Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weighing less than 1500 grams

Bauer, Karl; Uhrig, Caroline; Sperling, Peter; Pasel, Katharina; Wieland, Christine; Versmold, Hans T.

doi:10.1016/s0022-3476(97)70349-4

Cited by 129 publications

(87 citation statements)

References 16 publications

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“…Fourth, although studies with regard to body weight and gestational age had similar inclusion criteria to ours, others [29,31] examined mature infants and approached the topic with matched-controlled pairs. Fifth, postconceptional age differed from 4 [26] to 70 days [21] .…”

Section: D)mentioning

confidence: 99%

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

et al. 2009

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Background: Skin to skin care (SSC), prone (PP) and supine (SP) positions are standard positions in daily care for premature infants. Their influence on cardiorespiratory parameters and thermoregulation is discussed controversially. Objectives: We compared SSC with PP, the recommended position for preterm infants, and SP, the safest position for term infants, and tested the hypothesis that SSC has no impact on cardiorespiratory parameters and thermoregulation. Methods: In 18 spontaneously breathing premature infants [median gestational 28 weeks (24–32); chronological age 36 days (7–64), and weight 1,543 g (750–2,100)], heart and respiratory rate, breathing pattern, episodes of desaturation (<85 but ≧80 and <80%), oxygen saturation and rectal temperature were analyzed with polygraphy (Alice 3® and 3.5®) in a 6-hour measuring cycle of three subsequent series (120 min each in SP, SSC and PP) and compared (Wilcoxon test). Results: During SSC, we found no increase in apneic attacks and bradycardic episodes and no difference in respiratory rate, breathing pattern, oxygen saturation, episodes and duration of desaturation compared to SP and PP. Episodes of desaturation <85 but ≧80 and <80% were more frequent in SP compared to PP (p = 0.0421 and p = 0.0319). Heart rate increased in SSC and PP compared to SP (154.86 bpm, SD 11.55, and 153.33 bpm, SD 15.95 vs. 150.25 bpm, SD 14.64; p = 0.0013 and p = 0.0346). Temperature level was not significantly higher during SSC and PP compared to SP except a rise between the start and the end of the 6-hour measuring cycle (37.05°C, SD 0.2 vs. 37.30°C, SD 0.3; p = 0.0436). Conclusion: We found no significant SSC-mediated changes in quality and quantity of desaturations and in body temperature compared to PP in preterm infants.

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Section: D)mentioning

confidence: 99%

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

et al. 2009

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“…There have been many studies performed to evaluate the psychological and physiological responses during KC in preterm infants. Although still there is some contradiction on the influences of KC in infants, positive influences also reported by many literature (Bauer et al, 1997;Fohe et al, 2000;Acolet et al, 1989;Cattaneo et al, 1998;Feldman & Eidelman, 2003;Messmer et al, 1997). In our study on the physiological responses during kangaroo care, significant differences was observed in the spectral power of heart rate within the different sessions (the %LF was significantly increased during KC, while %HF was decreased, without significant changes in the ratio of LF/HF, Fig.…”

Section: Kangaroo Care For Preterm Infants As Physiological Relaxationmentioning

confidence: 95%

The Emergence and Development of Physiological Regulatory Systems of Newborn Infants in a Neonatal Intensive Care Unit

Bonno¹,

Begum²,

Yamamoto³

2012

Advances in Electrocardiograms - Clinical Applications

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“…Skin-to-skin care, or kangaroo care, has become an established method to prevent heat loss, even in premature infants. 28 International standards recommend skinto-skin care between the mother and infant within 24 hours of birth. 23 Mori et al conducted a meta-analysis of 23 studies evaluating skin-to-skin care from 1989 to 2005, finding skinto-skin care facilitates an increase in body temperature.…”

Section: Skin-to-skin Care After Birthmentioning

confidence: 99%

“…28 In Denmark, Maastrup et al evaluated skin-to-skin care in 22 stable premature infants with a mean gestational age of 25 weeks and a mean birth weight of 702 g, and found evidence of an increase in body temperature with skin-to-skin care compared with body temperature in infants prior to skin-to-skin care (weighted mean difference 0.22°C, P,0.01). 49 In this study, skin-to-skin care took place in a NICU where the ambient room temperature was 25°C-27°C; mean skin temperature of the infants receiving skin-toskin care was 37°C±0.33°C.…”

Section: Humiditymentioning

confidence: 99%

Role of effective thermoregulation in premature neonates

Knobel-Dail¹

2014

RRN

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Even though researchers have studied ways to reduce heat loss in premature infants for more than 100 years, hypothermia remains a widespread problem in this population, especially after birth and through the first weeks of life. This review focuses on current research findings that are being translated into practice to reduce heat loss after birth and during neonatal intensive care unit hospitalization. Recommendations for practice are given to minimize heat loss during care and promote thermal stability for very low birth weight infants. More research is needed to combine evidence-based interventions into thermoregulation bundles and to assess morbidity and mortality when such bundles are implemented. It is essential to continue to focus on thermal stability and eliminate hypothermia in the very low birth weight population.

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Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weighing less than 1500 grams

Cited by 129 publications

References 16 publications

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

The Emergence and Development of Physiological Regulatory Systems of Newborn Infants in a Neonatal Intensive Care Unit

Role of effective thermoregulation in premature neonates

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