Health care providers’ perception of facilitators and barriers for the practice of skin-to-skin contact in Saudi Arabia: A qualitative study

Abdulghani, Nawal; Edvardsson, Kristina; Amir, Lisa H

doi:10.1016/j.midw.2019.102577

Cited by 18 publications

(26 citation statements)

References 40 publications

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“…In this study, the lower availability of pediatric physicians to remain in the OC (assistance concomitant with the neonatal unit), in comparison to pediatric resident physicians, may be related to a shorter Length of SSC when they were responsible for assistance. Supporting findings from other studies (16)(17) that show that professionals can influence length of SSC, also in births attended by nurse-midwives, NB remained, on mean, 17.7 minutes longer in SSC, compared to births attended by physicians obstetricians.…”

Section: Resultssupporting

confidence: 84%

“…SSC performed for 60 minutes also stimulates oxytocin production, favoring support and contributing to effective breastfeeding attachment (early onset of BF) (21)(22) . Although this study has not shown a significant association between length of SSC and effective breastfeeding attachment, early contact is related to effective BF (16,(21)(22) . Affective bonds are stronger within NB's first two hours of life, and promoting…”

Section: Upper Airway Aspirationcontrasting

confidence: 76%

“…This rate is lower than that obtained in three hospitals in São Paulo, 79% (12) , but above the 16.1% identified in a national sample representing 266 Brazilian hospitals (11) . It should be emphasized that professional assistance contributes to breastfeeding attachment effectiveness, and the nursing team play a fundamental role in this process (16) .…”

Section: Discussionmentioning

confidence: 99%

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Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

2021

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Objective: to analyze skin-to-skin contact practice in full-term newborns after birth. Method: a cross-sectional study carried out in São Paulo-SP with 78 mother-child binomials. Data were obtained from medical records and by non-participant observation. Maternal, neonatal and care conditions, length of skin-to-skin contact and breastfeeding attachment were analyzed. Results: skin-to-skin contact was performed in 94.9% of births, with a mean length of 29 minutes. Births with intact perineum took longer, neonates with Apgar 10, without upper airway aspiration, assisted by a nurse-midwife and with neonatal assistance by a resident in pediatrics. The variables that favor breastfeeding attachment were perineal integrity, newborn with good vitality, without upper airway aspiration and who received professional assistance for breastfeeding attachment. Conclusion: skin-to-skin contact was performed in almost all births, but with less time than recommended as best practice.

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Section: Resultssupporting

confidence: 84%

Section: Upper Airway Aspirationcontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

2021

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“…This signi es that increasing coverage of facility delivery alone will not be able to bring the change in SSC practices without improving its practices in the facilities. Shortage of skilled workforce, lack of time, di culty in assessing eligibility for SSC, interference with routine procedures after birth, lack of motivation among the mothers and family members, and cultural practices were identi ed as some of the major barriers in implementing SSC after facility deliveries (37)(38)(39). WHO and UNICEF recommend implementation of the baby-friendly hospital initiatives to improve SSC and breastfeeding practices through training of the health care providers and creating an enabling hospital environment such as a standard guideline on SSC, availability of skilled workforce, and availability of su cient postnatal beds with the provision of privacy (12,40).…”

Section: Discussionmentioning

confidence: 99%

“…Firsts, ANC is an important predictor of facility delivery and it is evident from our ndings that facility delivery improves SSC practices (59)(60)(61)(62). Second, lack of motivation among the mother and the family members is a potential barrier to SSC practices (37,39). Recent evidence identi es ANC counseling as a potential opportunity for motivating mothers for uptake of SSC (37).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with skin-to-skin contact (SSC) practices: findings from a population-based cross-sectional survey in 10 selected districts of Bangladesh

Ali

Priyanka

Bhui³

et al. 2021

Preprint

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Background: Skin-to-skin contact (SSC) is one of the eight proven Essential Newborn Care (ENC) practices that improve newborn survival. Despite having myriads of benefits, it is one of the least used ENC interventions especially in the low and middle-income countries (1% to 74%). In Bangladesh, the prevalence of SSC practices was 26% in 2014. To advance the use of this intervention, it is important to assess its prevalence within the population and to identify factors that facilitate or inhibit SSC practices in Bangladesh. Methods: We used baseline household survey data of USAID’s MaMoni MNCSP project conducted in 10 districts of Bangladesh in 2019. Our analysis included 13,695 recently delivered women (RDW) with a live birth outcome. Our primary outcome was the mother’s reported SSC practice. We examined various antepartum, intrapartum, newborn, and sociodemographic factors associated with SSC using a multivariable generalized linear model. Our findings were reported using adjusted Prevalence Risk Ratios (aPRRs) and 95% Confidence Intervals (CIs). Results: Overall, 28% of RDW reported practicing SSC across the 10 surveyed districts. Our multivariable analysis showed that public facility delivery (aPRR 2.01; 95%CI: 1.80, 2.26), private facility delivery (aPRR 1.23; 95%CI: 1.06, 1.42) and 4 antenatal care (ANC) visits at least one from a medically trained provider (MTP) (aPRR 1.17; 95%CI: 1.03, 1.26) had a significant positive association with SSC practices. Caesarean section (aPRR 0.64; 95%CI: 0.56, 0.73) had a significant negative association with SSC practices. We also found a significant positive association of SSC practices with mothers’ who perceived the birth size of their baby to be small, mothers with a higher education level (≥10 years), and mothers from households in the highest wealth quintile. Conclusions: The prevalence of SSC is very low in the surveyed districts of Bangladesh. Considering the factors associated with SSC, relevant stakeholders need to increase their efforts on improving ANC and facility delivery coverages as well as improving SSC practices in the facilities especially after caesarean deliveries. Countries with a high burden of home deliveries also need to emphasize community-based interventions and increasing coverage of skilled birth attendance for improving this life-saving intervention.

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Assessment of nurses' knowledge, attitude and implementation of skin‐to‐skin care within the perinatal setting in Saudi Arabia: Survey study

et al. 2022

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Aim To evaluate knowledge, attitude and implementation of Skin‐to‐Skin Care (SSC) among nurses and to assess the implementation of SSC in the perinatal setting. Design A cross‐sectional study design was implemented utilizing survey distributed among critical care paediatric and neonatal nurses. Methods The data collection form was pre‐structured validated tool consisted of two main sections; socio‐demographic characteristics and Likert scale of 20 items covering four main domains in; knowledge, attitude, education and implementation of SSC. Results The vast majority of the sample 91 (98%) were females with mean age and mean years of experience 33.5 ± 6.5 and 9.7 ± 6.5 years respectively. Almost half of them 45 (48.4%) work in obstetric and labor and delivery units. Correlation coefficient revealed a significant association between the total educational years of nursing degree and SSC. The results showed nurses with bachelor or master significantly more knowledgeable and skilled in implementing SSC compared to others.

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Health care providers’ perception of facilitators and barriers for the practice of skin-to-skin contact in Saudi Arabia: A qualitative study

Cited by 18 publications

References 40 publications

Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

Skin-to-skin contact between mothers and full-term newborns after birth: a cross-sectional study

Prevalence and factors associated with skin-to-skin contact (SSC) practices: findings from a population-based cross-sectional survey in 10 selected districts of Bangladesh

Assessment of nurses' knowledge, attitude and implementation of skin‐to‐skin care within the perinatal setting in Saudi Arabia: Survey study

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