Parents and newborn "togetherness" after birth
Katarina Patriksson1,2, Lotta Selin3,4
1Department of Health Sciences, University West, Trollhättan, Sweden.
Summary
Zero separation, keeping newborns with parents, is not consistently practiced due to organizational and communication barriers. Improving collaboration across units is crucial for better newborn care.
Area of Science:
- Perinatal Care
- Neonatal Health
- Family-Centered Medicine
Background:
- Zero separation is a family-centered approach promoting continuous parent-newborn contact.
- Limited research exists on the practical implementation of zero separation in clinical settings.
Purpose of the Study:
- To describe instances of mother/partner and newborn separation after birth.
- To investigate separation occurrences across labor, maternity, and neonatal units.
Main Methods:
- An observational study was conducted over four months in a Swedish hospital.
- Caregivers collected data across three distinct units.
- Semantic thematic analysis with an inductive approach was employed.
Main Results:
- Six separation themes were identified, varying in prevalence across units.
- Common causes included organizational/economic barriers, clinical routines, parental choices, and communication deficits.
- Shortages in interprofessional collaboration and communication were significant factors.
Conclusions:
- A discrepancy exists between evidence-based zero separation recommendations and current newborn care practices.
- Enhanced collaboration among all units involved in maternal and newborn care is essential.
- Addressing identified barriers is necessary to achieve consistent zero separation.
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