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极早早产儿出生后早期皮肤接触与传统分离方法的产后体验:一项针对母亲的定性研究

Postpartum Experiences of Early Skin-to-Skin Contact and the Traditional Separation Approach After a Very Preterm Birth: A Qualitative Study Among Mothers.

作者信息

Føreland Anne Marit, Engesland Helene, Kristoffersen Laila, Fegran Liv

机构信息

Hospital of Southern Norway, Kristiansand, Norway.

University of Agder, Kristiansand, Norway.

出版信息

Glob Qual Nurs Res. 2022 May 19;9:23333936221097116. doi: 10.1177/23333936221097116. eCollection 2022 Jan-Dec.

Abstract

Traditional care immediately after very preterm birth separates the mother and child by the transfer of the infant to the neonatal intensive care unit. A nonseparation approach is currently being considered, allowing early skin-to-skin contact in the delivery room/postoperative care unit. This study aimed to explore mothers' experiences of early skin-to-skin contact and traditional care. A qualitative study using individual semi-structured interviews with five mothers from each of the two groups was conducted. Content analysis revealed that both groups' experiences were characterized by (i) mothers' need to be affirmed of their infants' vitality, (ii) bonding challenges, and (iii) benefits of skin-to-skin contact. We suggest that early skin-to-skin contact after very preterm births is crucial for the bonding process and mothers' feelings of safety and well-being. When early skin-to-skin contact is infeasible, our findings reveal the significance of photos, information, and the father's presence at the time of postpartum separation.

摘要

极早早产儿出生后立即进行的传统护理是将婴儿转至新生儿重症监护病房,从而使母婴分离。目前正在考虑一种不分离的方法,即在产房/术后护理单元允许早期皮肤接触。本研究旨在探讨母亲们对早期皮肤接触和传统护理的体验。采用对两组中每组五名母亲进行个体半结构式访谈的定性研究方法。内容分析表明,两组的体验都具有以下特点:(i)母亲需要确认婴儿的活力;(ii)建立情感联系的挑战;(iii)皮肤接触的益处。我们认为,极早早产儿出生后的早期皮肤接触对于情感联系过程以及母亲的安全感和幸福感至关重要。当早期皮肤接触不可行时,我们的研究结果揭示了照片、信息以及产后分离时父亲在场的重要性。

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Understanding kangaroo care and its benefits to preterm infants.了解袋鼠式护理及其对早产儿的益处。
Pediatric Health Med Ther. 2015 Mar 18;6:15-32. doi: 10.2147/PHMT.S51869. eCollection 2015.

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