A juxtaposition of birth and surgery Providing skin-to-skin contact in the operating theatre and recovery.pdfVIP

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A juxtaposition of birth and surgery Providing skin-to-skin contact in the operating theatre and recovery.pdf

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A juxtaposition of birth and surgery Providing skin-to-skin contact in the operating theatre and recovery.pdf

Midwifery 37 (2016) 41–48 Contents lists available at ScienceDirect Midwifery journal homepage: /midw A juxtaposition of birth and surgery: Providing skin-to-skin contact in the operating theatre and recovery Jeni Stevens, RN, RN (Hon 1st), RM, IBCLC, PhD Candidate (Clinical Midwifery Consultant of Infant Feeding)n, Virginia Schmied, RN, RM, PhD, MA (Hon), BA (Professor of Maternal, Infant and Family Health Director of Research), Elaine Burns, RN, RM, PhD, MCN, BN (Midwifery Lecturer Deputy Director of Higher Degree Research), Hannah Dahlen, RN, RM, BN (Hon 1st), M CommN, PhD (Professor of Midwifery Director of Higher Degree Research) Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia article info Article history: Received 16 December 2015 Received in revised form 30 March 2016 Accepted 31 March 2016 Keywords: Skin-to-skin contact Caesarean Operating theatre Recovery Baby Friendly Health Initiative abstract Objective: to provide insight into the facilitators and barriers of providing skin-to-skin contact in the operating theatre and recovery. Design: ethnographic study utilising video recordings, ?eld notes, focus groups and interviews. Setting: a metropolitan public hospital in Sydney, Australia. Participants: 21 low-risk mothers having a repeat caesarean section, 26 support people, 4125 staff members involved in their care and 43 staff members involved in focus groups/interviews. Data collection and analysis: collecting video footage and ?eld notes for up two hours post caesarean section births, interviews at six weeks post partum and staff focus groups/interviews. Data was entered into NVivo10 and analysed using critical ethnographic techniques. Findings: providing skin-to-skin contact in the operating theatre and recovery presents unique challenges due to the ‘juxtaposition’ of providing social and emotional care in an intrinsically medicalised setting. Staff members suggest that skin-to-skin contact in t