Facultad de Enfermería y Fisioterapia Salus Infirmorum

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Immediate skin- to- skin contact may have beneficial effects on the cardiorespiratory stabilisation in very preterm infants / Agnes Linnér, Karoline Lode Kolz, Stina Klemming, Nils Bergman, Siri Lilliesköld, Hanne Markhus Pike, Björn Westrup, Siren Rettedal, Wibke Jonas

Material type: Continuing resourceContinuing resourceISSN: 0803-5253Subject(s): cardiorespiratory stabilisation | kangaroo mother care | neonatal intensive care unit | preterm infant | skin- to- skin contact In: Acta Pædiatrica -- 2022 v. 111, n 8, p.1507-1514Summary: Aim: Our aim was to investigate what effect immediate skin- to- skin contact with a parent had on the cardiorespiratory stabilisation of very preterm infants. Methods: This randomised clinical trial was conducted during 2018– 2021 at two university hospitals with three neonatal intensive care units in Norway and Sweden. Infants born from 28+0 to 32+6 weeks of gestation were randomised to immediate skin- to- skin contact with a parent for the first six postnatal hours or standard incuba-tor care. The outcome was a composite cardiorespiratory stability score, based on serial measures of heart and respiratory rate, respiratory support, fraction of inspired oxygen and oxygen saturation. Results: We recruited 91 newborn infants with a mean gestational age of 31+1 (range 28+4– 32+6) weeks and mean birth weight of 1534 (range 555– 2440) g: 46 received immediate skin- to- skin contact and 45 received incubator care. The group who re-ceived skin- to- skin contact had an adjusted mean score of 0.52 higher (95% confi-dence interval 0.38– 0.67, p < 0.001) on a scale from zero to six when compared to the control group. Conclusion: Immediate skin- to- skin contact for the first six postnatal hours had ben-eficial effects on the cardiorespiratory stabilisation of very preterm infants.
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Aim: Our aim was to investigate what effect immediate skin- to- skin contact with a parent had on the cardiorespiratory stabilisation of very preterm infants.
Methods: This randomised clinical trial was conducted during 2018– 2021 at two university hospitals with three neonatal intensive care units in Norway and Sweden.
Infants born from 28+0 to 32+6 weeks of gestation were randomised to immediate skin- to- skin contact with a parent for the first six postnatal hours or standard incuba-tor care. The outcome was a composite cardiorespiratory stability score, based on serial measures of heart and respiratory rate, respiratory support, fraction of inspired oxygen and oxygen saturation.
Results: We recruited 91 newborn infants with a mean gestational age of 31+1 (range 28+4– 32+6) weeks and mean birth weight of 1534 (range 555– 2440) g: 46 received immediate skin- to- skin contact and 45 received incubator care. The group who re-ceived skin- to- skin contact had an adjusted mean score of 0.52 higher (95% confi-dence interval 0.38– 0.67, p < 0.001) on a scale from zero to six when compared to the control group.
Conclusion: Immediate skin- to- skin contact for the first six postnatal hours had ben-eficial effects on the cardiorespiratory stabilisation of very preterm infants.

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