In the past decades frequency of cesarean section was increasing. Bonding or early skin-to-skin contact (SSC) starts ideally straight after birth. After vaginal delivery bonding/early SSC is already well-established. After cesarean section this important process starts after termination of operation. A Cochran review analyzed randomized studies and shows positive effects of early SSC. Possible concerns to adopt bonding in the operating room are beside organizational ones (change of established processes) also a different ambiance in the operating room (temperature, light, noise). In a prospective randomized trial, early SSC after cesarean section should be analyzed.

Hypothesis

Mothers, who have the chance to bond immediately after birth in the operating room, have lower cortisol, chromogranin A and alpha amylase levels as well as higher oxytocin levels. Adaptation of the newborn is within the normal range. Early bonding has a further positive effect on breast feeding, maternal pain processing and mental health.

Inclusion Criteria:

• Age > 18 years
• signed written informed consent
• single pregnancy
• elective cesarean section (between 7am and 15pm)
• Bleeding prophylaxis with Pabal® (carbetocin)

Exclusion Criteria:

• Age < 18 years
• disabled to give signed written informed consent
• Disease of mother or unborn, which could influence the study or makes the study impossible (e.g. severe malformation)
• Non elective cesarean
• Desire to wean
• Desire to leave the hospital within 6 hours after birth
• Bleeding prophylaxis with Syntocinon® (oxytocin)