Mapping, Measuring, and Analyzing the Process of Skin-to-Skin Contact and Early Breastfeeding in the First Hour After Birth.
Mapping, Measuring, and Analyzing the Process of Skin-to-Skin Contact and Early Breastfeeding in the First Hour After Birth.
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DOI：
10.1089/bfm.2018.0048
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Phillips R
中科院分区：
文献类型：
--
作者：
Cadwell K;Brimdyr K;Phillips R
背景资料：虽然立即、持续、不间断的皮肤接触和早期母乳喂养的益处已得到广泛研究和证实，但提高这种做法的一致性仍然是一项挑战。全世界不到一半的新生儿在出生后一小时内接受母乳喂养。设计：横断面描述性研究，利用反复审查和分析的视频民族志以及从患者记录中提取的数据。样品和设置：在美国一家爱婴指定医院，对84名医学上无并发症的母亲和足月新生儿在出生后的第一个小时内进行了观察。调查结果：使用包括Robson标准的算法进行的过程映射表明，尽管纳入的母亲预计将阴道分娩，并且在出生后的第一个小时内没有排除SSC资格的医疗问题，但84名新生儿中有31名（37%）没有按计划在阴道分娩后立即接受SSC，只有23名（27.4%）自我附着和哺乳。结论：使用算法HCP-S2 S-IA在出生后第一个小时内对最佳皮肤对皮肤实践进行过程映射，产生了准确和有用的测量，阐明了工作的进行方式，并提供了分析模式和有针对性的干预措施的改进机会。
Background: Although the benefits of immediate, continuous, uninterrupted skin-to-skin contact (SSC) and early breastfeeding have been widely researched and confirmed, the challenge remains to improve the consistency of this practice. Fewer than half of newborns worldwide are breastfed in the first hour. Design: Cross-sectional descriptive study utilizing iterative review and analysis of video ethnography as well as data extracted from patient records. Sample and Setting: Eighty-four medically uncomplicated mothers and full-term newborns were observed during the first hour after birth at a Baby-Friendly designated hospital in the United States. Findings: Process mapping using an algorithm which included Robson criteria indicated that although included mothers were expected to give birth vaginally and had no medical concerns that would preclude eligibility for SSC in the first hour after birth, 31 of 84 newborns (37%) did not receive immediate SSC after vaginal birth as planned and only 23 (27.4%) self-attached and suckled. Conclusion: Process mapping of optimal skin-to-skin practice in the first hour after birth using the algorithm, HCP-S2S-IA, produced an accurate and useful measurement, illuminating how work is conducted and providing patterns for analysis and opportunities for improvement with targeted interventions.
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