all mothers. Then the mothers’ pain scores were measured using visual analog scale (VAS). If VAS was≤3, MSA was measured by using the State-Trait Anxiety Inventory (STAI) Scale (Spiel Berger). Thirty minutes of SSC intervention was done for mothers in the intervention group. Six hours later, in case VAS was ≤ 3, MSA was re-measured by using the Spiel Berger Scale for all mothers. Results: Six hours after implementing the intervention, there were no meaningful statistical differences between the MSA mean scores of the two groups, but severity of MSA in intervention group was less than that of the control group (P=0.037). Six hours after the intervention, there was a significant decrease in the MSA mean score in SSC group (P=0.002). Conclusion: As regards the important role of constant anxiety in developing postpartum depression, and as the results of this study indicate, SSC is recommended in postpartum and especially cesarean section wards.