title: Opinions of the Midwives about Enabling Factors of Skin-To-Skin Contact Immediately after Birth: A Descriptive Study.
abstract: OBJECTIVE
  Despite the benefits of mother-newborn skin-to-skin contact (SSC) immediately after birth, the process has not been universally implemented as routine care for healthy term neonates. The purpose of this study was to determine opinions of the midwives about enabling factors of SSC immediately after birth in Tehran hospitals in 2012- 2013.
  
  
  METHODS
  This study has been conducted in a descriptive method based on PRCEDE-PROCEED model. The samples were 292 midwives from 18 hospitals. We used stratified and then simple random sampling. In this study midwives were working at delivery room; deliveries were conducted by midwives or they were in charge of the newborn immediately after birth. Data collection instrument was a self developed questionnaire concerning the enabling factors in the SSC. We applied face and content validity ratio (CVR), content validity index (CVI) and item impact method for the instrument's validity and Cronbach's Alpha for reliability. Finally, data were analyzed and interpreted using spss-18 through descriptive statistics.
  
  
  RESULTS
  The results show that 90.4% of the midwives believed in necessity of a plan, 96.2% believed that good services should be provided to mothers, and 97.9%, 85.3% and 93.8% of them believed there is a need for private space, essential facilities and essential equipment for skin contact process; with Cronbach's Alpha of 0.731, 0.551, 0.501, and 0.600 respectively.
  
  
  CONCLUSIONS
  Most of the midwives believed that enabling factors concerning the successful SSC are effective. We suggest further studies on other enabling factors effective in SSC from the view point of midwives, gynaecologists and caregivers.
authors: Tarbiat Modares University, Tehran Iran.
authors: Fatemeh
authors: F
authors: Nahidi
authors: Tarbiat Modares University, Tehran Iran.
authors: Sedigheh Sadat
authors: SS
authors: Tavafian
authors: Department of paediatrics, Tabriz Medical Sciences University, Tabriz, Iran.
authors: Mohammad
authors: M
authors: Haidarzade
authors: Department of Biostatistics, Medical Sciences Faculty, Tarbiat Modares University, Tehran, Iran.
authors: Ebrahim
authors: E
authors: Hajizadeh
keywords: Enabling Factors; Hospitals; Midwives; PRCEDE-PROCEED Model; Skin-to-Skin Contact
references: Acta Paediatr. 1996 Apr;85(4):471-5
references: 8740308
references: Community Dent Oral Epidemiol. 2007 Aug;35 Suppl 1:8-19
references: 17615046
references: Pediatrics. 2005 Feb;115(2):496-506
references: 15687461
references: Eur Respir J. 2002 Mar;19(3):499-503
references: 11936529
references: Acta Paediatr. 2011 Jan;100(1):79-85
references: 20712833
references: Lancet. 1994 Sep 17;344(8925):782-5
references: 7916073
references: Cochrane Database Syst Rev. 2012 May 16;(5):CD003519
references: 22592691
references: Pediatrics. 1994 Dec;94(6 Pt 1):804-10
references: 7970993
references: Birth. 2001 Mar;28(1):5-12
references: 11264622
references: N Engl J Med. 1972 Mar 2;286(9):460-3
references: 5009748
references: J Clin Epidemiol. 1997 Mar;50(3):233-8
references: 9120521
references: Int J Nurs Stud. 2003 Aug;40(6):619-25
references: 12834927
references: Acta Paediatr. 2003;92(3):320-6
references: 12725547
references: MCN Am J Matern Child Nurs. 2004 Sep-Oct;29(5):292-8
references: 15329630
references: Pediatrics. 2004 Apr;113(4):858-65
references: 15060238
references: Pediatrics. 2000 Jan;105(1):e14
references: 10617751
references: Acta Paediatr Scand. 1987 Jul;76(4):566-72
references: 3630673
references: Pediatrics. 1998 Nov;102(5 Suppl E):1244-6
references: 9794962