From the delivery room to the neonatal intensive care unit—Mothers' experiences with follow-up of skin-to-skin contact after premature birth

Gulla, Kari; Dahlø, Raija; Eilertsen, Mary˗Elizabeth Bradley

doi:10.1016/j.jnn.2017.06.002

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…The quantitative study was part of a larger study by Kristoffersen and co-workers [20,21] where one of the aims was to determine if early SSC in the delivery room after vaginal births of moderately preterm infants was safe and feasible with extant personnel resources [20]. The present study was conducted from April 2010 to May 2013 at St. Olav's University Hospital, Trondheim, Norway.…”

Section: Quantative Studymentioning

confidence: 99%

Sacred Hours: Mothers' Experiences of Skin-to-Skin Contact with Their Infants Immediately After Preterm Birth

Dahlø¹,

Gulla²,

Saga³

et al. 2018

Int J Pediatr Neonat Care

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Objective:The aim of the present study was to investigate mothers' own experiences of skin-to-skin contact (SSC) with their newborns immediately following moderately premature birth.Design: Mixed method, survey and focus groups interviews.Participants: Thirty-nine mothers giving birth at gestational age 32 0 -34 6 weeks responded to a quantitative questionnaire. Nine of these mothers participated in focus group interviews. Method:In order to obtain information about mothers' own experiences of immediate SSC with their moderately preterm newborns after birth, quantitative and qualitative data were collected. Using a mixed method approach, descriptive quantitative data were combined with rich qualitative data from focus group interviews to offer a more comprehensive picture of the mother's own experiences. Key concepts were information about SSC, feeling of safety and mother-infant bonding. Results:The results from both the quantitative and qualitative part of the study were highly congruent: the mothers perceived that they had been given sufficient information by midwives and nurses about SSC following premature birth. According to questionnaire responses and interviews, the mothers' perception of safety during SSC was enhanced by the continuous presence of a nurse from the Neonatal Intensive Care Unit (NICU). Moreover, the mothers felt that SSC was important during the first hours after birth, both for mother-child bonding and for normalization of the birth experience. Conclusion:The results of our study demonstrate that SSC is a useful method to normalize the birth experience and enhance mother-child bonding following a moderately premature birth. We argue that midwives, nurses from NICU and physicians should support and promote SSC immediately following premature birth.

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Section: Quantative Studymentioning

confidence: 99%

Sacred Hours: Mothers' Experiences of Skin-to-Skin Contact with Their Infants Immediately After Preterm Birth

Dahlø¹,

Gulla²,

Saga³

et al. 2018

Int J Pediatr Neonat Care

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“…Our review did not aim to identify factors which contributed to mother–child separation. However, we noted that organisational and environmental factors which prevented mothers from being close to their children were widely and consistently documented (Baum et al, 2012; Gulla et al, 2017; Mukwenda et al, 2017; Wigert et al, 2006). These descriptions align with the wider literature on this topic, which suggests that despite an increasingly consistent evidence base, facilitation of parental presence remains an inconsistent and hesitant practice (Suresh and Crowe, 2012; Farah et al, 2007; Gillis and Rennick, 2006).…”

Section: Discussionmentioning

confidence: 93%

“…The separation of the mother–child pair was associated with emotional chaos, anxiety, stress, distress, deep loss, sadness and a yearning to be together (Bayes et al, 2012; Chaplin et al, 2016; Elmir et al, 2012; Flacking et al, 2006; Gulla et al, 2017; Lindberg and Öhrling, 2008; Mukwenda et al, 2017; Wigert et al, 2006). Mothers of preterm infants reported a sense of loss for their full-term infant (Flacking et al, 2006), emptiness at no longer being pregnant (Baum et al, 2012) and unprepared for the NICU experience (Wigert et al, 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies (Akbarbegloo et al, 2013; De Macedo et al, 2007) used validated measures of mothers’ psychological effects of separation. Mothers’ psychological effects of separation were elicited through structured questionnaires (Ikonen et al, 2016), semi-/structured interviews (Baum et al, 2012; Bayes et al, 2012; Elmir et al, 2012; Flacking et al, 2006; Hurst et al, 2013; Lindberg and Öhrling, 2008; Mukwenda et al, 2017; Wigert et al, 2006), interviews and journal writing (Chaplin et al, 2016), protocol writing (Hammarlund et al, 2012) and focus groups (Gulla et al, 2017). Three studies interviewed mothers and fathers (Alves et al, 2016; Kerr et al, 2017; Sankar et al, 2017), two of which explored the effects of separation on mothers’ breastfeeding (Alves et al, 2016; Sankar et al, 2017) and one explored the effects of video technology bridging the gap of separation on parents.…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of mother–child separation in clinical paediatric settings

