Women and Children Nursing最新文献

{"title":"Constructing a core competency index system for breastfeeding consultant nurses in China: A phenomenological study using the Delphi method","authors":"Yafang Deng ,&nbsp;Liping Wu ,&nbsp;Linlin Cao ,&nbsp;Hong Zhao ,&nbsp;Ran Song","doi":"10.1016/j.wcn.2025.01.002","DOIUrl":"10.1016/j.wcn.2025.01.002","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to construct a core competency index system for breastfeeding consultant nurses based on the Onion Model to improve their consulting abilities and promote breastfeeding rates.</div></div><div><h3>Design</h3><div>This study adopted a phenomenological approach to explore the experiences of breastfeeding consultant nurses and lactating women through semi-structured interviews. The Delphi method was then used for expert validation of the initial competency framework. We focused on the core competencies of nurses and midwives who provide breastfeeding consultation in clinics, maternity wards, and Internet hospitals in China to improve their breastfeeding consultation ability and promote the improvement of breastfeeding rates.</div></div><div><h3>Methods</h3><div>Through a literature review, competency items were extracted based on the clinical competencies of International Board-Certified Lactation Consultants (IBCLCs), and an initial competency framework was developed. In this study, 18 breastfeeding consultant nurses and 11 lactating women participated in semi-structured interviews to provide in-depth feedback on their experiences and challenges in breastfeeding consultation. Two rounds of Delphi expert consultations were conducted, and the Analytic Hierarchy Process (AHP) was used to determine the core competency indices and their weights.</div></div><div><h3>Results</h3><div>The final core competency index system for breastfeeding consultant nurses in China consisted of four first-level, 15 ​second-level, and 95 third-level indices. The positive coefficients of the two rounds of expert consultation were both 100%; expert authority (Cr ​= ​0.92) was high, and Kendall's W values were 0.206 (<em>χ</em>² ​= ​293.69) and 0.296 (<em>χ</em>² ​= ​62.07), with statistical significance (<em>P</em> ​&lt; ​0.01). The weight rankings of the first-level indices were as follows: core knowledge and skills (0.3498), professional ability (0.2858), maintenance of professional standards (0.1915), and professional and personal traits (0.1728). All consistency tests were passed (CR ​&lt; ​0.10).</div></div><div><h3>Conclusions</h3><div>The core competency index system for breastfeeding consultant nurses developed in this study is scientifically grounded, systematic, and authoritative. It provides strong support for the education and practice of breastfeeding consultant nurses in China and offers a theoretical foundation and practical framework to improve breastfeeding rates and nursing quality.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 8-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fathers’ experiences of becoming and being a father of twins in a multiple-birth family","authors":"Kristiina Heinonen","doi":"10.1016/j.wcn.2024.12.002","DOIUrl":"10.1016/j.wcn.2024.12.002","url":null,"abstract":"<div><h3>Aim</h3><div>To describe the lived experiences of fathers of twins and to contribute to the understanding of twin fatherhood and the need for support. A further aim was to increase knowledge of multiple-birth parenthood and situations among health and social care professionals.</div></div><div><h3>Design</h3><div>Qualitative and a hermeneutic phenomenological approach.</div></div><div><h3>Methods</h3><div>The data comprised the diaries and notes of fathers of twins and in-depth interviews.</div></div><div><h3>Results</h3><div>The phenomenon of being a father of twins consist of four themes: “Fatherhood of twins grows gradually,” “Strengthening of twin fatherhood by being present and involved,” “Fathers develop their relationship with each and both of the twins” and “Making space for twin fatherhood.” This article deals with the first two themes. Fatherhood of twins gradually develops during pregnancy and after the births through being actively present with the twins. It involves responsibility, protection, interaction, and the creation of a bond with each child. Getting to know the children better as individuals also means spending time with each child separately. Fathers sought more support and information from midwives and nurses to help them as fathers of twins. There is a need for multidisciplinary collaboration and more research on this topic, such as intervention and impact studies.