Who owns the baby? A video ethnography of skin-to-skin contact after a caesarean section

Stevens, Jeni; Schmied, Virginia; Burns, Elaine; Dahlen, Hannah G

doi:10.1016/j.wombi.2018.02.005

Cited by 15 publications

(14 citation statements)

References 24 publications

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“…Video ethnography has been used in the maternity services to capture footage of care during and after caesarean section. This enabled multiple viewing for in-depth analysis [18] but presented challenges such as the "inability of the researcher and camcorder to blend into the environment" and remain unnoticed [19]. Pink and Mackley [20] explained how ethnographic research using the "video tour" method provided insights into "how the sensory aesthetic of home is experienced, produced and maintained" in everyday domestic life.…”

Section: Methodsmentioning

confidence: 99%

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

et al. 2020

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Background: Many of aspects of our lives became increasingly commercialised in post-modern society. Although breastfeeding is perhaps a late comer to this process in recent years, it too has seen significant commercialisation facilitated by social media and our obsession with celebrity culture. This paper explores how the commercialisation and commodification of breastfeeding impacts mothers' experiences of breastfeeding. Methods: In a qualitative study, five mothers in the United Kingdom recorded their real-time breastfeeding experiences in video diaries. Using a multi-modal method of analysis, incorporating both visual and audio data, a thematic approach was applied. Findings: Women preparing for breastfeeding are exposed to increasing commercialisation. When things do not go to plan, women are even more exposed to commercial solutions. The impact of online marketing strategies fuelled their need for paraphernalia so that their dependence on such items became important aspects of their parenting and breastfeeding experiences. Conclusions: The audiovisual data demonstrated the extent to which "essential" paraphernalia was used, offering new insights into how advertising influenced mothers' need for specialist equipment and services. Observing mothers in their video diaries, provided valuable insights into their parenting styles and how this affected their breastfeeding experience.

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Section: Methodsmentioning

confidence: 99%

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

et al. 2020

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“…A Vietnamese study of staff attitudes towards SSC at caesarean birth identified barriers including operating theatre temperature, concerns about the baby falling or delaying the operation, and belief that SSC made monitoring the mother more difficult (Tran et al, 2018). As health professionals' actions are influenced by institutional regulations, further education can increase the provision of immediate and sustained SSC at caesarean birth (Stevens et al, 2018). For example, an Indian participatory action research study reported an increase in early SSC and breastfeeding on the operating table from 0% to 100% within four-months of a phasedapproach to change including education and a new policy (Maria et al, 2018).…”

Section: Caesarean Birthmentioning

confidence: 99%

Immediate, uninterrupted skin-to-skin contact and breastfeeding after birth: A cross-sectional electronic survey

et al. 2019

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Objective: To determine the incidence of immediate, uninterrupted skin-to-skin contact and breastfeeding after birth; and which factors are associated with it. Design: Cross-sectional e-survey was developed and piloted prior to distribution. Sampling was purposive and included snowball sampling. Associations between maternity care practices and the primary outcome measure were examined using logistic regression. Setting: Australia Participants: Women who birthed a term baby within the previous three years, in any Australian setting (hospital, birth centre or at home), were eligible to participate. Measurements and findings: 1200 postpartum women met the eligibility criteria and completed the e-survey. The primary outcome, 'pronurturance', included: 1) immediate mother/baby holding; 2) skin-to-skin contact; 3) uninterrupted holding for at least 60 minutes; 4) breastfeeding in the birth setting. Of 1,200 participants, 22% (n=258) experienced pronurturance. Pronurturance was less likely following caesarean section (adjusted Odds Ratio (aOR) 0.07, 95% Confidence Interval (CI) 0.03-0.17). Pronurturance was more likely with a known midwife during labour and birth (aOR 1.89, 95% CI 1.35-2.65). Contributing to the low rate of pronurturance were lack of antenatal skin-to-skin information; babies being wrapped; women wearing clothing; and non-urgent caregiver interruptions including weighing the baby or facilitating the mother to shower. Key conclusion: Health services must strategically address the institutional processes which delay and/or interrupt skin-to-skin contact and breastfeeding in both birth suite and operating theatre settings. Implications for practice: Midwives and midwifery students providing continuity of carer are best placed to provide pronurturance to mothers and babies. Caregivers should educate women about pronurturance antenatally, and actively support immediate, uninterrupted mother/baby skin-to-skin contact and breastfeeding after birth.

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“…This "ownership" of the maternal body contributed further to the maternal feelings of disconnect and loss of control in a cesarean birth. Parallel to the findings ofStevens et al (2018), many of the respondents for this research mentioned the same concept of ownership, stating the head of the bed is "owned"…”

mentioning

confidence: 60%

“…A new study done in Australia by Stevens, Schmeid, Burns and Dahlen (2018) by anesthesia, and their consent (or lack thereof) to do SSC in the OR was the most important factor in whether the nurses could successfully implement SSC in the OR. Also parallel with this project's findings, Stevens et al (2018) identified several factors that acted as barriers to SSC in the OR including, but not limited to:…”

Section: Drivers For Changementioning

confidence: 99%

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Obstetric Nurses’ Perceived Barriers to Immediate Skin to Skin Contact after Cesarean Birth

Balatero

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OBSTETRIC NURSES' PERCEIVED BARRIERS TO IMMEDIATE SKIN TO SKIN CONTACT AFTER CESAREAN BIRTH Despite the strong evidence supporting immediate skin to skin contact (SSC) after birth, research suggests that patients who undergo cesarean births do not have the same opportunities for SSC as patients who undergo vaginal births. There are limited studies regarding provider attitudes surrounding the practice of immediate SSC after cesarean birth. The aim of this research was to understand obstetric nurses' perceived barriers to immediate SSC after cesarean section. An exploratory qualitative design was used for the project. The semi-structured, open-ended interviews were conducted via video conferencing. Conventional contentanalysis methods were used to analyze the data, which yielded the primary overarching theme of "performing safe and effective skin to skin contact after cesarean birth". The participants identified both barriers and facilitators to SSC after cesarean. It was evident from the interviews that nurses strongly believe in the benefits of SSC after cesarean and try to implement it as often as possible, but various factors prevented SSC in the OR from occurring on a regular basis. This research can be used as a starting point for refining the practice of SSC after cesarean births.

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Who owns the baby? A video ethnography of skin-to-skin contact after a caesarean section

Cited by 15 publications

References 24 publications

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

Immediate, uninterrupted skin-to-skin contact and breastfeeding after birth: A cross-sectional electronic survey

Obstetric Nurses’ Perceived Barriers to Immediate Skin to Skin Contact after Cesarean Birth

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