关键词: 妊娠期糖尿病, 皮肤接触, 质性研究, 护理

Abstract: Objective: To understand the real-life experience of mother-infant skin-to-skin contact in puerpera with gestational diabetes mellitus after the delivery of the newborn, and to identify the problems and needs of puerpera receiving skin-to-skin contact. Methods: A purposive sampling method was used，and 12 puerpera with gestational diabetes mellitus who delivered vaginally or underwent caesarean section in the obstetrics department of a class A tertiary hospital in Nanning were included from April to July 2022 for a semi-structured in-depth interview. Content analysis was used to analyze and distil the themes. Results: Three themes were identified including lack of knowledge and experience of the unknown, increased sense of adaptation and security，and benefits of knowledge and perceived of early exposure. Conclusion: Women with gestational diabetes mellitus have complex psychological experiences and needs when receiving mother-infant skin-to-skin contact. It is recommended that health care professionals develop professional, individualized interventions to promote maternal awareness and willingness to engage in postnatal mother-infant skin-to-skin contact and reduce the incidence of neonatal hypothermia and hypoglycemia.

Key words: Gestational diabetes mellitus, Skin contact, Qualitative research, Care