title: A juxtaposition of birth and surgery: Providing skin-to-skin contact in the operating theatre and recovery.
abstract: OBJECTIVE
  to provide insight into the facilitators and barriers of providing skin-to-skin contact in the operating theatre and recovery.
  
  
  METHODS
  ethnographic study utilising video recordings, field notes, focus groups and interviews.
  
  
  METHODS
  a metropolitan public hospital in Sydney, Australia.
  
  
  METHODS
  21 low-risk mothers having a repeat caesarean section, 26 support people, >125 staff members involved in their care and 43 staff members involved in focus groups/interviews.
  
  
  METHODS
  collecting video footage and field notes for up two hours post caesarean section births, interviews at six weeks post partum and staff focus groups/interviews. Data was entered into NVivo10 and analysed using critical ethnographic techniques.
  
  
  RESULTS
  providing skin-to-skin contact in the operating theatre and recovery presents unique challenges due to the 'juxtaposition' of providing social and emotional care in an intrinsically medicalised setting. Staff members suggest that skin-to-skin contact in this environment can be improved by increasing staff and parent knowledge, writing and implementing a policy, addressing staffing issues, improving staff communication, addressing time constraints, adjusting the placement of equipment in the environment and making small changes to the way equipment is utilised.
  
  
  CONCLUSIONS
  our findings show that skin-to-skin contact can be successfully implemented in the operating theatre and recovery room with staff members input into adjustments to existing care.
authors.affiliation: Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: jenistevens@bigpond.com.
authors.forename: Jeni
authors.initials: J
authors.lastname: Stevens
authors.affiliation: Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
authors.forename: Virginia
authors.initials: V
authors.lastname: Schmied
authors.affiliation: Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
authors.forename: Elaine
authors.initials: E
authors.lastname: Burns
authors.affiliation: Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
authors.forename: Hannah
authors.initials: H
authors.lastname: Dahlen
mesh_terms: D000328:Adult; D000884:Anthropology, Cultural; D002585:Cesarean Section / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006262:Health / Q000592:standards; D006801:Humans; D007231:Infant, Newborn; D009034:Mother-Child Relations / Q000523:psychology*; D009873:Operating Rooms; D036801:Parturition / Q000502:physiology / Q000523:psychology; D011247:Pregnancy; D011997:Recovery Room; D014110:Touch; D016526:Workload
keywords: Baby Friendly Health Initiative; Caesarean; Operating theatre; Recovery; Skin-to-skin contact