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 90-96"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive care nurses’ experiences of VA-ECMO support for systemic lupus erythematosus-related pulmonary arterial hypertension complicated with pregnancy: A case report","authors":"Gu Ruirui,&nbsp;Ye Jing,&nbsp;Zhang Zhijuan,&nbsp;Han Xiaoning,&nbsp;Wang Jie,&nbsp;Zheng Yimei","doi":"10.1016/j.wcn.2024.12.003","DOIUrl":"10.1016/j.wcn.2024.12.003","url":null,"abstract":"<div><div>Systemic lupus erythematosus (SLE) with pulmonary arterial hypertension (PAH) is a rare disease with a poor prognosis and high mortality, which also threatens the puerpera. Nursing care focuses on hemodynamic changes and timely termination of pregnancy when complications occur. This case study reports the nursing experiences of a puerpera with SLE-related PAH who treat with the venoarterial extracorporeal membrane oxygenation (VA-ECMO). Based on the patient's treatment method, we highlight that ECMO-related care measures and pay attention to the hemodynamic changes. At the same time, attention should be paid to rehabilitation training and psychological support.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 97-100"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The experience of spontaneous pushing during labor among Chinese women: A cross-sectional questionnaire survey","authors":"Jiasi Yao ,&nbsp;Heike Roth ,&nbsp;Debra Anderson ,&nbsp;Hong Lu ,&nbsp;Huijuan Rong ,&nbsp;Kathleen Baird","doi":"10.1016/j.wcn.2024.12.001","DOIUrl":"10.1016/j.wcn.2024.12.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore Chinese women’s experiences of spontaneous pushing during the second stage of labor.</div></div><div><h3>Methods</h3><div>Women were recruited antenatally during late pregnancy and encouraged to push spontaneously during labor. A postnatal survey was conducted to examine their experiences of spontaneous pushing.</div></div><div><h3>Results</h3><div>The study recruited 112 women, of whom 102 completed the postnatal survey, including 14 primiparous and 88 multiparous women. Multiparous women reported different pushing experiences in this birth compared with previous instances of directed pushing, noting that they were able to follow their body's urges and felt in control of their body and the overall process. The results of the Childbirth Experience Questionnaire (Chinese version) revealed that a high average score for women's childbirth experiences, with a mean score of 61.22 (SD ​= ​7.863). Multiparous women had higher total scores (<em>P</em> ​&lt; ​0.05, <em>d</em> ​= ​0.736) and higher scores for dimension 1 (professional support) (<em>P</em> ​&lt; ​0.05, <em>d</em> ​= ​1.068). Primiparous women reported higher pain levels during spontaneous pushing (<em>P</em> ​&lt; ​0.05, <em>d</em> ​= ​0.636). There was no statistically significant difference in pushing experience between primiparous and multiparous women (<em>P</em> ​&gt; ​0.05).</div></div><div><h3>Conclusions</h3><div>Women reported an overall positive childbirth experience with spontaneous pushing during labor. Additional attention should be given to primiparous women to improve their perceived professional support during the second stage of labor compared to multiparous women.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 84-89"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harnessing emerging technologies for sustainable child health: Rethinking strategies for advancing SDG 3.2 in resource-constrained environments","authors":"John Batani ,&nbsp;Manoj Sewak Maharaj","doi":"10.1016/j.wcn.2024.09.001","DOIUrl":"10.1016/j.wcn.2024.09.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;Despite the various interventions by governments and partnering organisations, many children the age of five years continue to lose their lives to preventable causes. Therefore, the purpose of this study was to investigate, from healthcare professionals' perspectives, the strategies implemented to fight under-five mortality in Zimbabwe's public healthcare system and to propose a rethinking of the strategies towards emerging technologies-driven interventions to advance the attainment of the United Nations Sustainable Development Goals (UN SDGs) 3.2.