Increasing the act of Skin to Skin Within 5 minutes of a Vaginal Delivery Through the Integrated Behavior Theory

Saturday, 16 November 2013

Jenna Kathleen Nagele, ASN, BSN, RN
Labor & Delivery, The Hospital of the University of Pennsylvania, Philadelphia, PA

Learning Objective 1: The learner will be able to implement change through the analyzes of knowledge deficit, attitudes and beliefs of a specific problem on their own unit.

Learning Objective 2: The learner will be able to list the stages a baby transition though post delivery, in order to inhance the skin to skin bonding period.

Women’s Health Centers and Obstetrical units nation wide, have started their hospitals journey to receive Baby Friendly Designation.   This journey is meant to make a cultural shift in Labor and Delivery staff; towards a more natural aspect of mother baby care post delivery.  The purpose of this project is to aid in the cultural shift by emphasizing skin- to –skin care within a large urban labor and delivery unit. The project identified important indicators including knowledge deficit, lack of education and poor documentation techniques concerning Skin- to -Skin care; also known as Kangaroo Care.  The Integrated Behavior Model is used in the analysis of barriers to post delivery skin to skin and as well as implementation of solutions to address the current problems, thereby creating a visual baseline of what the current problems are as well as optimal solutions.  The analytical approach of surveys, competency reviews, corrected documentation and the analysis of statistics are used to guide proper implementation of solutions to increase the knowledge, created education tools and correct documentation.  The main outcome of the project is to create a more natural environment supportive of the title for Baby Friendly.