2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To identify barriers and enablers to conducting safe
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uninterrupted skin-to-skin contact (SSC) in the first hour after birth
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in a low-resource setting and to evaluate how health care professionals
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coped with the identified barriers after completion of an intervention
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package.
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Design and setting: A qualitative method using focus-group and
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individual interviews with health professionals at a governmental
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hospital in Uganda.
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Participants: 81 health professionals.
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Interventions: A 6-step intervention package including, amongst other
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things, showing a DVD on safe uninterrupted SSC following birth and
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discussing with the professionals what barriers and possibilities there
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were to changing practice to allow SSC for one hour.
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Measurements and findings: The thematic analysis of the intervention
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interviews yielded the following themes: Perceived barriers including
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medical events, psychosocial issues and standard midwifery practice;
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Pragmatic barriers including economic constraints in the hospital and
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community; Anticipated barriers by staff and families; Enabling events
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including staff involvement.
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Most of the barriers involving expenses were not solved. When the mother
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and infant had to move to the postnatal ward within one hour after
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birth, there were difficulties in keeping SSC during the transportation,
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but this obstacle was partly solved. A few mothers (i.e. depressed
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and/or adolescent) were considered to be unwilling to keep the infant
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skin-to-skin; this difficulty was not solved. Practising SSC led the
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participants to find advantages such as reduced work load and positive
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effects on pain during suturing.
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Conclusions: SSC following birth was shown to be applicable and accepted
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by the health professionals. The involvement of professionals had
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clinical implications, such as initiatives to broadcast the message of
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SSC by radio to the community and introduce SSC to women having a
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Caesarean section. (C) 2018 Elsevier Ltd. All rights reserved.'
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affiliation: 'Hjelmstedt, A (Corresponding Author), Karolinska Inst, Dept Womens \&
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Childrens Hlth, Stockholm, Sweden.
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Mbalinda, Scovia, Makerere Univ, Dept Nursing, Coll Hlth Sci, Kampala, Uganda.
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Hjelmstedt, Anna; Nissen, Eva; Svensson, Kristin, Karolinska Inst, Dept Womens \&
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Childrens Hlth, Stockholm, Sweden.
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Odongkara, Beatrice Mpora, Gulu Univ, Gulu Reg Referral \& Teaching Hosp, Dept Paediat
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\& Child Hlth, Gulu, Uganda.
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Waiswa, Peter, Karolinska Inst, Hlth Syst Policy, Dept Publ Hlth Sci, Stockholm,
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Sweden.
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Waiswa, Peter, Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Maternal Newborn \&
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Child Hlth Ctr Excellence, Kampala, Uganda.
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Svensson, Kristin, Karolinska Univ Hosp, Solna, Sweden.'
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author: Mbalinda, Scovia and Hjelmstedt, Anna and Nissen, Eva and Odongkara, Beatrice
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Mpora and Waiswa, Peter and Svensson, Kristin
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author-email: anna.hjelmstedt@ki.se
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author_list:
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- family: Mbalinda
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given: Scovia
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- family: Hjelmstedt
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given: Anna
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- family: Nissen
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given: Eva
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- family: Odongkara
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given: Beatrice Mpora
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- family: Waiswa
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given: Peter
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- family: Svensson
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given: Kristin
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da: '2023-09-28'
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doi: 10.1016/j.midw.2018.09.009
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eissn: 1532-3099
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files: []
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issn: 0266-6138
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journal: MIDWIFERY
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keywords: 'Skin-to-skin contact; Health professionals; Implementation; Focus-group
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interview; Low-income setting'
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keywords-plus: MOTHER-INFANT INTERACTION; BREAST; CARE
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language: English
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month: DEC
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number-of-cited-references: '34'
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orcid-numbers: 'N Mbalinda, Scovia/0000-0002-4945-130X
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svensson, kristin/0000-0002-7138-6209'
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pages: 95-102
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papis_id: 9242101633b3dfaeb03a33b27224c5ea
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ref: Mbalinda2018experienceperceived
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times-cited: '5'
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title: Experience of perceived barriers and enablers of safe uninterrupted skin-to-skin
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contact during the first hour after birth in Uganda
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000447751500013
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usage-count-last-180-days: '0'
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usage-count-since-2013: '9'
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volume: '67'
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web-of-science-categories: Nursing
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year: '2018'
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