title: Providing immediate neonatal care and resuscitation at birth beside the mother: parents' views, a qualitative study.
abstract: OBJECTIVE
  The aims of this study were to assess parents' views of immediate neonatal care and resuscitation at birth being provided beside the mother, and their experiences of a mobile trolley designed to facilitate this bedside care.
  
  
  METHODS
  Qualitative study with semistructured interviews. Results were analysed using thematic analysis.
  
  
  METHODS
  Large UK maternity hospital.
  
  
  METHODS
  Mothers whose baby received initial neonatal care in the first few minutes of life at the bedside, and their birth partners, were eligible. 30 participants were interviewed (19 mothers, 10 partners and 1 grandmother). 5 babies required advanced neonatal resuscitation.
  
  
  RESULTS
  5 themes were identified: (1) Reassurance, which included 'Baby is OK', 'Having baby close', 'Confidence in care', 'Knowing what's going on' and 'Dad as informant'; (2) Involvement of the family, which included 'Opportunity for contact', 'Family involvement' and 'Normality'; (3) Staff communication, which included 'Communication' and 'Experience'; (4) Reservations, which included 'Reservations about witnessing resuscitation', 'Negative emotions' and 'Worries about the impact on staff' and (5) Experiences of the trolley, which included 'Practical issues' and 'Comparisons with standard resuscitation equipment'.
  
  
  CONCLUSIONS
  Families were positive about neonatal care being provided at the bedside, and felt it gave reassurance about their baby's health and care. They also reported feeling involved as a family. Some parents reported experiencing negative emotions as a result of witnessing resuscitation of their baby. Parents were positive about the trolley.
authors.affiliation: Centre for Health Research, School of Health Sciences, University of Brighton, Brighton, UK.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Sawyer
authors.affiliation: Centre for Maternal and Child Health Research, City University London, London, UK.
authors.forename: Susan
authors.initials: S
authors.lastname: Ayers
authors.affiliation: Centre for Maternal and Child Health Research, City University London, London, UK.
authors.forename: Sophia
authors.initials: S
authors.lastname: Bertullies
authors.affiliation: Neonatal Unit, Liverpool Women's Hospital, Liverpool, UK.
authors.forename: Margaret
authors.initials: M
authors.lastname: Thomas
authors.affiliation: Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Weeks
authors.affiliation: Neonatal Unit, Liverpool Women's Hospital, Liverpool, UK.
authors.forename: Charles W
authors.initials: CW
authors.lastname: Yoxall
authors.affiliation: Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.
authors.forename: Lelia
authors.initials: L
authors.lastname: Duley
mesh_terms: D000328:Adult; D003142:Communication; D005260:Female; D006771:Hospitals, Maternity; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods*; D007407:Interviews as Topic; D008297:Male; D010290:Parents / Q000523:psychology*; D011368:Professional-Family Relations; D036301:Qualitative Research; D012151:Resuscitation / Q000379:methods*; D006113:United Kingdom; D055815:Young Adult
keywords: NEONATOLOGY; QUALITATIVE RESEARCH