Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

Katarina Patriksson; Ola Andersson; Filippa Stierna; Kristina Haglund; Li Thies-Lagergren

doi:10.1016/j.jogn.2023.12.003

Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

Katarina Patriksson, Ola Andersson, Filippa Stierna, Kristina Haglund, Li Thies-Lagergren

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	255-263
Number of pages	9
Journal	JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume	53
Issue number	3
Early online date	2024 Jan 13
DOIs	https://doi.org/10.1016/j.jogn.2023.12.003
Publication status	Published - 2024

Bibliographical note

Subject classification (UKÄ)

Pediatrics
Nursing

Access to Document

10.1016/j.jogn.2023.12.003Licence: CC BY

Cite this

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title = "Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden",

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.",

author = "Katarina Patriksson and Ola Andersson and Filippa Stierna and Kristina Haglund and Li Thies-Lagergren",

year = "2024",

doi = "10.1016/j.jogn.2023.12.003",

language = "English",

volume = "53",

pages = "255--263",

journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",

issn = "0884-2175",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

AU - Patriksson, Katarina

AU - Andersson, Ola

AU - Stierna, Filippa

AU - Haglund, Kristina

AU - Thies-Lagergren, Li

PY - 2024

Y1 - 2024

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85186085673

U2 - 10.1016/j.jogn.2023.12.003

DO - 10.1016/j.jogn.2023.12.003

M3 - Article

C2 - 38228286

SN - 0884-2175

VL - 53

SP - 255

EP - 263

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

IS - 3

ER -

Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

Abstract

Bibliographical note

Subject classification (UKÄ)

Access to Document

Other files and links

Fingerprint

Neonatal resuscitation after birth: Swedish midwives’ experiences of and perceptions about separation of mothers and their newborn babies

Midwives’ decision-making process when a non-vigorous neonate is born – a Swedish qualitative interview study

A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol

SAVE: Sustained cord circulation Awaiting VEntilation

Cite this

Midwives' Experiences of Intact Cord Resuscitation in Nonvigorous Neonates After Vaginal Birth in Sweden

Abstract

Bibliographical note

Subject classification (UKÄ)

Access to Document

Other files and links

Fingerprint

Research output

Neonatal resuscitation after birth: Swedish midwives’ experiences of and perceptions about separation of mothers and their newborn babies

Midwives’ decision-making process when a non-vigorous neonate is born – a Swedish qualitative interview study

A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol

Projects

SAVE: Sustained cord circulation Awaiting VEntilation

Cite this