Mother’s Experiences and Perceptions of a Continuous Caring Model with Fathers after Caesarean Section: A Qualitative Study
DOI:
https://doi.org/10.17140/WHOJ-1-110Keywords:
Parental continuous care; Newborn; Gentle caesarean section; Content analysisAbstract
Background: In Chile, mothers and newborns are separated after caesarean sections. The caesarean section rate in Chile is approximately 40%. Once separated, newborns will miss out on
the benefits of early contact unless a suitable model of early newborn contact after caesarean
section is initiated.
Aim: To describe mothers experiences and perceptions of a continuous parental model of newborn care after caesarean section during mother-infant separation.
Methods: A questionnaire with 4 open ended questions to gather data on the experiences and
perceptions of 95 mothers in the obstetric service of Sótero Del Rio Hospital in Chile between
2009 and 2012. Data were analyzed using qualitative content analysis.
Results: One theme family friendly practice after caesarean section and four categories. Mothers described the benefits of this model of caring. The fathers presence was important to mother
and baby. Mothers were reassured that the baby was not left alone with staff. It was important
for the mothers to see that the father could love the baby as much as the mother. This model
of care helped create ties between the father and newborn during the period of mother-infant
separation and later with the mother.
Conclusions: Family friendly practice after caesarean section was an important health care
intervention for the whole family. This model could be stratified in the Chilean context in the
case of complicated births and all caesarean sections.
Clinical Implications: In the Chilean context, there is the potential to increase the number of
parents who get to hold their baby immediately after birth and for as long as they like. When
the mother and infant are separated after birth, parents can be informed about the benefits of
this caring model. Further research using randomized control trials may support biological
advantages.
References
Anderzen-Carlsson A, Lamy ZC, Eriksson M. Parental expe-riences of providing skin-to-skin care to their newborn infant-Part 1: a qualitative systematic review. International Journal of Qualitative Studies on Health and Well-being. 2014; 9: 24906. doi: 10.3402/qhw.v9.24906
Anderzen-Carlsson A, Lamy ZC, Tingvall M, Eriksson M. Parental experiences of providing skin-to-skin care to their new-born infant-Part 2: a qualitative meta-synthesis. International Journal of Qualitative Studies on Health and Well-being. 2014; 9: 24907. doi: 10.3402/qhw.v9.24907
Biro MA, Yelland JS, Brown SJ. Who is holding the baby? women's experiences of contact with their baby immediately after birth: an Australian population-based survey. Women and Birth. 2015. doi: 10.1016/j.wombi.2015.05.001
Arnott B, Meins E. Continuity in mind-mindedness from pregnancy to the first year of life. Infant Behavior and Develop-ment. 2008; 31(4): 647-654. doi: 10.1016/j.infbeh.2008.07.001
Negayama K, Delafield-Butt JT, Momose K, et al. Embodied intersubjective engagement in mother–infant tactile communi-cation: a cross-cultural study of Japanese and Scottish mother– infant behaviors during infant pick-up. Frontiers in Psychology. 2015; 6. doi: 10.3389/fpsyg.2015.00066
Hung KJ, Berg O. Early skin-to-skin after cesarean to im-prove breastfeeding. MCN: The American Journal of Ma-ternal/Child Nursing. 2011; 36(5): 318-324. doi: 10.1097/ NMC.0b013e3182266314
Velandia M, Matthisen AS, Uvnäs-Moberg K, Nissen E. Onset of vocal interaction between parents and newborns in skin-to-skin contact immediately after elective cesarean section. Birth. 2010; 37(3): 192-201. doi: 10.1111/j.1523-536X.2010.00406.x
Erlandsson K, Fagerberg I. Mothers’ lived experiences of co-care and part-care after birth, and their strong desire to be close to their baby. Midwifery. 2005; 21(2): 131-138. doi: 10.1016/j. midw.2004.09.008
Moore ER, Anderson GC, Bergman N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2007; 3. doi: 10.1002/14651858.CD003519. pub2
Moore E, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn in-fants (Review). 2007; 5: CD003519. doi: 10.1002/14651858. CD003519.pub3
Stevens J, Schmied V, Burns E, Dahlen H. Immediate or ear-ly skin-to-skin contact after a caesarean section: a review of the literature. Maternal & Child Nutrition. 2014; 10(4): 456-473. doi: 10.1111/mcn.12128
UNICEF. Convention on the Rights of the Child. Available at: http://www.ohchr.org/en/professionalinterest/pages/crc.aspx 1989; Accessed 2015.
