wow-inequalities/02-data/intermediate/wos_sample/591d0696197d89b21d5b2859eef532f3-mbalinda-scovia-and/info.yaml

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