Volume 20, Issue 3 (June 2022)                   Nursing and Midwifery Journal 2022, 20(3): 178-200 | Back to browse issues page


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Ebrahimi M, Jahanfar S, Takian A, Khakbazan Z, Vazifekhah S, vatandoust D et al . BARRIERS OF SKIN-TO-SKIN CONTACT IN THE FIRST HOUR OF LIFE IN HEALTHY TERM INFANTS: A QUALITATIVE STUDY. Nursing and Midwifery Journal 2022; 20 (3) :178-200
URL: http://unmf.umsu.ac.ir/article-1-4647-en.html
1- Faculty Member, Department of Midwifery, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran, Ph.D. Student in Reproductive Health, Department of Reproductive Health and Midwifery, Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Department of Public Health and Community Medicine, Tufts University, School of Medicine, Boston, MA, USA
3- Professor of Health Policy, Faculty of Global Health and Public Policy, Department of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Associate Professor, Faculty of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
5- Assistant Professor of Obstetrics and Gynecology, Urmia University of Medical Sciences, Urmia, Iran
6- MD, faculty of medicine, shahid Beheshti University of medical sciences, Tehran, Iran
7- Associate Professor, Faculty of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author) , geranmay@tums.ac.ir
Abstract:   (332 Views)
Background & Aims: Making skin-to-skin contact between mother and baby immediately after birth and starting breastfeeding within the first hour of birth is the fourth step of the ten steps of the Baby-Friendly Hospital Initiative (BFHI). However, this step is still not properly done in Iran. This study was designed with the aim of analyzing the factors preventing skin-to-skin contact in the first hour of life in healthy term infants. Materials & Methods: This research is a qualitative study with a content analysis approach. Data were collected by in-depth and semi-structural interviews using open-ended questions. Sampling was done in a purpose-based manner and continued until data saturation was reached. In total, we interviewed 27 experts, managers, and personnel of maternity service providers. Results: A total of 824 codes were extracted from the interviews, which were compared based on content affinity and then organized into 7 themes, 19 categories, and 75 subcategories. After qualitative data analysis, the themes were compared based on the four components of Walt and Gilson's policy triangle in four categories of creators, content, background, and process and included in them. We categorized instruction challenges as part of the content barriers within the topic, deficiencies of knowledge and awareness, skills, and the nature of the platform for conducting the contact process as part of the process barriers two topics, the challenge of supervision and monitoring at all levels of the system as well as the effective environmental components in the implementation of the contact program as part of the structural obstacles two topics, and finally the topic of the effective actors including the beneficiaries and their subordinates as part of obstacles related to the actors. Conclusion: Maternity ward staff face serious obstacles to skin-to-skin contact in the first hour of birth, especially in receiving continuous and sufficient training, having the necessary motivation and support from managers, and establishing modern supervision and reward system for optimal skin-to-skin contact in the first hour of birth.
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Type of Study: Qualitative | Subject: مامایی

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