Patriksson K, Andersson O, Stierna F, Haglund K, Thies-Lagergren L. Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden.
J Obstet Gynecol Neonatal Nurs 2024;
53:255-263. [PMID:
38228286 DOI:
10.1016/j.jogn.2023.12.003]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 12/06/2023] [Accepted: 12/03/2023] [Indexed: 01/18/2024] Open
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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