pre-SUCCECS : Lessons learned from implementing resuscitation and stabilisation with an intact cord during caesarean sections – Focus group discussions with implementation teams
Ekelöf, Katarina LU ; Sæther, Elisabeth ; Andersson, Ola LU
; Svedenkrans, Jenny
LU
and Linden, Karolina
LU
(2025)
In Sexual and Reproductive Healthcare
45.
- Abstract
Objective: The primary aim of this study was to explore the lessons learned from implementing a procedure of resuscitation and stabilization with an intact umbilical cord for preterm and term infants requiring resuscitation or stabilization during emergency caesarean sections. Methods: Data were collected by two focus group discussions and one individual interview. Participants were members of implementation teams responsible for implementing of resuscitation and stabilization with an intact cord during caesarean sections. The implementation teams were from two hospitals from different metropolitan areas in Sweden. We used a deductive approach with data collection and analysis guided by the Consolidated Framework for Implementation... (More)
Objective: The primary aim of this study was to explore the lessons learned from implementing a procedure of resuscitation and stabilization with an intact umbilical cord for preterm and term infants requiring resuscitation or stabilization during emergency caesarean sections. Methods: Data were collected by two focus group discussions and one individual interview. Participants were members of implementation teams responsible for implementing of resuscitation and stabilization with an intact cord during caesarean sections. The implementation teams were from two hospitals from different metropolitan areas in Sweden. We used a deductive approach with data collection and analysis guided by the Consolidated Framework for Implementation Research 2.0 and an inductive approach to derive lessons learned. Results: All implementation domains except the outer setting were represented in the results. Suggested solutions to common concerns such as maintaining sterility, temperature control of the neonate and availability of the equipment were described by the implementation teams. Additionally, the participants highlighted the importance of a multidisciplinary implementation team with all professions represented as well the need for decision-making authority in the team, for successful implementation. Conclusions: The lessons learned from implementing neonatal resuscitation and stabilisation with an intact umbilical cord during caesarean section can inform efficient strategies for implementing this complex intervention into clinical routines across difverse birth settings. Synopsis: Lessons learned from implementing resuscitation and stabilization with an intact cord during emergency caesarean sections are included. Possible solutions to concerns about sterility, neonatal temperature control, and equipment availability are presented.
(Less)
- author
- Ekelöf, Katarina
LU
; Sæther, Elisabeth
; Andersson, Ola
LU
; Svedenkrans, Jenny
LU
and Linden, Karolina
LU
- organization
- publishing date
- 2025-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Caesarean section, Clinical routine integration, Consolidated Framework for Implementation Research, Implementation research, Implementation strategy, Intact cord stabilisation, Lessons learned, Multidisciplinary team, Neonatal resuscitation, Umbilical cord clamping
- in
- Sexual and Reproductive Healthcare
- volume
- 45
- article number
- 101114
- publisher
- Elsevier
- external identifiers
-
- pmid:40479951
- scopus:105007358595
- ISSN
- 1877-5756
- DOI
- 10.1016/j.srhc.2025.101114
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2025 The Authors
- id
- 82cc3f2d-9ae0-4c2c-a8cd-d5b865f494b7
- date added to LUP
- 2025-07-15 12:16:30
- date last changed
- 2025-07-16 03:21:52
@article{82cc3f2d-9ae0-4c2c-a8cd-d5b865f494b7,
abstract = {{<p>Objective: The primary aim of this study was to explore the lessons learned from implementing a procedure of resuscitation and stabilization with an intact umbilical cord for preterm and term infants requiring resuscitation or stabilization during emergency caesarean sections. Methods: Data were collected by two focus group discussions and one individual interview. Participants were members of implementation teams responsible for implementing of resuscitation and stabilization with an intact cord during caesarean sections. The implementation teams were from two hospitals from different metropolitan areas in Sweden. We used a deductive approach with data collection and analysis guided by the Consolidated Framework for Implementation Research 2.0 and an inductive approach to derive lessons learned. Results: All implementation domains except the outer setting were represented in the results. Suggested solutions to common concerns such as maintaining sterility, temperature control of the neonate and availability of the equipment were described by the implementation teams. Additionally, the participants highlighted the importance of a multidisciplinary implementation team with all professions represented as well the need for decision-making authority in the team, for successful implementation. Conclusions: The lessons learned from implementing neonatal resuscitation and stabilisation with an intact umbilical cord during caesarean section can inform efficient strategies for implementing this complex intervention into clinical routines across difverse birth settings. Synopsis: Lessons learned from implementing resuscitation and stabilization with an intact cord during emergency caesarean sections are included. Possible solutions to concerns about sterility, neonatal temperature control, and equipment availability are presented.</p>}},
author = {{Ekelöf, Katarina and Sæther, Elisabeth and Andersson, Ola and Svedenkrans, Jenny and Linden, Karolina}},
issn = {{1877-5756}},
keywords = {{Caesarean section; Clinical routine integration; Consolidated Framework for Implementation Research; Implementation research; Implementation strategy; Intact cord stabilisation; Lessons learned; Multidisciplinary team; Neonatal resuscitation; Umbilical cord clamping}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Sexual and Reproductive Healthcare}},
title = {{pre-SUCCECS : Lessons learned from implementing resuscitation and stabilisation with an intact cord during caesarean sections – Focus group discussions with implementation teams}},
url = {{http://dx.doi.org/10.1016/j.srhc.2025.101114}},
doi = {{10.1016/j.srhc.2025.101114}},
volume = {{45}},
year = {{2025}},
}