Barnmorskors erfarenheter av at vårda kvinnor på BB som har sitt barn på neonatalvårdsavdelning - En kvalitativ intervjustudie

Dzanic, Jasmina; Zakraoui, Jasmine

Sammanfattning

Bakgrund: Mor och barn inte ska skiljas åt efter en förlossning, de ska helst vårdas hud mot hud då det har flera positiva effekter för barnets mående samt flera positiva effekter för moderns återhämtning. Då samvård inte bedrivs på samtliga sjukhus i Sverige kan den nyblivna modern behöva gå mellan två vårdavdelningar för att få sin omvårdnad postpartum men även för att vara tillsammans med sitt barn som är inskrivet på neonatalvårdsavdelning, vilket kan bli en komplex situation för kvinnan men även för barnmorskan. Det saknas studier om barnmorskans erfarenheter kring detta. Syfte: Att undersöka och beskriva barnmorskans erfarenheter av att på BB vårda en nyförlöst kvinna som har sitt barn inskrivet på neonatalvårdavdelning. Metod: En kvalitativ intervjustudie genomfördes med totalt åtta legitimerade barnmorskor som har erfarenhet av att ha vårdat en nyförlöst kvinna vars barn är inskrivet på neonatalvårdsavdelning. Intervjuerna var semistrukturerade. Datamaterialet har bearbetats med hjälp av kvalitativ innehållsanalys. Verksamhetscheferna på den berörda enheten informerades och godkände studiens genomförande. Informanterna fick muntlig och skriftlig information om att deltagandet var frivilligt. Resultat: Tre kategorier framkom under analysen. Underlätta anknytning som handlar om hur barnmorskan försöker få till en hud mot hudkontakt mellan mor och barn och möta moderns önskemål samt uppmuntra till att få igång bröstmjölksproduktionen. Bristande information och kommunikation belyser avsaknad av individuell information och information kring barnets hälsotillstånd vilket kan bidra till att kvinnan faller mellan stolarna. Barnmorskans kunskap och förståelse handlar om att vården upplevs som vårdkrävande med ett ständigt jagande efter dessa patienter men belyser även en känsla av ansvar gentemot kvinnan och barnet.

Examinationsnivå

Student essay

Övrig beskrivning

Background: Mother and child should not be separated after childbirth, they should preferably have skin to skin contact as it has several positive effects for the child's health and several positive effects for the mother's recovery. Since rooming-in is not conducted at all hospitals in Sweden, the mother who just gave birth may need to go between two care departments to receive postpartum care but also to be with her child who is enrolled in the neonatal care department. This can be a difficult situation for the woman but also for the midwife. There are no studies about midwife's experiences around this matter. The aim: Of this study was to study and describe the midwife's experiences of caring for a woman at the maternity ward who has recently given birth to a baby who has her child enrolled in the neonatal care department. Method: A qualitative interview study was conducted with a total of eight legitimate midwives who have experience of having a newborn woman whose child are enrolled in the neonatal care department. The interviews were semi structured. The data material has been processed using qualitative content analysis. The chiefs of the unit were informed and approved the implementation of the study. The informants received verbal and written information that the participation was voluntary. Result: Three categories emerged during the analysis. Facilitate affiliation that is about how midwifes tries to make skin-to-skin contact and meet the wishes of the mother and encourage to breastmilk production. Lack of information and communication highlights the lack of individual information and information about the child's state of health, which can contribute that the woman fall through the cracks. The midwife's knowledge and understanding deals with the fact that care is experienced as heavy and difficult with constant chasing after these patients but also highlights a sense of responsibility towards the woman and the child.

Datum

2018-07-10

Författare

Dzanic, Jasmina

Zakraoui, Jasmine

Nyckelord

Barnmorska

erfarenheter

BB vård

nyfödd

moderskap

neonatalvård

Språk

swe

Metadata

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