Power

North

Leonard

et al. 2020

J Child Health Care

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There is increasing evidence to suggest that autonomic regulation of hospitalised infants is affected by separation from their mother. This review explored the extent of the evidence relating to the impact of separation on infants and children and aimed to identify suitable measures of the impact of mother–child separation. We conducted a scoping review of seven databases using the main search terms ‘physiological’, ‘psychological’, ‘infant/child’, ‘maternal separation’ and ‘hospital’. Thirty-four articles containing data relevant to the effects of mother–child separation on either member of the pair were included. Findings highlight the central importance of the mother’s presence in mediating the stressful effects of hospitalisation on her child. The majority of articles reported on psychological effects of separation on mothers of infants or on younger children. We identified no articles reporting on physiological effects on the older child or mothers of older children or psychological effects on mothers of older children. Only nine articles used validated tools to measure the effects of separation. There is a need for more evidence, based on validated measurement, about the psychological effects of separation on the child, particularly the older child, and on the physiological effects of separation on the mother–child pair during hospitalisation.

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“…At the same time, they also experienced lack and inconsistency of support from staff and referred to some staff's negative attitudes to SSC. 53 Continuous SSC has also been described by nurses to be tiring for parents and that parents may feel insufficient if they can't meet the demands of having the infant continuously skin-to-skin. 22 Interestingly the group randomized to intermittent SSC in the present study used an average of six hours of SSC per day during their first week of hospitalization.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial of Continuous Versus Intermittent Skin-to-Skin Contact After Premature Birth and the Effects on Mother–Infant Interaction

Helmer¹,

Thornberg

Frostell

et al. 2019

Advances in Neonatal Care

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BackgroundPremature birth affects opportunities for interaction between infants and mothers. Skin-toskin contact (SSC) is standard care in neonatal care but has not been sufficiently studied regarding the effects on interaction between preterm infant and mothers. PurposeTo compare interaction between preterm infants and their mothers after continuous versus intermittent SSC from birth to discharge. A secondary aim was to study a potential doseresponse effect between time in SSC and quality of interaction. MethodsFamilies were randomly assigned to either continuous (n=17) or intermittent (n=14) SSC before delivery. Interaction was measured from videotapes of a Still-Face Paradigm collected at four months corrected age. Face-to-face interaction was coded according to Ainsworthʼs Maternal Sensitivity Scales and Maternal Sensitivity and Responsivity Scales-R. Doseresponse correlations were calculated between mean time spent in SSC and each of the interaction scales. ResultsThere were no statistically significant differences between groups in maternal interactive behavior towards her infant regarding sensitivity, interference, availability, acceptance, 2 withdrawal or intrusivity. There was no correlation between mean time in SSC and quality of interaction.

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From the delivery room to the neonatal intensive care unit—Mothers' experiences with follow-up of skin-to-skin contact after premature birth

Cited by 5 publications

References 17 publications

Sacred Hours: Mothers' Experiences of Skin-to-Skin Contact with Their Infants Immediately After Preterm Birth

Sacred Hours: Mothers' Experiences of Skin-to-Skin Contact with Their Infants Immediately After Preterm Birth

A scoping review of mother–child separation in clinical paediatric settings

A Randomized Trial of Continuous Versus Intermittent Skin-to-Skin Contact After Premature Birth and the Effects on Mother–Infant Interaction

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