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design/methodology/approach&lt;/h3&gt;&lt;div&gt;This study was part of a broader study that used a sequential exploratory mixed-methods research design, in which interviews and focus groups were used in the qualitative phase, followed by questionnaires in the quantitative phase. However, this paper only reports the findings of the exploratory (qualitative) phase, in which 20 participants from a public provincial hospital and clinics participated in online interviews and focus group discussions. Participants were selected using purposive sampling and snowballing. The NVivo software facilitated data analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Findings revealed that the current under-five mortality containment strategies in Zimbabwe include free access to care for under-fives and expectant mothers in public health facilities, provision of nutritional supplements, prevention of mother-to-child transmission, child immunization programs, maternal and child health programs, health education and behaviour change programs, integrated management of childhood illnesses, and community-based health initiatives. However, the under-five mortality rate in Zimbabwe, as in many sub-Saharan African countries, remains high. The poor under-five mortality outcomes are in part, due to challenges like high off-facility (home) births, late bookings for antenatal care services, inconsistent and insufficient supply of medicinal drugs, especially in hard-to-reach areas like rural areas, and an unresponsive national medicinal drug supply chain. The paper recommends rethinking the current strategies to address these challenges by harnessing emerging digital technologies to enhance sustainable child health., with the recent deployment of the electronic health record system in the country providing a facilitating condition for the successful implementation of a technology-driven public child healthcare system.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Practical implications&lt;/h3&gt;&lt;div&gt;This study seeks to provide an alternative, technology-driven approach to ending preventable child deaths and enhance the achievement of UN SDG 3.2. Although one could argue about the practicality of implementing emerging technologies in a resource-constrained setting, it should be noted that such settings have numerous nongovernmental players (such as the UNDP, World Bank, UNICEF and others) funding various programs to promote child and ","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 4","pages":"Pages 75-83"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and outcome of puerperal sepsis among mothers in Nigeria: A five-year retrospective study","authors":"Gbemisola Bolanle Ogbeye ,&nbsp;Adebola Omobusola Ojo ,&nbsp;David Bamidele Olawade ,&nbsp;Joel Ojo Aluko ,&nbsp;Deborah Tolulope Esan","doi":"10.1016/j.wcn.2024.08.001","DOIUrl":"10.1016/j.wcn.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Puerperal sepsis is one of the leading causes of maternal illness and mortality in low- and middle-income countries, despite advances in diagnosis, antimicrobial therapy, and medical management.</div></div><div><h3>Aim</h3><div>This study aimed to assess the prevalence and outcomes of puerperal sepsis in tertiary hospitals in Ondo State, Nigeria.</div></div><div><h3>Methods</h3><div>This retrospective cross-sectional study was conducted at a tertiary hospital in Ondo State. Total enumerative sampling was used to select patients diagnosed with puerperal sepsis between 2016 and 2020. An adapted structured checklist was used to retrieve data from patients’ medical records. Data analysis was performed using SPSS version 25. Descriptive and inferential statistics were used to analyze the results.</div></div><div><h3>Findings</h3><div>Out of 7980 obstetric cases managed during the study period, 156 patients had puerperal sepsis with a prevalence rate of 2%. The majority of patients were unregistered and were referred from other health facilities (94.2%). Other significant risk factors identified were postpartum hemorrhage (60.9%), prolonged labor (14.1%), premature rupture of membranes (19.9%), and lacerations (5.1%). Of the 156 patients diagnosed with puerperal sepsis, 151 (96.8%) were treated and discharged, while five (3.2%) died due to complications. Furthermore, a strong correlation was found between the mode of delivery and outcomes of puerperal sepsis (<em>P</em> ​= ​0.03).</div></div><div><h3>Conclusions</h3><div>Puerperal sepsis remains a major public health concern. Therefore, there is a need to promote prenatal care and ensure continuous supervision and monitoring of birthplaces/delivery centers in Nigeria.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 68-73"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectory of pelvic floor muscle training adherence in Chinese women with postpartum stress urinary incontinence and its related factors: A longitudinal study","authors":"Jianning Wang ,&nbsp;Ruirui Gu ,&nbsp;Liping Wu ,&nbsp;Yaxin Ji ,&nbsp;Xulian Tu ,&nbsp;Yufei Xie ,&nbsp;Xiaorong Wang","doi":"10.1016/j.wcn.2024.07.003","DOIUrl":"10.1016/j.wcn.