scholarly journals SKIN-TO-SKIN CONTACT AND BREASTFEEDING AT CHILDBIRTH: WOMEN’S DESIRES, EXPECTATIONS, AND EXPERIENCES

2022 ◽  
Vol 40 ◽  
Author(s):  
Alice Parentes da Silva Santos ◽  
Zeni Carvalho Lamy ◽  
Maria Eduarda Koser ◽  
Clarice Maria Ribeiro de Paula Gomes ◽  
Beatriz Matos Costa ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Participant Observation ◽  
Prenatal Period ◽  
Structured Interviews ◽  
Main Obstacle ◽  
Northeast Region ◽  
Skin Contact ◽  
Participation Of Women ◽  
Skin To Skin ◽  
Routine Procedures

ABSTRACT Objective: To analyze women’s desires, expectations and experiences regarding skin-to-skin contact and breastfeeding in the first hour of life of their newborns. Methods: Qualitative research carried out in a teaching hospital in the Northeast Region of Brazil. The patients were followed longitudinally during prenatal care, at birth and during the puerperium. The participants were pregnant women during normal risk prenatal care, aged over 18 years old. Structured and semi-structured interviews were carried out in the prenatal period, participant observation at the time of delivery and new interviews in the puerperium. Content analysis was applied in the thematic modality. Results: 18 women between 21 and 38 years old were enrolled in the research. Women expressed the desire for skin-to-skin contact and breastfeeding as immediate practices right after delivery and birth. However, many women did not believe it was possible, and the performance of routine procedures was considered the main obstacle. These expectations that skin-to-skin contact and early breastfeeding would not be carried out were confirmed in the experiences immediately after birth. Conclusions: The expectations and experiences brought by these women suggest a flaw that starts in prenatal care and implies difficulties in implementing the studied practices. Thus, the empowerment and participation of women can become an important tool in the humanization of birth.

scholarly journals Hospital Childbirth: Perspectives of Women and Professionals for a Positive Experience—A Qualitative Study

2021 ◽  
Vol 18 (19) ◽  
pp. 10238
Author(s):  
Beatriz Pereda-Goikoetxea ◽  
Joseba Xabier Huitzi-Egilegor ◽  
Josune Zubeldia-Etxeberria ◽  
Maria Jose Uranga-Iturrioz ◽  
Maria Isabel Elorza-Puyadena
Keyword(s):  
Prenatal Care ◽  
Therapeutic Relationship ◽  
Participant Observation ◽  
Phenomenological Approach ◽  
Shared Decision ◽  
Structured Interviews ◽  
Interdisciplinary Work ◽  
Whole Process ◽  
Work Involvement ◽  
Coherent Information

The perception and interpretation of childbirth are changing as values change. This requires women and professionals to adapt to new circumstances. The objective of this study was to analyze the perspectives of women and professionals on hospital birth and to identify improvement areas in order to achieve a positive perinatal experience. A qualitative prospective study with a phenomenological approach was conducted using semi-structured interviews with women, two and eight months after childbirth, participant observation, and professional focus groups. The analysis of the transcribed texts involved a thematic inductive approach. Four improvement areas emerged from the analysis: (a) strengthening communication and the therapeutic relationship; (b) unifying criteria between hospitals and primary care centers to provide coordinated and coherent information; (c) involvement of the partner in the whole process of pregnancy-childbirth-puerperium; (d) improvement of the spaces used in prenatal care and births. The need for a continuity of care from the beginning of pregnancy to the postpartum period is emphasized, which requires an improvement in information, participation, and the promotion of shared decision-making. To this end, coordinated interdisciplinary work, involvement of the partner and the improvement of the spaces used in prenatal care and births are essential.

scholarly journals Parent Moral Distress From The Perspectives of Mothers With An Infant Previously Hospitalized in The NICU

