Objectives: The aims of this study were to assess\ncliniciansââ?¬â?¢ views and experiences of providing\nimmediate neonatal care at birth beside the mother,\nand of using a mobile trolley designed to facilitate this\nbedside care.\nDesign: Qualitative interview study with\nsemistructured interviews.\nResults: The results were analysed using thematic\nanalysis.\nSetting: A large UK maternity unit.\nParticipants: Clinicians (n=20) from a range of\ndisciplines who were present when the trolley was\nused to provide neonatal care at birth at the bedside.\nFive clinicians provided/observed advanced\nresuscitation by the bedside.\nResults: Five themes were identified: (1) Parentsââ?¬â?¢\ninvolvement, which included ââ?¬Ë?Contact and involvementââ?¬â?¢,\nââ?¬Ë?Positive emotions for parentsââ?¬â?¢ and ââ?¬Ë?Staff\ncommunicationââ?¬â?¢; (2) Reservations about neonatal care\nat birth beside the mother, which included ââ?¬Ë?Impact on\ncliniciansââ?¬â?¢ and ââ?¬Ë?Impact on parentsââ?¬â?¢; (3) Practical\nchallenges in providing neonatal care at the bedside,\nwhich included ââ?¬Ë?Cord lengthââ?¬â?¢ and ââ?¬Ë?Caesarean sectionââ?¬â?¢;\n(4) Comparison of the trolley with usual resuscitation\nequipment and (5) Training and integration of bedside\ncare into clinical routine, which included ââ?¬Ë?Teething\nproblemsââ?¬â?¢ and ââ?¬Ë?Trainingââ?¬â?¢.\nConclusions: Overall, most clinicians were positive\nabout providing immediate neonatal care at the\nmaternal bedside, particularly in terms of the cliniciansââ?¬â?¢\nperceptions of the parentsââ?¬â?¢ experience. Clinicians also\nperceived that their close proximity to parents\nimproved communication. However, there was some\nconcern about performing more intensive interventions\nin front of parents. Providing immediate neonatal care\nand resuscitation at the bedside requires staff training\nand support.
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