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>Numerous studies have shown that pelvic floor muscle training (PFMT) adherence in women with postpartum stress urinary incontinence is low and influenced by many factors. However, most previous studies have been cross-sectional studies on PFMT adherence. Neglecting physiological and psychological recovery after childbirth may lead to changes in the adherence to PFMT. This longitudinal study investigated the developmental trajectory of PFMT adherence at 8, 10, and 12 weeks postpartum and the associated factors in China.</div></div><div><h3>Methods</h3><div>A total of 213 women with postnatal stress urinary incontinence who visited the obstetric pelvic floor clinic of a Grade A tertiary specialist maternity hospital in Beijing, China between January 2018 and January 2019 were selected. Compliance levels were measured using PFMT compliance questionnaires at 8, 10, and 12 weeks postpartum. Data on self-efficacy, postpartum social support, and other influencing factors were collected at 12 weeks postpartum. Differences in PFMT compliance scores were analyzed using repeated-measures analysis of variance. Multiple stepwise linear regression analyses were used for multivariate analysis.</div></div><div><h3>Results</h3><div>The PFMT compliance scores at 8, 10, and 12 weeks postpartum were 13.47 ​± ​4.42, 10.76 ​± ​4.46, and 7.95 ​± ​5.54, which were at a moderate level and showed a decreasing trend over time. Multiple stepwise line regression analysis showed that the factors influencing compliance with PFMT in women with postpartum stress urinary incontinence were knowledge-attitude-practice of PFMT (<em>t</em> ​= ​4.251, <em>P</em> ​&lt; ​0.001), postpartum social support level (<em>t</em> ​= ​4.304, <em>P</em> ​&lt; ​0.001), and self-efficacy level of PFMT (<em>t</em> ​= ​8.577, <em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusion</h3><div>The PFMT compliance of Chinese women with postpartum stress urinary incontinence was moderate, with a downward trend. More effective methods should be chosen to improve women's PFMT compliance based on their situation, such as improving patient self-efficacy, social support, and knowledge-attitude-practice.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing nursing mothers’ exclusive breastfeeding practices and their effects on infants aged zero to six months in Nigeria: A review of current evidence","authors":"Elizabeth F. Apara ,&nbsp;David B. Olawade ,&nbsp;Gbolahan Deji Olatunji ,&nbsp;Emmanuel Kokori ,&nbsp;Nicholas Aderinto ,&nbsp;Aanuoluwapo Clement David-Olawade","doi":"10.1016/j.wcn.2024.07.001","DOIUrl":"10.1016/j.wcn.2024.07.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to investigate the various factors contributing to the practice of Exclusive Breastfeeding (EBF) among nursing mothers in Nigeria and its potential effects on infants aged 0–6 months.</div></div><div><h3>Methods</h3><div>A literature review was conducted using reputable electronic databases, including PubMed, African Journals Online, Science Direct, Scopus, Research Gate, and Google Scholar. The search was limited to studies published between January 2013 and August 2023.</div></div><div><h3>Results</h3><div>Eleven studies were analyzed, and their outcomes are presented in this review. The results suggest significant diversity in the maternal understanding of EBF. While certain mothers exhibit a commendable comprehension of the significance and advantages of breastfeeding, others require greater awareness or hold misconceptions regarding this practice. The lack of comprehensive data on the effects of EBF on maternal practices poses a challenge to mothers when making informed choices about infant feeding. Behaviors related to breastfeeding are notably influenced by sociocultural factors, wherein specific communities adhere to cultural standards that support the early introduction of supplementary food.</div></div><div><h3>Conclusions</h3><div>The implications of adhering to EBF practices are significant for both maternal and infant well-being. The findings of this review have led to several recommendations to enhance the promotion of EBF practices in Nigeria. These include bolstering breastfeeding education and awareness, implementing workplace policies that support breastfeeding, addressing sociocultural barriers through community-based interventions, enhancing healthcare support, and conducting ongoing research and monitoring efforts.