BACKGROUND:
Skin-to-skin contact (SSC), the practice of placing the undressed newborn on the mother's bare chest, offers numerous short- and long-term benefits for both mother and baby. While SSC is standard in vaginal births, its implementation during cesarean sections remains uneven despite comparable benefits.

OBJECTIVES:
This study aimed to explore the experiences and perceptions of mothers who practiced SSC in the operating room following elective cesarean sections, highlighting perceived benefits and challenges.

METHODS:
This qualitative, phenomenological study was preceded by a literature review. Women undergoing elective cesarean sections at the Baby-Friendly San Raffaele Hospital (Milan) who participated in SSC in the operating room were recruited via purposive sampling. Semi-structured interviews were conducted within 72 hours postpartum, recorded, transcribed verbatim, and analyzed using Interpretative Phenomenological Analysis to identify key themes.

RESULTS:
Fifteen mothers were interviewed, reaching data saturation. Two major themes were identified: “Concerns” and “Experience.” Concerns centered on fears regarding newborn health and the possibility of being denied SSC. Experiences revealed seven sub-themes. Positive elements included early bonding with both infant and partner, and initiation of breastfeeding in the operating room. Negative elements included physical discomfort due to surgical positioning and a lack of privacy during the experience.

CONCLUSIONS:
Findings support SSC during cesarean sections as a valuable practice that enhances maternal satisfaction and early bonding. Key factors influencing maternal experience included the presence of the partner, emotional preparedness, and environmental comfort. Formalizing SSC in cesarean protocols may help normalize the practice and improve maternal-infant outcomes.

KEY MESSAGE:
Routine implementation of SSC during cesarean delivery can strengthen early bonding and maternal well-being. Poster session 2 (Group A)