Frederick Anitra C, Busen Nancy H, Engebretson Joan C, Hurst Nancy M, Schneider Karen M
University of Texas Health Science Center at Houston School of Nursing, Houston, Texas.
Women's Support Services, Pavilion for Women, Texas Children's Hospital, Houston, Texas.
J Am Assoc Nurse Pract. 2016 Jan;28(1):31-8. doi: 10.1002/2327-6924.12229. Epub 2015 Mar 12.
To explore and describe the mother's experience of holding her neonate in skin-to-skin contact (SSC) immediately after cesarean delivery during surgical closure and recovery.
Eleven women between the ages of 23 and 38 years, who had achieved 39.1-40.2 weeks gestational age, participated in an ethnographic study using observations and interviews with the mothers conducted at 24-48 h postdelivery. Interviews were transcribed verbatim and content analysis of both observational notes and transcripts were used to analyze the data.
Findings from this study describe the mother's experience of SSC during cesarean section. The primary theme that emerged was mutual caregiving: the mother-neonatal interaction and their shared and reciprocal relationship and benefits during SSC. Two contextual issues also were illuminated (a) the father's influence on the SSC experience and (b) the cesarean environment.
With cesarean section the most common surgical procedure among American women, advanced practice nurses are in a unique position to encourage and educate women on the use of SSC for their benefit and that of their newborn. Advanced practice nurses are also empowered to influence institutional policy on SSC during cesarean deliveries at the local and national level.
探讨并描述剖宫产术后立即进行外科缝合及恢复期间，母亲与新生儿进行皮肤接触（SSC）的经历。
11名年龄在23至38岁之间、孕周为39.1至40.2周的女性参与了一项人种学研究，该研究采用观察法，并在产后24至48小时对母亲进行访谈。访谈内容逐字记录，观察记录和访谈记录均采用内容分析法进行数据分析。
本研究结果描述了剖宫产期间母亲进行SSC的经历。出现的主要主题是相互照顾：母婴互动以及他们在SSC期间的共享、互惠关系和益处。还阐明了两个背景问题：（a）父亲对SSC经历的影响；（b）剖宫产环境。
剖宫产是美国女性中最常见的外科手术，高级执业护士处于独特的地位，可以鼓励并教育女性认识到SSC对她们及其新生儿的益处。高级执业护士还有权在地方和国家层面影响剖宫产期间关于SSC的机构政策。