2022 ◽  
Author(s):  
Polychronis Voultsos ◽  
Maria Deligianni ◽  
Eftychia Tsamadou
Keyword(s):  
Moral Distress ◽  
Stressful Event ◽  
Structured Interviews ◽  
Related Factors ◽  
Skin Contact ◽  
Moral Residue ◽  
Study Support ◽  
Medical Paternalism ◽  
Skin To Skin

Abstract BackgroundGiven that having an infant in the NICU is a morally stressful event for parents and preterm birth rates are increasing worldwide, parent moral distress is a matter of public health. While moral distress in the clinical context is already a widely explored phenomenon, the parent moral distress still remains a largely under-explored complex phenomenon. Methods This is a prospective qualitative study using semi-structured interviews of seventeen parents (mothers) who previously had an infant in the NICU. The study conducted between February 2021 and August 2021. A thematic analysis of the data was performed. Results While parents with infants in the NICU initially needed for having their decisions respected by physicians, they ultimately shew a tolerant attitude towards benevolent medical paternalism. However, many physician-related factors (i.e. uncertainty, discrepancy of opinion, operational behavior, lack of communicative or empathetic behavior, previous malpractice) facilitate parent moral distress. The important role of the family pediatrician in creating parent moral distress is highlighted. The same holds for family/social environment – related factors. Furthermore, the role of parent’s internal factors (especially spiritual/existential core values or beliefs) as well as the role of NICU environment-related factors (such as the image of a long-suffering infant, preventing mothers from providing their own milk for their infants and having a skin-to-skin contact with them) in creating parent moral distress are highlighted. Moral residue no more than mild was found. Moreover, parent moral schisma is emerged as a conceptually distinct from moral distress phenomenon. Last, the findings of this study confirm the relational account of parental moral distress offered by Mooney-Doyle and Ulrich. ConclusionsWhile many findings of the present study are in line with previous studies, our data analysis revealed findings which are little recognized in the available literature. Parents showed tolerant attitudes towards benevolent medical paternalism. No more than mild moral residue has been found. The most relevant categories of variables associated with parent moral distress were a) physician-related (various factors), b) parent-related, c) parent’s context (family or broader social)-related, and d) NICU environment-related. Furthermore, parent moral distress and parent moral schisma are conceptualized as conceptually distinct albeit strictly related or overlapping phenomena. The findings of this study support the relational account of parent moral distress.

scholarly journals Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Rosely Sayuri Kuamoto ◽  
Mariana Bueno ◽  
Maria Luiza Gonzalez Riesco
Keyword(s):  
Best Practice ◽  
Participant Observation ◽  
Upper Airway ◽  
Cross Sectional Study ◽  
Full Term ◽  
Sectional Study ◽  
Cross Sectional ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

ABSTRACT Objective: to analyze skin-to-skin contact practice in full-term newborns after birth. Method: a cross-sectional study carried out in São Paulo-SP with 78 mother-child binomials. Data were obtained from medical records and by non-participant observation. Maternal, neonatal and care conditions, length of skin-to-skin contact and breastfeeding attachment were analyzed. Results: skin-to-skin contact was performed in 94.9% of births, with a mean length of 29 minutes. Births with intact perineum took longer, neonates with Apgar 10, without upper airway aspiration, assisted by a nurse-midwife and with neonatal assistance by a resident in pediatrics. The variables that favor breastfeeding attachment were perineal integrity, newborn with good vitality, without upper airway aspiration and who received professional assistance for breastfeeding attachment. Conclusion: skin-to-skin contact was performed in almost all births, but with less time than recommended as best practice.

scholarly journals Estudo das competências essenciais na atenção pré-natal: ações da equipe de enfermagem em Cuiabá, MT

2012 ◽  
Vol 3 (2) ◽  
pp. 75-80
Author(s):  
Sebastião Junior Henrique Duarte ◽  
Marli Villela Mamede
Keyword(s):  
Blood Pressure ◽  
Prenatal Care ◽  
Nursing Staff ◽  
Professional Competence ◽  
Participant Observation ◽  
Core Competencies ◽  
Low Frequency ◽  
Structured Interviews ◽  
Nursing Team ◽  
The City

