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Neonatal resuscitation after birth : Swedish midwives’ experiences of and perceptions about separation of mothers and their newborn babies

Bäcke, Pyrola ; Thies-Lagergren, Li LU orcid and Blomqvist, Ylva Thernström (2023) In European Journal of Midwifery 7(May).
Abstract

INTRODUCTION This study aimed to investigate midwives’ experiences of and perceptions about mother–baby separation during resuscitation of the baby following birth. METHODS A qualitative study was conducted using an author-designed questionnaire. Fifty-four midwives from two Swedish birth units with different working methods regarding neonatal resuscitation – at the mother’s bedside in the birth room or in a designated resuscitation room outside the birth room – completed the questionnaire. Data were analyzed using qualitative content analysis. RESULTS Most midwives had experience of removing a newborn baby in need of critical care from the birth room, thus separating the mother and baby. The midwives identified the difficulties and... (More)

INTRODUCTION This study aimed to investigate midwives’ experiences of and perceptions about mother–baby separation during resuscitation of the baby following birth. METHODS A qualitative study was conducted using an author-designed questionnaire. Fifty-four midwives from two Swedish birth units with different working methods regarding neonatal resuscitation – at the mother’s bedside in the birth room or in a designated resuscitation room outside the birth room – completed the questionnaire. Data were analyzed using qualitative content analysis. RESULTS Most midwives had experience of removing a newborn baby in need of critical care from the birth room, thus separating the mother and baby. The midwives identified the difficulties and challenges involved in carrying out emergency care in the birth room after birth and had divergent opinions about what they considered possible in these birth situations. They agreed on the benefits, for both mother and baby, in performing emergency care in the birth room and avoiding a separation altogether, if possible. CONCLUSIONS There are good opportunities to reduce separation of mother and baby after birth; training, knowledge, education and the right environmental conditions are important factors in successfully implementing new ways of working. It is possible to work towards reducing separation and this work should continue and strive to eliminate separation as far as possible.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
emergency care, experiences, midwifery, neonatal resuscitation, skin-to-skin care, zero separation
in
European Journal of Midwifery
volume
7
issue
May
article number
10
publisher
European Publishing
external identifiers
  • pmid:37213413
  • scopus:85159800932
ISSN
2585-2906
DOI
10.18332/ejm/162319
language
English
LU publication?
yes
id
1093ea8e-a297-4f35-9e9b-6a94f43e4008
date added to LUP
2023-09-25 11:03:47
date last changed
2024-04-19 01:25:23
@article{1093ea8e-a297-4f35-9e9b-6a94f43e4008,
  abstract     = {{<p>INTRODUCTION This study aimed to investigate midwives’ experiences of and perceptions about mother–baby separation during resuscitation of the baby following birth. METHODS A qualitative study was conducted using an author-designed questionnaire. Fifty-four midwives from two Swedish birth units with different working methods regarding neonatal resuscitation – at the mother’s bedside in the birth room or in a designated resuscitation room outside the birth room – completed the questionnaire. Data were analyzed using qualitative content analysis. RESULTS Most midwives had experience of removing a newborn baby in need of critical care from the birth room, thus separating the mother and baby. The midwives identified the difficulties and challenges involved in carrying out emergency care in the birth room after birth and had divergent opinions about what they considered possible in these birth situations. They agreed on the benefits, for both mother and baby, in performing emergency care in the birth room and avoiding a separation altogether, if possible. CONCLUSIONS There are good opportunities to reduce separation of mother and baby after birth; training, knowledge, education and the right environmental conditions are important factors in successfully implementing new ways of working. It is possible to work towards reducing separation and this work should continue and strive to eliminate separation as far as possible.</p>}},
  author       = {{Bäcke, Pyrola and Thies-Lagergren, Li and Blomqvist, Ylva Thernström}},
  issn         = {{2585-2906}},
  keywords     = {{emergency care; experiences; midwifery; neonatal resuscitation; skin-to-skin care; zero separation}},
  language     = {{eng}},
  number       = {{May}},
  publisher    = {{European Publishing}},
  series       = {{European Journal of Midwifery}},
  title        = {{Neonatal resuscitation after birth : Swedish midwives’ experiences of and perceptions about separation of mothers and their newborn babies}},
  url          = {{http://dx.doi.org/10.18332/ejm/162319}},
  doi          = {{10.18332/ejm/162319}},
  volume       = {{7}},
  year         = {{2023}},
}