Delivery Clinical Trial
Official title:
Newborn in Helathy Birthroom: Assessment of Pratical Home and Mother Lived
Motherhood Our Lady of Good Help is from the 2006 merger of three hospitals, St. Joseph, Our
Lady of Good Help and Saint-Michel. She was transferred to a new building in the heart of
Paris Saint-Joseph Hospital Group website in March 2011. The premises of the birth room are
spacious and nice. All delivery rooms are supposed to welcome the mother and child when the
birth goes smoothly. There is a resuscitation room (called "Nursery") for newborns requiring
medical care. But since the installation in the new building, the investigators had the
impression that a number of children born without pathology futures and with good adaptation
at birth passed through this room for no apparent medical reason.
The investigators wanted to make an inventory of home practice healthy newborns in our
maternity, evaluate the reasons for a possible separation and appreciate the feelings of
mothers cope with this separation.
Objective of the study Evaluation of home practices of a healthy newborn in the delivery
room: skin processing conditions skin, reasons for separation between mother and child and
maternal felt appreciation.
Methodology :
DESIGN:
Study single-center observational descriptive, carried out over a period of 8 weeks during
the months of January and February 2015 in the Maternity Our Lady of relief
Acquisition of data:
- From a survey conducted in puerperium the 2nd day of life during the interview with the
parents on the basis of a semi-structured interview about the progress of the birth and the
immediate postpartum period using memories of parents. The questionnaire included a section
on skin to skin layout with the newborn (information on skin to skin, original maturity), the
output or not the child of the delivery room (reason given, period of separation , felt the
mother), the conditions of return (naked or dressed, delivered or not skin to skin,
conditions the first feeding), the place of the first examination of the newborn and the
overall satisfaction of the mother.
The reasons for the release of children were classified as routine care (weight,
measurements, toilet or exam), clinical monitoring of the Child (declogging, monitoring of
respiratory discomfort or poor adaptation), warming the child, simple or complicated maternal
care) and implementation of a levy (gastric, Rh, pH). The traceability of the reason for
leaving the newborn in the delivery room was searched in the newborn monitoring sheet
(production of a levy, the child's warming, clinical monitoring of the child) and in the
medical record of the mother (complicated birthing suites with uterus bleeding or tearing).
- And from the collection of the passage of newborns in the "nursery" of the delivery room of
11 days. The collection form was filled by the auxiliary of the delivery room should note
that with each pass of a newborn in the "nursery", the time of birth, time of arrival and
departure and the main reason for the passage of the newborn in the "nursery." The reasons
were categorized (routine care, achieving a levy, the child's warming, clinical monitoring of
the child, the mother care).
Analysis: This is primarily a descriptive analysis. A comprehensive description of the sample
was carried out by giving the frequencies of different categories for qualitative variables.
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