Midwives’ Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

IF 1.8 4区医学 Q2 NURSING Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-05-01 DOI:10.1016/j.jogn.2023.12.003

Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren

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Abstract

Objective

To describe midwives’ experiences of intact cord resuscitation close to the mother for nonvigorous neonates after vaginal birth.

Design

Descriptive qualitative.

Setting

Four labor wards in Sweden.

Participants

Midwives (N = 13) currently or previously employed in labor wards where the Sustained Cord Circulation and Ventilation (SAVE) study was conducted.

Methods

We analyzed semistructured interviews using reflexive thematic analysis.

Results

Participants’ experiences are presented in an overarching theme: Midwives balance knowledge with doing the right thing in a challenging work environment during intact cord resuscitation. Three primary themes emerged: A New Workflow, Zero Separation: The Big Advantage, and The Midwife: Guardian of Childbirth.

Conclusion

The participants were keen to keep the umbilical cord intact even for nonvigorous neonates. They wanted to work with the neonate close to the mother to facilitate zero separation and family participation. Ventilation with an intact umbilical cord was considered a routine to be implemented in the future, but the participants identified certain difficulties with the design of the SAVE study.

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瑞典助产士对阴道分娩后无活力新生儿进行完整脐带复苏的经验

研究对象助产士（N = 13）目前或曾经在开展持续脐带循环和通气（SAVE）研究的产房工作。研究方法我们采用反思性主题分析法对半结构访谈进行了分析：在完整脐带复苏过程中，助产士在具有挑战性的工作环境中平衡知识与正确做法之间的关系。出现了三个主要的主题：新的工作流程、零分离：助产士是分娩的守护者：结论参与者热衷于保持脐带完整，即使是对无活力的新生儿也是如此。他们希望让新生儿靠近母亲，以促进零分离和家庭参与。完整脐带通气被认为是将来要实施的常规操作，但参与者指出了 SAVE 研究设计中的某些困难。

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来源期刊

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing 医学-妇产科学

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

43 days

期刊介绍： JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.