Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia; Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
Women Birth. 2022 Feb;35(1):e60-e67. doi: 10.1016/j.wombi.2021.02.001. Epub 2021 Feb 16.
The World Health Organization recommends immediate skin-to-skin contact after birth, however, worldwide, separation of mothers and infant is common.
In Saudi Arabia, there is a lack of research exploring mothers' experiences of skin-to-skin contact after birth.
To estimate the rate of skin-to-skin contact and describe mothers' perceptions and experiences of immediate skin-to-skin contact after vaginal birth in two largest hospitals in Jeddah, Saudi Arabia.
A cross-sectional study conducted in 2017. A total of 254 mothers completed the survey on the postnatal ward (92 % response rate). The survey consisted of 36 closed and open-ended items. Data were described using summary statistics and free text comments were analysed using content analysis.
The rate of direct skin-to-skin contact was 15%. A further 54% of mothers had the baby placed on their chest/abdomen but with a sheet/gown between them. Mothers reported favourable perceptions towards skin-to-skin contact and reported the practice as acceptable (67%). Most mothers did not express concerns about feeling exposed (85%) or that skin-to-skin contact was inconsistent with norms of modesty or culture (87%). The free text comments indicated that most mothers felt positive about their experience of skin-to-skin contact, while some mothers felt overwhelmed and unprepared.
Skin-to-skin contact was not routinely implemented after birth and the rate was low. Mothers held positive perceptions and wanted to practice skin-to-skin contact. Policy makers and clinicians should acknowledge mothers' needs and feelings by facilitating skin-to-skin contact to achieve optimal outcomes for mothers and infants.
世界卫生组织建议在出生后立即进行皮肤接触，但在全球范围内，母婴分离很常见。
在沙特阿拉伯，缺乏探索母亲在阴道分娩后进行皮肤接触的经验的研究。
估计皮肤接触的比率，并描述沙特阿拉伯吉达的两家最大医院中母亲对阴道分娩后立即进行皮肤接触的看法和经验。
这是 2017 年进行的一项横断面研究。共有 254 名母亲在产后病房完成了调查（92%的回应率）。该调查由 36 个封闭式和开放式项目组成。使用摘要统计数据描述数据，并用内容分析法分析自由文本评论。
直接皮肤接触的比率为 15%。还有 54%的母亲让婴儿放在她们的胸部/腹部，但中间隔着床单/长袍。母亲对皮肤接触有良好的看法，并认为这种做法是可以接受的（67%）。大多数母亲不担心感到暴露（85%）或皮肤接触不符合谦虚或文化规范（87%）。自由文本评论表明，大多数母亲对皮肤接触的体验感到满意，而一些母亲感到不知所措和准备不足。
出生后没有常规实施皮肤接触，而且比率很低。母亲对皮肤接触有积极的看法，并希望进行皮肤接触。政策制定者和临床医生应该通过促进皮肤接触来满足母亲的需求和感受，以实现母婴的最佳结果。
