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<html lang="en" class="hexml-course s2e"><!--[if lt IE 8]> <html class="oldie"> <![endif]--><!--Generated at Wed, 12 Oct 2022 23:23:13 +0000--><head><meta name="author" content='["Carole Dobrich"]'><meta name="course" content="MA03"><meta name="topic" content="3.4"><meta http-equiv="content-type" content="text/html; charset=utf-8"><meta name="copyright" content="2022 Health e-Learning"><meta name="robots" content="NONE,NOARCHIVE"><meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=0"><link rel="stylesheet" href="//static.health-e-learning.com/jigsaw/design/hexml.pack.css?v=1665616993" type="text/css"><script type="text/javascript" charset="utf-8" src="//static.health-e-learning.com/jigsaw/design/hexml.pack.js?v=1665616993"></script><title>MA03: The loving relationship</title></head><body class="loading"><div class="ajax-modal Fixed"></div><div class="watermark"><span>Health e-Learning</span></div><div id="access"><a href="#access" accesskey="a">Access Keys</a><a href="#menu" accesskey="m">Skip to Menu</a><a href="#content" accesskey="c">Skip to Content</a><a href="#footer" accesskey="f">Skip to Footer</a></div><div id="nav"><span class="nav-menu">Maintaining BFHI Education for Nurses and Midwives - Series 2</span><a id="hamburger" href="#"><span class="hamburger hamburger--collapse"><span class="hamburger-box"><span class="hamburger-inner"></span></span></span></a><div class="progress-container"><div id="myBar" class="progress-bar"></div></div></div><nav id="menu"><ol><li><a href="topic_1-0.html"><span class="menu-item-icon">1.0 </span><span class="menu-item-title">Introduction</span></a></li><li><a href="topic_2-0.html"><span class="menu-item-icon">2.0 </span><span class="menu-item-title">Protection of Breastfeeding [Domain 1]</span></a><ol><li><a href="topic_2-1.html"><span class="menu-item-icon">2.1 </span><span class="menu-item-title">A Code History Timeline</span></a></li><li><a href="topic_2-2.html"><span class="menu-item-icon">2.2 </span><span class="menu-item-title">Marketing - the role of the International Code</span></a></li></ol></li><li><a href="topic_3-0.html"><span class="menu-item-icon">3.0 </span><span class="menu-item-title">Understanding the importance of skin-to-skin</span></a><ol><li><a href="topic_3-1.html"><span class="menu-item-icon">3.1 </span><span class="menu-item-title">Infant innate behaviours</span></a></li><li><a href="topic_3-2.html"><span class="menu-item-icon">3.2 </span><span class="menu-item-title">Skin-to-skin and the role of the Health Worker</span></a></li><li><a href="topic_3-3.html"><span class="menu-item-icon">3.3 </span><span class="menu-item-title">Addressing barriers to skin-to-skin</span></a></li><li class="current mm-selected"><a href="topic_3-4.html"><span class="menu-item-icon">3.4 <i class="fa fa-caret-right" aria-hidden="true"></i></span><span class="menu-item-title">The loving relationship</span></a></li></ol></li><li><a href="topic_4-0.html"><span class="menu-item-icon">4.0 </span><span class="menu-item-title">Postnatal Interventions</span></a><ol><li><a href="topic_4-1.html"><span class="menu-item-icon">4.1 </span><span class="menu-item-title">The chemistry of feeding</span></a></li></ol></li><li><a href="topic_5-0.html"><span class="menu-item-icon">5.0 </span><span class="menu-item-title">Special needs and infant challenges [Domain 6]</span></a><ol><li><a href="topic_5-1.html"><span class="menu-item-icon">5.1 </span><span class="menu-item-title">The 'late preterm' 'early term' baby</span></a></li><li><a href="topic_5-2.html"><span class="menu-item-icon">5.2 </span><span class="menu-item-title">Ankyloglossia</span></a></li></ol></li><li><a href="topic_6-0.html"><span class="menu-item-icon">6.0 </span><span class="menu-item-title">Managing common difficulties</span></a><ol><li><a href="topic_6-1.html"><span class="menu-item-icon">6.1 </span><span class="menu-item-title">Engorgement</span></a></li><li><a href="topic_6-2.html"><span class="menu-item-icon">6.2 </span><span class="menu-item-title">Hyperlactation</span></a></li></ol></li><li><a href="topic_7-0.html"><span class="menu-item-icon">7.0 </span><span class="menu-item-title">Supplementation</span></a><ol><li><a href="topic_7-1.html"><span class="menu-item-icon">7.1 </span><span class="menu-item-title">Feeding-line device at the breast or chest</span></a></li><li><a href="topic_7-2.html"><span class="menu-item-icon">7.2 </span><span class="menu-item-title">Cup feeding</span></a></li><li><a href="topic_7-3.html"><span class="menu-item-icon">7.3 </span><span class="menu-item-title">Finger Feeding</span></a></li></ol></li><li><a href="topic_8-0.html"><span class="menu-item-icon">8.0 </span><span class="menu-item-title">Closing session</span></a><hr></li><li class="appendix"><a href="references.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-book i-topic"></i></span><span class="menu-item-title">List of references</span></a></li><li class="appendix"><a href="contents.