title: Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians' views, a qualitative study.
abstract: OBJECTIVE
  The aims of this study were to assess clinicians' views and experiences of providing immediate neonatal care at birth beside the mother, and of using a mobile trolley designed to facilitate this bedside care.
  
  
  METHODS
  Qualitative interview study with semistructured interviews.
  
  
  RESULTS
  The results were analysed using thematic analysis.
  
  
  METHODS
  A large UK maternity unit.
  
  
  METHODS
  Clinicians (n=20) from a range of disciplines who were present when the trolley was used to provide neonatal care at birth at the bedside. Five clinicians provided/observed advanced resuscitation by the bedside.
  
  
  RESULTS
  Five themes were identified: (1) Parents' involvement, which included 'Contact and involvement', 'Positive emotions for parents' and 'Staff communication'; (2) Reservations about neonatal care at birth beside the mother, which included 'Impact on clinicians' and 'Impact on parents'; (3) Practical challenges in providing neonatal care at the bedside, which included 'Cord length' and 'Caesarean section'; (4) Comparison of the trolley with usual resuscitation equipment and (5) Training and integration of bedside care into clinical routine, which included 'Teething problems' and 'Training'.
  
  
  CONCLUSIONS
  Overall, most clinicians were positive about providing immediate neonatal care at the maternal bedside, particularly in terms of the clinicians' perceptions of the parents' experience. Clinicians also perceived that their close proximity to parents improved communication. However, there was some concern about performing more intensive interventions in front of parents. Providing immediate neonatal care and resuscitation at the bedside requires staff training and support.
authors.affiliation: Neonatal Unit, Liverpool Women's Hospital, Liverpool, UK.
authors.forename: Charles W
authors.initials: CW
authors.lastname: Yoxall
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: Alexandra
authors.initials: A
authors.lastname: Sawyer
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
authors.initials: A
authors.lastname: D Weeks
authors.affiliation: Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.
authors.forename: Lelia
authors.initials: L
authors.lastname: Duley
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006282:Health Personnel / Q000193:education / Q000523:psychology*; D006771:Hospitals, Maternity; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods*; D007407:Interviews as Topic; D008297:Male; D009035:Mothers; D011368:Professional-Family Relations; D036301:Qualitative Research; D012151:Resuscitation / Q000379:methods*; D006113:United Kingdom
keywords: NEONATOLOGY; QUALITATIVE RESEARCH