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Neonatal healthcare professionals’ experiences of intact cord resuscitation in the mother´s bed: an interview study
University West, Department of Health Sciences, Section for nursing - graduate level. (LOVHH)ORCID iD: 0000-0001-9687-6143
Department of Clinical Sciences Lund, Paediatrics/Neonatology, Lund University, Lund (SWE); Department of Neonatology, Skåne University Hospital, Malmö, Lund (SWE).ORCID iD: 0000-0002-3972-0457
Department of Health Science, Midwifery Research - Reproductive, Perinatal and Sexual Health, Lund University, Lund (SWE).
University West, Department of Health Sciences, Section for nursing - undergraduate level. (LOVHH)ORCID iD: 0000-0002-8124-5354
2024 (English)In: BMC Pregnancy and Childbirth, E-ISSN 1471-2393, Vol. 24, no 1, article id 362Article in journal (Refereed) Published
Abstract [en]

Background Intact cord resuscitation in the frst three minutes of life improves oxygenation and Apgar scores. Thepractise of intact cord resuscitation implies the umbilical cord still being connected to the placenta for at least oneminute while providing temperature control and equipment for resuscitation. Healthcare professionals describedpractical challenges in providing intact cord resuscitation. This study aimed to explore neonatal healthcare profession‑als’ experiences of providing intact cord resuscitation in the mother’s bed.

Method An interview study with an inductive, interpretative approach was chosen and analysed according to refex‑ive thematic analysis by Braun & Clarke. An open interview guide was used and 20 individual interviews with neonatalhealthcare professionals were performed. The study was conducted at fve level I-III neonatal care units. In Sweden,resuscitation is performed either in or outside the labour room.

Results The results contributed insight into the participants’ experiences of prerequisites for providing neonatal carein intact cord resuscitation. The sense of the mother’s vulnerability was noticeable, as the participants reported reduc‑ing the risk of exposure to protect and preserve the mother’s integrity. The practical challenges in the environmentinvolved working in a limited space. The desire for multi-professional team training comprised education and trainingas well as debriefng to manage intact cord resuscitation.

Conclusion The result of the present study highlights the fact that neonatal healthcare professionals’ experiencesof providing ICR in the mother’s bed were positive and had signifcant benefts for the neonate, namely zero sepa‑ration between the neonate and parents and better physical recovery for the neonate. However, the fact that ICRin the mother’s bed can be challenging in several ways, such as emotionally, managing environmental circumstancesand ensuring efective team collaboration. Therefore, it is of the utmost importance that healthcare professionals aregiven the opportunity to refect and train together as a team. Future recommendations are to summarize evidencebased knowledge to design guidelines for ICR situation.

Place, publisher, year, edition, pages
Springer Science+Business Media B.V., 2024. Vol. 24, no 1, article id 362
Keywords [en]
s Childbirth, Intact cord, Neonatal care, Resuscitation, Qualitative interview
National Category
Pediatrics Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-21650DOI: 10.1186/s12884-024-06558-0Scopus ID: 2-s2.0-85193354802OAI: oai:DiVA.org:hv-21650DiVA, id: diva2:1860661
Funder
Swedish Society for Medical Research (SSMF)
Note

CC-BY 4.0

This research was fundedby the Department of Health Sciences, University West, Trollhättan, Sweden. OA and LTL were funded by an unrestricted grant from the Swedish Society of Medical Research (SSMF).

Available from: 2024-05-24 Created: 2024-05-24 Last updated: 2024-05-24

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Patriksson, KatarinaRönnerhag, Maria

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