Evidence map›Paper›PMID 26423852›Full record

ArticleBMJ open2015

Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians' views, a qualitative study.

Charles W Yoxall, Susan Ayers, Alexandra Sawyer, Sophia Bertullies, Margaret Thomas, Andrew D Weeks, Lelia Duley

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. Randomised trial of cord clamping and initial stabilisation at very preterm birth.Archives of disease in childhood. Fetal and neonatal edition · 2018
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  6. Care of the Newborn and Cord During the Third Stage of Labour (Scientific Impact Paper No. 78).BJOG : an international journal of obstetrics and gynaecology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Charles W YoxallNeonatal Unit, Liverpool Women's Hospital, Liverpool, UK.
Susan AyersCentre for Maternal and Child Health Research, City University London, London, UK.
Alexandra SawyerCentre for Maternal and Child Health Research, City University London, London, UK.
Sophia BertulliesCentre for Maternal and Child Health Research, City University London, London, UK.
Margaret ThomasNeonatal Unit, Liverpool Women's Hospital, Liverpool, UK.
Andrew D WeeksDepartment of Women's and Children's Health, University of Liverpool, Liverpool, UK.
Lelia DuleyNottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.

Funding

Department of Health RP-PG-0609-10107
6 · The paper itself

Abstract

objectivesThe aims of this study were to assess clinicians' views and experiences of providing immediate neonatal care at birth beside the mother, and of using a mobile trolley designed to facilitate this bedside care.

designQualitative interview study with semistructured interviews.

resultsThe results were analysed using thematic analysis.

settingA large UK maternity unit.

participantsClinicians (n=20) from a range of disciplines who were present when the trolley was used to provide neonatal care at birth at the bedside. Five clinicians provided/observed advanced resuscitation by the bedside.

resultsFive themes were identified: (1) Parents' involvement, which included 'Contact and involvement', 'Positive emotions for parents' and 'Staff communication'; (2) Reservations about neonatal care at birth beside the mother, which included 'Impact on clinicians' and 'Impact on parents'; (3) Practical challenges in providing neonatal care at the bedside, which included 'Cord length' and 'Caesarean section'; (4) Comparison of the trolley with usual resuscitation equipment and (5) Training and integration of bedside care into clinical routine, which included 'Teething problems' and 'Training'.

conclusionsOverall, most clinicians were positive about providing immediate neonatal care at the maternal bedside, particularly in terms of the clinicians' perceptions of the parents' experience. Clinicians also perceived that their close proximity to parents improved communication. However, there was some concern about performing more intensive interventions in front of parents. Providing immediate neonatal care and resuscitation at the bedside requires staff training and support.

Indexed as

Attitude of Health PersonnelCommunicationFemaleHealth PersonnelHospitals, MaternityHumansInfant, NewbornIntensive Care, NeonatalInterviews as TopicMaleMothersProfessional-Family RelationsQualitative ResearchResuscitationUnited KingdomNEONATOLOGYQUALITATIVE RESEARCH

Identifiers

PMID26423852
PMCPMC4593146

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.