126 lines
4 KiB
YAML
126 lines
4 KiB
YAML
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
|
|
type: article
|
|
unique-id: WOS:000447751500013
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '9'
|
|
volume: '67'
|
|
web-of-science-categories: Nursing
|
|
year: '2018'
|