title: Intensive care nurses' experiences of infants and partners' presence on the postoperative ward after an emergency caesarean section; An interview study.
abstract: It is evident that immediate skin-to-skin care after birth has the potential to improve breastfeeding outcomes and maternal satisfaction after a caesarean section; hence partners and infants should be present on the postoperative ward.
  
  
  OBJECTIVE
  To investigate the intensive care nurses' experiences of having the infant and partner present on the postoperative ward after emergency caesarean sections.
  
  
  METHODS
  Interviews with semi-structured interviews were conducted and analysed using qualitative content analysis.
  
  
  METHODS
  The interviews were conducted at a hospital in Stockholm, Sweden; where close to 10,000 births occur each year. After a caesarean section the mother is treated on a postoperative ward for at least two hours. Eight intensive care nurses participated in the study.
  
  
  RESULTS
  The analysis yields the theme 'The challenges of caring for infants on a postoperative unit' covering the following categories; collision between the intensive care nurse and midwife, responsibility versus knowledge and organisational issues. The study concluded that improved routines and increased continuity between involved clinics could improve care. There is also a need for education for staff involved in caesarean section regarding the benefits of early skin-to-skin care between the mother and her infant.
authors.affiliation: Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institute, Stockholm, Sweden; Children's & Women's Health Theme; PA Pregnancy Care and Delivery, Karolinska University Hospital, Stockholm, Sweden. Electronic address: sofia.zwedberg@ki.se.
authors.forename: Sofia
authors.initials: S
authors.lastname: Zwedberg
authors.affiliation: Children's & Women's Health Theme; PA Pregnancy Care and Delivery, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Matilda
authors.initials: M
authors.lastname: Huss
authors.affiliation: Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.
authors.forename: Emma
authors.initials: E
authors.lastname: Karlsson
authors.affiliation: Children's & Women's Health Theme; PA Pregnancy Care and Delivery, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Poignant
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000451:nursing / Q000523:psychology*; D064648:Critical Care Nursing / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods / Q000458:organization & administration; D005190:Family; D005260:Female; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D011182:Postoperative Care / Q000451:nursing*; D011184:Postoperative Period; D011247:Pregnancy; D036301:Qualitative Research; D013548:Sweden; D000078329:Workforce
keywords: Caesarean section; Critical care nursing; Interprofessional relations; Mother-child relation; Qualitative research.; Recovery room