Women's experiences of skin-to-skin cesarean birth compared to standard cesarean birth: a qualitative study.

Autor: Machold CA; Collingwood General and Marine Hospital (Machold), Collingwood, Ont.; Sunnybrook Research Institute (O'Rinn) and Aubrey & Marla Dan Centre for Women & Babies (O'Rinn), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Anthropology (McKellin), University of British Columbia, Vancouver, BC; Birthing Unit (Ballantyne), Aubrey & Marla Dan Centre for Women & Babies, Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Obstetrics and Gynecology (Barrett), McMaster University, Hamilton, Ont. cmachold@gmail.com., O'Rinn SE; Collingwood General and Marine Hospital (Machold), Collingwood, Ont.; Sunnybrook Research Institute (O'Rinn) and Aubrey & Marla Dan Centre for Women & Babies (O'Rinn), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Anthropology (McKellin), University of British Columbia, Vancouver, BC; Birthing Unit (Ballantyne), Aubrey & Marla Dan Centre for Women & Babies, Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Obstetrics and Gynecology (Barrett), McMaster University, Hamilton, Ont., McKellin WH; Collingwood General and Marine Hospital (Machold), Collingwood, Ont.; Sunnybrook Research Institute (O'Rinn) and Aubrey & Marla Dan Centre for Women & Babies (O'Rinn), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Anthropology (McKellin), University of British Columbia, Vancouver, BC; Birthing Unit (Ballantyne), Aubrey & Marla Dan Centre for Women & Babies, Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Obstetrics and Gynecology (Barrett), McMaster University, Hamilton, Ont., Ballantyne G; Collingwood General and Marine Hospital (Machold), Collingwood, Ont.; Sunnybrook Research Institute (O'Rinn) and Aubrey & Marla Dan Centre for Women & Babies (O'Rinn), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Anthropology (McKellin), University of British Columbia, Vancouver, BC; Birthing Unit (Ballantyne), Aubrey & Marla Dan Centre for Women & Babies, Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Obstetrics and Gynecology (Barrett), McMaster University, Hamilton, Ont., Barrett JFR; Collingwood General and Marine Hospital (Machold), Collingwood, Ont.; Sunnybrook Research Institute (O'Rinn) and Aubrey & Marla Dan Centre for Women & Babies (O'Rinn), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Anthropology (McKellin), University of British Columbia, Vancouver, BC; Birthing Unit (Ballantyne), Aubrey & Marla Dan Centre for Women & Babies, Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Obstetrics and Gynecology (Barrett), McMaster University, Hamilton, Ont.
Jazyk: angličtina
Zdroj: CMAJ open [CMAJ Open] 2021 Aug 31; Vol. 9 (3), pp. E834-E840. Date of Electronic Publication: 2021 Aug 31 (Print Publication: 2021).
DOI: 10.9778/cmajo.20200079
Abstrakt: Background: Skin-to-skin contact between mother and infant immediately after birth is recommended regardless of delivery method; however, it is less common after cesarean delivery. We aimed to describe and compare women's experiences of cesarean birth with and without skin-to-skin contact at an urban tertiary care hospital.
Methods: In this hermeneutic phenomenologic study, we used semistructured telephone interviews from 2015 to 2018 to interview a convenience sample of women who delivered at term by scheduled skin-to-skin cesarean birth at an urban tertiary care hospital in Toronto, Ontario. Women were invited to participate if they had had a previous planned or unplanned cesarean birth and a scheduled skin-to-skin cesarean birth between 2013 and 2017. Participants were excluded if they had antenatally diagnosed conditions, they delivered before 37 weeks, they had general anesthesia, their condition was unstable at the time of surgery, a skin-to-skin cesarean birth was not possible or they declined skin-to-skin cesarean birth. Interviews were recorded, transcribed and analyzed by means of thematic analysis.
Results: Ten women were interviewed 1-19 months postpartum. Four central themes emerged: support for skin-to-skin cesarean birth (women feeling supported by their families and health care providers); control (participants experiencing greater control during their skin-to-skin cesarean birth); connection with the infant, which enabled women to be active participants in their delivery, enhanced bonding and intimacy, facilitated breastfeeding and bolstered confidence during early parenthood; and logistic considerations, with participants recognizing that skin-to-skin cesarean birth required additional resources.
Interpretation: These findings refine what is known about skin-to-skin cesarean birth and provide a critical perspective, that of mothers. They support the transformation of traditional operating room dynamics to a more patient-centred environment.
Competing Interests: Competing interests: None declared.
(© 2021 CMA Joule Inc. or its licensors.)
Databáze: MEDLINE
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