Magee SR, Battle C, Morton J, Nothnagle M. Promotion of family-centered birth with gentle cesarean delivery. The Journal of the American Board of Family Medicine. 2014; 27(5): 690- 693. doi: 10.3122/jabfm.2014.05.140014
de Alba-Romero C, Camaño-Gutiérrez I, López-Hernández P, et al. Postcesarean section skin-to-skin contact of mother and child. Journal of Human Lactation. 2014; 283-286. doi: 10.1177/0890334414535506
Nolan A, Lawrence C. A pilot study of a nursing intervention protocol to minimize maternal-infant separation after cesarean birth. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2009; 38(4): 430-442. doi: 10.1111/j.1552-6909.2009.01039.x
Malterud K. Qualitative methods in medical reseach: an introduction (Kvalitativa metoder i medicinsk forskning: en in-troduktion. Lund: Studentlitteratur. 2009; 86-101.
Erlandsson K, Lindgren H. Being a resource for both mother and child: fathers experiences following a complicated birth. The Journal of Perinatal Education. 2011; 20(2): 91. doi: 10.1891/1058-1243.20.2.91
Bystrova K, Widström A-M, Matthiesen A-S, et al. Early lac-tation performance in primiparous and multiparous women in relation to different maternity home practices. a randomised trial in St. Petersburg. International Breastfeeding Journal. 2007; 2: 9. doi: 10.1186/1746-4358-2-9
Pellai A, Festa F, Cilento F, et al. What new fathers know, think and do: a survey about fathering's attitudes, beliefs and behaviors in a sample of 570 men just after the birth of their newborn. Minerva pediatrica. 2013; 65(5): 531-540.
Abraham E, Hendler T, Shapira-Lichter I, Kanat-Maymone Y, Zagoory-Sharona O, Feldman R. Father's brain is sensitive to childcare experiences. Proceedings of the National Acad-emy of Sciences. 2014; 111(27): 9792-9797. doi: 10.1073/ pnas.1402569111
Velandia M, Uvnäs-Moberg K, Nissen E. Sex differences in newborn interaction with mother or father during skin-to-skin contact after caesarean section. Acta Paediatrica. 2012; 101(4): 360-367. doi: 10.1111/j.1651-2227.2011.02523.x
Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn in-fants. Cochrane Database Syst Rev. 2012; 5.
Erlandsson K, Christensson K, Fagerberg I. Fathers lived ex-periences of getting to know their baby while acting as primary caregivers immediately following birth. The Journal of perinatal education. 2008. 17(2): 28. doi: 10.1624/105812408X298363
Erlandsson K, Lindgren H. From belonging to belonging through a blessed moment of love for a child-the birth of a child from the fathers perspective. Journal of Men's Health. 2009; 6(4): 338-344.
Lindgren H, Erlandsson K. She leads, he follows-fathers ex-periences of a planned home birth. A Swedish interview study. Sexual & Reproductive Healthcare. 2011; 2(2): 65-70. doi: 10.1016/j.srhc.2010.12.002
Dalbye R, Calais E, Berg M. Mothers experiences of skin-to-skin care of healthy full-term newborns–a phenomenology study. Sexual & Reproductive Healthcare. 2011; 2(3): 107-111. doi: 10.1016/j.srhc.2011.03.003
Erlandsson K, Christensson K, Fagerberg I. Fatherhood as taking the child to oneself: a phenomenological observation study after caesarean birth. Indo-Pacific Journal of Phenome-nology. 2006; 6(2). doi: 10.1080/20797222.2006.11433920
Erlandsson K, Säflund K, Wredling R, Rådestad I. Support after stillbirth and its effect on parental grief over time. Journal of Social Work in End-of-life & Palliative Care. 2011; 7(2-3): 139-152. doi: 10.1080/15524256.2011.593152
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