Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren
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引用次数: 0
摘要
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。
Midwives’ Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden
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.
期刊介绍：
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