Nursing for women's health · 2025
Maternal Perceptions and Utilization of Peripheral Intravenous Access in the Postpartum Period.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Monasor-Ortolá David, Esteve-Ríos Antonio, Garcia-Garcia Arturo, Cruz-Andreu Úrsula, Monasor-Ortolá Daniel, García-Sanjuán Sofía
Аннотация
OBJECTIVE: To report use characteristics and maternal perceptions related to peripheral intravenous catheters in the postpartum period, and the relationship between catheter presence and postpartum activities.
DESIGN: A cross-sectional descriptive study.
SETTING/LOCAL PROBLEM: This study was conducted in a maternal and pediatric unit of a regional hospital in Spain.
PARTICIPANTS: A total of 497 women who had a vaginal birth were included.
METHODS: Data on the use of peripheral intravenous catheters and women's perceptions were collected by trained nurses from medical records and an ad hoc questionnaire at the time of hospital discharge. A descriptive analysis of the data was performed. Categorical variables were analyzed using the chi-square test, with statistical significance set at p < .05.
RESULTS: Most peripheral intravenous catheters (91.5%, n = 455) remained unused after childbirth. Furthermore, 71.6% of women would have preferred to have the catheter in place for a shorter time during the postpartum period, and 60.4% found the insertion site uncomfortable. Moreover, 68.2% reported that the catheter interfered with care and breastfeeding activities. Statistically significant relationships were found between comfort with the catheter and interference in self-care (χ2 [2, N = 497] = 59.107; p < .001), neonatal care (χ2 [2, N = 497] = 72.537; p < .001), and breastfeeding (χ2 [2, N = 497] = 89.084; p < .001).
CONCLUSION: A high percentage of peripheral intravenous catheters remain unused during the postpartum period. Furthermore, women reported that these catheters were a hindrance to maternal and neonatal care, as well as breastfeeding. Critically assessing the need to maintain or remove these catheters in the postpartum period, particularly after low-risk births, may enhance women's perceptions during their hospital stay.
DESIGN: A cross-sectional descriptive study.
SETTING/LOCAL PROBLEM: This study was conducted in a maternal and pediatric unit of a regional hospital in Spain.
PARTICIPANTS: A total of 497 women who had a vaginal birth were included.
METHODS: Data on the use of peripheral intravenous catheters and women's perceptions were collected by trained nurses from medical records and an ad hoc questionnaire at the time of hospital discharge. A descriptive analysis of the data was performed. Categorical variables were analyzed using the chi-square test, with statistical significance set at p < .05.
RESULTS: Most peripheral intravenous catheters (91.5%, n = 455) remained unused after childbirth. Furthermore, 71.6% of women would have preferred to have the catheter in place for a shorter time during the postpartum period, and 60.4% found the insertion site uncomfortable. Moreover, 68.2% reported that the catheter interfered with care and breastfeeding activities. Statistically significant relationships were found between comfort with the catheter and interference in self-care (χ2 [2, N = 497] = 59.107; p < .001), neonatal care (χ2 [2, N = 497] = 72.537; p < .001), and breastfeeding (χ2 [2, N = 497] = 89.084; p < .001).
CONCLUSION: A high percentage of peripheral intravenous catheters remain unused during the postpartum period. Furthermore, women reported that these catheters were a hindrance to maternal and neonatal care, as well as breastfeeding. Critically assessing the need to maintain or remove these catheters in the postpartum period, particularly after low-risk births, may enhance women's perceptions during their hospital stay.