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 49-55"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should we be concerned regarding physical activity levels in children and adolescents with congenital heart disease? A comprehensive narrative review","authors":"Yuan Li ,&nbsp;Hong Zheng ,&nbsp;Jie Li ,&nbsp;Ying-Xin Li","doi":"10.1016/j.wcn.2024.07.002","DOIUrl":"10.1016/j.wcn.2024.07.002","url":null,"abstract":"<div><h3>Aims</h3><div>The paradigm shift toward a holistic and proactive approach in the aftercare of individuals diagnosed with congenital heart disease (CHD) underscores the significance of regular physical activity (PA) in this at-risk group. The aim of this narrative review was to present and contrast objectively measured PA levels in children and adolescents with CHD with those of their healthy counterparts or broader normative groups, capitalizing on the recent surge in research in this field.</div></div><div><h3>Methods</h3><div>Four databases were systematically searched for relevant studies published from their inception through September 2023. Observational studies concentrating on youths with CHD, wherein objectively quantified PA levels in the CHD group were assessed and compared with healthy controls or normative data, were included. Two independent authors performed the study selection and data abstraction.</div></div><div><h3>Results</h3><div>Sixteen studies representing 1164 targeted patients were included. Our findings revealed that, contrary to general belief, the PA levels of youths with CHD were generally comparable to those of healthy peers or normative samples. Diminished PA was exclusively discerned in certain subgroups of CHD cases in a limited number of studies.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that PA levels of youths with CHD are generally comparable to those of their healthy peers or normative samples. However, considering the global pandemic of physical inactivity and lifetime health risks for patients with CHD, sustained efforts to monitor and improve PA remain vital. Collaborating on initiatives to help patients with CHD attain age-appropriate PA recommendations is essential and should not be underestimated.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 56-61"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence summary: How to implement early mother-infant skin-to-skin contact after delivery","authors":"Junying Li ,&nbsp;Ruiyang Sun ,&nbsp;Hongxiao He ,&nbsp;Hong Lu ,&nbsp;Dong Pang ,&nbsp;Xiu Zhu","doi":"10.1016/j.wcn.2024.06.001","DOIUrl":"10.1016/j.wcn.2024.06.001","url":null,"abstract":"<div><h3>Aim and objectives</h3><p>This study aimed to delineate the optimal practices for early mother-infant skin-to-skin contact (SSC) by synthesizing the best available evidence, thereby facilitating its implementation and promotion.</p></div><div><h3>Design and methods</h3><p>We referred to the Joanna Briggs Institute (JBI) streamlined rapid review approach to conduct this study. Guide websites, institutional websites, national and international databases, and clinical decision-support systems were comprehensively searched. The Appraisal of Guidelines for Research and Evaluation II (AGREE II), AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews), and JBI appraisal tools were used to assess the quality of the included studies.</p></div><div><h3>Results</h3><p>Fourteen guidelines, nine expert consensus reports, five evidence summaries, and one systematic review were included. Six domains comprising 18 recommendations were extracted: (1) target population; (2) preparations beforehand; (3) timing of initiation; (4) practices during SSC; (5) precautions during exposure; and (6) promotion of breastfeeding.</p></div><div><h3>Conclusions and relevance to clinical practice</h3><p>Based on the synthesized evidence, immediate or early uninterrupted SSC is recommended, regardless of the delivery mode. Newborns should be placed prone on the mother’s abdomen or chest as soon as possible after birth for a minimum of 60 or 90 ​min, or until completion of the first breastfeeding. Notably, we compared and selected evidence to address inconsistencies in practice. Our recommendations offer clarity on the target SSC ​population, preparation, precautions during exposure, and breastfeeding promotion. However, the explicit duration and initiation times of the SSC remain uncertain. These findings may serve as a valuable reference for future clinical practice and research.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 39-48"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000135/pdfft?md5=0552054a57bd7e19b85450b79209121a&pid=1-s2.0-S2949751524000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}