O estudo teve como objetivo caracterizar as ações desenvolvidas pelos profissionais de enfermagem na assistência pré-natal no município de Cuiabá-MT. Foram realizadas observação não participante e entrevistas semi-estruturadas com 182 profissionais da equipe de enfermagem. A análise foi baseada nos documentos da Confederação Internacional de Parteiras e do Ministério da Saúde do Brasil. Identificou-se que a pré-consulta é feita pelo nível médio e as consultas de pré-natal pelos enfermeiros. As ações mais frequentes foram verificação da pressão arterial, do peso e anamnese, respectivamente em (100%). Menos frequentes: inspeção das mucosas (28,3%) e ausculta-cardiopulmonar (9,4%). As competências essenciais no pré-natal foram desenvolvidas pela equipe de enfermagem, porém muitas delas apresentaram baixa frequência ou deixaram de ser realizadas em todas as consultas.Descritores: Equipe de Enfermagem, Cuidado Pré-natal, Saúde da Mulher, Competência Profissional, Instituições de Saúde.Study of essential competences in prenatal attention: actions of the nursing team in Cuiaba The study aimed to characterize the actions developed by professionals in prenatal care in the city of Cuiabá-MT. Were performed non-participant observation and semi-structured interviews with 182 professional nursing staff. The analysis was based on documents of the International Confederation of Midwives and the Ministry of Health of Brazil. It was identified that the pre-appointment is made by high school and pre-natal consultations by nurses. The actions were more frequent checking of blood pressure, weight and medical history, respectively (100%). Less common: inspection of the mucosa (28.3%) and auscultation-cardiopulmonary (9.4%). Core competencies in prenatal care were developed by the nursing staff, but many of them showed low frequency or were not accomplished in all queries.Descriptors: Nursing Team, Prenatal Care, Women's Health, Professional Competence, Health Facilities.Estudio de las competencias essenciales en la atención prenatal: acciones del equipo de enfermeria en CuiabaEl estudio tuvo como objetivo caracterizar las acciones desarrolladas por profesionales en la atención prenatal en la ciudad de Cuiabá-MT. Se realizou la observación no participante y entrevistas semi-estructuradas con 182 profesionales de enfermería. El análisis se basó en los documentos de la Confederación Internacional de Matronas y el Ministerio de Salud de Brasil. Se identificó que la pre-designación se hace por los secundaristas y las consultas prenatales por las enfermeras. Las acciones más frecuente fueron la presión arterial, peso e anamnesis, respectivamente (100%). Menos comunes: inspección de las mucosas (28,3%) y la auscultación cardiopulmonar-(9,4%). Las competencias básicas en la atención prenatal fueron desarrollados por el personal de enfermería, pero muchos de ellos mostraron baja frecuencia o no se realizo en todas las consultas.Descriptores: Grupo de Enfermería, Atención Prenatal, Salud de la Mujer, Competencia Profesional, Istituciones de Salud.

scholarly journals Midwives’ and mothers’ perspectives on skin-to-skin care of premature and low-birthweight infants in Puntland, Somalia

2021 ◽  
Author(s):  
Fatumo Osman ◽  
Mohamed Said Egal ◽  
Ahmed Ali Abdi ◽  
Anisa Abdikarim Mohamud ◽  
Kerstin Erlandsson
Keyword(s):  
Low Birthweight ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
Thermal Control ◽  
Skin Care ◽  
Care Model ◽  
Structured Interviews ◽  
Her Family ◽  
Skin Contact ◽  
Skin To Skin