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-file-text-o i-topic"></i></span><span class="menu-item-title">Course contents</span></a></li><li class="appendix"><a href="full.html"><span class="menu-item-icon no-topic"><i aria-hidden="true" class="fa fa-print i-topic"></i></span><span class="menu-item-title">Print version</span></a></li></ol></nav><div id="content"><h1 id="top">3.4 The loving relationship</h1><section class="section" id="Bonding"><h2>Bonding</h2> <div class="content-node"> <p>This is the beginning of a loving relationship between mothers/birthing parents and their newborns. The infant appears to play his part in the establishment of these bonds by actively interacting with his parents. Following an initial cry at birth, the infant becomes quietly alert and seeks visual contact, massages the mother/the birthing parent's chest and breasts, latches, and breastfeeds. The high blood levels of beta-endorphins, oxytocin, and prolactin in both mother/birthing parent and infant facilitate falling in love.</p> </div> </section><div class="captionBox"><img width="461" height="576" data-src="images/bonding3.jpg" src="//static.health-e-learning.com/jigsaw/design/lazy_image.gif" alt=""><p> <br>&copy; T. Foster</p></div><section class="section" id=""> <div class="content-node"> <p>For this to occur the following factors have to be in place and considered. These are all influenced by the birth attendants.</p> <ul> <li>the availability of the infant to their mother/birthing parent,</li> <li>an environment conducive to mother/birthing parent and child interaction, and</li> <li>the attitude of those present at the delivery to the appearance of the infant</li> </ul> </div> </section><div class="box"><div class="box-title"></div> <div class="content-node"> <p> <span>What about the baby who will not be breastfed? Skin-to-skin is important for<span> </span></span> <strong>all</strong> <span><span> </span>infants, including those who are planned to be breastfed. Breastfeeding initiation is only one of the benefits of immediate and continuous skin-to-skin contact following birth.</span> </p> </div> </div><div class="box"><div class="box-title"><h3>What should I remember?</h3></div> <div class="content-node"> <ul> <li>The interpretation of Step 4 of the Ten Steps</li> <li>The immediate care of the newborn following birth AND where it should take place</li> <li>The many important functions that skin-to-skin contact on the mother/birthing parent's chest has for both themself and their infant</li> <li>How you could address the barriers to skin-to-skin care should your colleagues be concerned</li> </ul> </div> </div><section class="section" id="Skills_Competency"><h2>Skills Competency</h2> <div class="content-node"> <p>If you are working with families in the area of birth and immediate postpartum, please take the time to download and review the information in the skills competency. You can then ask a colleague or supervisor to confirm your competencies in this area related to knowledge, skills, and attitude.</p> </div> <div class="box"><div class="box-title"><a href="images/Skills_Competency_%E2%80%93_Domain_4_Birth_and_immediate_postpartum_-_skin-to-skin_v1.pdf" target="_blank"><img src="//static.health-e-learning.com/jigsaw/design/article.png" class="icon" alt=""></a><h3><a href="images/Skills_Competency_%E2%80%93_Domain_4_Birth_and_immediate_postpartum_-_skin-to-skin_v1.pdf" target="_blank">Domain 4 Birth and Immediate Postpartum (Skin-to-skin)</a></h3></div> <div class="content-node"> <p> <span>When you have successfully completed this topic and practiced what you have learned you will be ready to do your Skills Competency. Click on the title of this box to download</span> <img alt="PDF" src="//static.health-e-learning.com/jigsaw/design/page_white_acrobat.png"><a href="https://static.step2education.com/docs/Skills_Competency_Domain_4_Birth_and_immediate_postpartum_skin-to-skin_USA.pdf" target="_blank"> Domain 4 Birth and Immediate Postpartum (Skin-to-skin)</a> <span>competency form for you to complete with your Supervisor. </span> </p> </div> </div> </section><div id="footer"><a href="topic_3-3.html" rel="prev" class="prev">&laquo; Prev</a><a href="topic_4-0.html" rel="next" class="next">Next &raquo;</a><br style="clear: both"><div class="floating-menu"><button class="theme-toggle" title="Toggle colors (dark or light)"><i class="fa fa-moon-o"></i></button><button class="gotoTop" title="Back to top"><i class="fa fa-chevron-up"></i></button></div><a href="javascript:%20window.print()" id="printLink">Print this page</a><span class="noPrint"> | </span>&copy; 2022 Health e-Learning<p class="printOnly">COPYRIGHT: You are permitted to print ONE (1) copy for your personal use only. No graphics, tables, quizzes, videos, etc, may be used in any form without express written consent. Author: ["Carole Dobrich"]</p><p class="dateUpdated">Updated on Wed, 12 Oct 2022 23:23:13 +0000</p></div></div></body></html>
