AI Article Synopsis
- The study explores midwives' experiences with intact cord resuscitation for nonvigorous newborns immediately after vaginal birth in Sweden.
- Through interviews with 13 midwives, three main themes emerged: adapting to a new workflow, the benefits of keeping mother and baby together, and the midwife's role in supporting childbirth.
- Despite recognizing the advantages of intact cord resuscitation, midwives faced challenges related to the SAVE study's design and expressed a desire for this practice to be more routine.
Article Abstract
Objective: To describe midwives' experiences of intact cord resuscitation close to the mother for nonvigorous neonates after vaginal birth.
Design: Descriptive qualitative.
Setting: Four labor wards in Sweden.
Participants: Midwives (N = 13) currently or previously employed in labor wards where the Sustained Cord Circulation and Ventilation (SAVE) study was conducted.
Methods: We analyzed semistructured interviews using reflexive thematic analysis.
Results: Participants' experiences are presented in an overarching theme: Midwives balance knowledge with doing the right thing in a challenging work environment during intact cord resuscitation. Three primary themes emerged: A New Workflow, Zero Separation: The Big Advantage, and The Midwife: Guardian of Childbirth.
Conclusion: The participants were keen to keep the umbilical cord intact even for nonvigorous neonates. They wanted to work with the neonate close to the mother to facilitate zero separation and family participation. Ventilation with an intact umbilical cord was considered a routine to be implemented in the future, but the participants identified certain difficulties with the design of the SAVE study.
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| http://dx.doi.org/10.1016/j.jogn.2023.12.003 | DOI Listing |
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