Barriers to skin-to-skin care during the postpartum stay.

PURPOSE

To determine both mothers' and nurses' understanding of barriers to skin-to-skin care (SSC) during the postpartum hospital stay.

STUDY DESIGN

Mixed-method study including surveys and focus groups with both nurses working in a postpartum unit, and mothers who had recently given birth.

METHODS

Fourteen nurses and 15 mothers completed surveys. Survey questions related to beliefs about SSC as well as perceived barriers and were drawn from the literature. Additionally, several focus groups with nurses and one focus group with new mothers explored attitudes, beliefs, and practices related to SSC, barriers, and potential interventions.

RESULTS

All nurses indicated that SSC was important for both mothers and infants, and identified perceived barriers to the practice. By a large margin, visitors in the patient room and others wanting to hold the baby were the most frequently cited barriers to SSC. Most nurses believed that mothers were unaware of the benefits of SSC and did not spend enough time SSC, yet most mothers said that they were aware of the importance of SSC and that they had spent enough time SSC. Barriers most often identified by mothers were visitors in the room, other people wanting to hold the baby, and safety concerns related to feeling groggy.

CLINICAL IMPLICATIONS

Identifying barriers to SSC and intervening to reduce them may have implications for both maternal role development and breastfeeding success, thus positively impacting long-term health of mother and child. Studies such as this should be conducted with other populations in other centers.