Background: More than 2.5 million children die yearly due to prematurity and low birthweight. Skin-to-skin care provides a thermal-control environment that offers protection from infection and eases breast milk feeding to the advantage of the new-born. Aim: This study aimed to explore barriers and facilitating factors for introducing skin-to-skin care of premature and low-birthweight infants based on input from mothers and midwives in Puntland, Somalia. Methods: Qualitative semi-structured interviews with four mothers and four midwives were analysed using qualitative content analysis. Results: The findings are presented in four categories: enabled by support and hands-on information to the mother and her family; aided by collaboration with the mother’s family to overcome the mother’s resistance; impeded by limited time, lack of resources and unavailable guidelines; and hindered by traditional and social beliefs. Both mothers and midwives emphasised the importance of information and education concerning skin-to-skin care of premature and low-birthweight infants. Family members and midwives facilitated skin-to-skin contact as the care model. The degree to which the midwives provided information to the mothers and their family members depended on how the two latter groups received and acted on such information and education. Lack of motivation by mothers, their families or midwives were barriers to skin-to-skin contact as a care model. Conclusion: Standardised guidelines, preferably culturally tailored for low socioeconomic groups, for midwives’ use when informing mothers and families on skin-to-skin contact as a care model for premature and low-birthweight infants would empower women, families and midwives to facilitate the practice in Puntland, Somalia.

THE EFFECT OF EARLY SKIN TO SKIN CONTACT IN TERM NEONATES AFTER C-SECTION ON BREASTFEEDING CHOICE AT THE TIME OF DISCHARGE

2019 ◽  
Vol 9 (2) ◽  
pp. 1
Author(s):  
POURABOLI BATOOL ◽  
ESTABRAGHI MAHDIEH ◽  
JAHANI YOUNES ◽  
◽  
◽  
...  
Keyword(s):  
Term Neonates ◽  
Skin Contact ◽  
Skin To Skin

Peregrinação Acadêmica: A mulher Romeira do Bom Jesus da Lapa

2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva
Keyword(s):  
Gender Identity ◽  
Social Reproduction ◽  
Participant Observation ◽  
Female Gender ◽  
Age Group ◽  
Structured Interviews ◽  
The West ◽  
Patriarchal Family ◽  
The Family ◽  
West Part

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.

TOURISM MOBILITY AT THE SUMMER OLYMPIC GAMES RIO 2016

2020 ◽  
Author(s):  
Amanda Cabral ◽  
Carolin Lusby ◽  
Ricardo Uvinha
Keyword(s):  
Olympic Games ◽  
Participant Observation ◽  
Field Research ◽  
Bus Rapid Transit ◽  
Rapid Transit ◽  
Structured Interviews ◽  
Tourist Attractions ◽  
Official Sources ◽  
The Relationship ◽  
The City

Sports Tourism as a segment is growing exponentially in Brazil. The sports mega-events that occurred in the period from 2007 to 2016 helped strengthen this sector significantly. This article examined tourism mobility during the Summer Olympic Games Rio 2016, hosted by the city of Rio de Janeiro, Brazil. This study expands the understanding of the relationship between tourism and city infrastructure, therefore being relevant to academics, professionals of the area and to the whole society due to its multidisciplinary field. The existence of a relationship between means of transportation and the Olympic regions as well as tourist attractions for a possible legacy was observed. Data were collected from official sources, field research and through participant-observation and semi structured interviews. Data were coded and analyzed. The results indicate that the city was overall successful in its execution of sufficient mobility. New means of transportation were added and others updated. BRT's (Bus Rapid Transit) were the main use of mass transport to Olympic sites. However, a lack of public transport access was observed for the touristic sites.

scholarly journals The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage

2020 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Wedad M. Almutairi ◽  
Susan M. Ludington ◽  
Mary T. Quinn Griffin ◽  
Christopher J. Burant ◽  
Ahlam E. Al-Zahrani ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Retrospective Chart Review ◽  
Skin Contact ◽  
Labor Duration ◽  
Third Stage Of Labor ◽  
Estimated Blood Loss ◽  
Third Stage ◽  
Skin To Skin ◽  
Increasing Trends

Objectives: were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. Design: A retrospective chart review conducted using codes for atonic PPH. Setting: Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. Results: PPH rate increased by 47.50% from 2009–2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Conclusions: Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.

Sign in / Sign up

Export Citation Format

Share Document