Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial

Gere, Sisay; Berhane, Yemane; Worku, Alemayehu

doi:10.1155/2021/8873169

Cited by 3 publications

(8 citation statements)

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“…Skin-to-skin contact provides that condition; the front body skin and the back body skin of an adult human being have identical thermal comfort [ 38 ]. We have also shown that the CB SSC and CC SSC have similar warming effects [ 8 ]. Studies also show that CC SSC stabilizes the oxygen saturation and the heart rate of babies in a clinically acceptable range [ 3 , 25 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…The study was conducted in Ethiopia [ 27 ]. The details of the methods are presented in our previous paper [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

“…Babies were randomly assigned into arm 1 and arm 2 based on “born on odd-days” and “born on even-days” of a month [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

“…Babies and mothers were also wrapped in the same kind of clothes in both arms. Furthermore, room temperature, chronological age, and weight of babies were measured as described in the previous paper [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

“…The commonly used SSC method is chest-to-chest (CC) [ 2 , 7 ]. However, we have shown that a chest-to-back (CB) SSC has a comparable effect in protecting infants from the risk of hypothermia [ 8 ]. The CB method was argued to be more feasible to enhance the mother's adherence as it interferes less with the daily chores of the mother in cultures where babies are usually carried at the back of the mother [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Chest-to-Back Skin-to-Skin Contact and Chest-to-Chest Skin-to-Skin Contact on the Risk of Oxygen Desaturation and Change in Heart Rate in Low Birth Weight and/or Premature Babies: A Randomized Controlled Clinical Trial

Gere

Berhane

Worku

2021

International Journal of Pediatrics

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Chest-to-chest (CC) skin-to-skin contact (SSC) is a widely used method of SSC to prevent low birth weight (LBW) and/or premature babies with the risk of hypothermia. However, very recently, a study has also shown that the chest-to-back (CB) SSC is also useful for such a purpose. It is also evident that CC SSC enhances the cardiorespiratory performance of LBW and/or premature babies from the risk of cold stress. However, whether babies kept in CB SSC have the risk of clinically relevant decreases of oxygen saturation or critical changes of the baby heart rate comparing the two SSC methods has been studied hardly. Thus, we assessed the risk of oxygen desaturation and changes in babies’ heart rate among LBW and/or premature babies kept in CB SSC compared to the standard. In this study, we enrolled 46 LBW and/or premature babies born between 32 and 37 completed weeks of gestation. We used a parallel-group randomized controlled clinical trial. Peripheral arterial blood oxygen saturation (SpO2) and heart rate (HR) were measured using an OxiMaxN-600X Pulse Oximeter. We transformed these measurements into stability of the cardiorespiratory system in premature infant (SCRIP) scores. We applied a generalized estimating equation model to analyze the data. No statistically significant difference was observed between babies kept in CB SSC compared to babies kept in CC SSC in either blood oxygen saturation or heart rate ( P > 0.05 ). Thus, the CB SSC can be used as one possible way to care for LBW and preterm babies in the kangaroo mother care. We suggest more studies before scaling up the approach in routine care.

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Section: Discussionmentioning

confidence: 99%

“…The study was conducted in Ethiopia [ 27 ]. The details of the methods are presented in our previous paper [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

“…Babies were randomly assigned into arm 1 and arm 2 based on “born on odd-days” and “born on even-days” of a month [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Chest-to-Back Skin-to-Skin Contact and Chest-to-Chest Skin-to-Skin Contact on the Risk of Oxygen Desaturation and Change in Heart Rate in Low Birth Weight and/or Premature Babies: A Randomized Controlled Clinical Trial

Gere

Berhane

Worku

2021

International Journal of Pediatrics

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Skin-to-skin SDF positioning: The key to intersubjective intimacy between mother and very preterm newborn—A pilot matched-pair case-control study

et al. 2022

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BackgroundSkin-to-skin contact (SSC) has been widely studied in NICU and several meta-analyses have looked at its benefits, for both the baby and the parent. However, very few studies have investigated SSC’ benefits for communication, in particular in the very-preterm newborn immediately after birth.AimsTo investigate the immediate benefits of Supported Diagonal Flexion (SDF) positioning during SSC on the quality of mother—very-preterm newborn communication and to examine the coordination of the timing of communicative behaviors, just a few days after birth.Subjects and study designMonocentric prospective matched-pair case-control study. Thirty-four mothers and their very preterm infants (27 to 31 + 6 weeks GA, mean age at birth: 30 weeks GA) were assigned to one of the two SSC positioning, either the Vertical Control positioning (n = 17) or the SDF Intervention positioning (n = 17). Mother and newborn were filmed during the first 5 min of their first SSC.Outcome measuresInfants’ states of consciousness according to the Assessment of Preterm Infants’ Behavior scale (APIB). Onset and duration of newborns’ and mothers’ vocalizations and their temporal proximity within a 1-s time-window.ResultsIn comparison with the Vertical group, very preterm newborns in the SDF Intervention Group spent less time in a drowsy state and more in deep sleep. At 3.5 days of life, newborns’ vocal production in SSC did not differ significantly between the two groups. Mothers offered a denser vocal envelope in the SDF group than in the Vertical group and their vocalizations were on average significantly longer. Moreover, in a one-second time-frame, temporal proximity of mother-very preterm newborn behaviors was greater in the SDF Intervention Group.ConclusionAlthough conducted on a limited number of dyads, our study shows that SDF positioning fosters mother-very preterm newborn intimate encounter during the very first skin to skin contact after delivery. Our pioneer data sheds light on the way a mother and her very preterm vocally meet, and constitutes a pilot step in the exploration of innate intersubjectivity in the context of very preterm birth.

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Peran Neonatal Comfort Care di Neonatal Intensive Care Unit

Wicaksana,

Wilar,

Rompis

2023

eCl

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Comfort is an important component of the treatment of neonates in the National Intensive Care Unit (NICU). Due to the efforts given in the NICU, neonates tend to be exposed with various surroundings which made them receive excessive stimuli. These can lead to increased level of stress and pain, and have an impact on the health and growth of the neonates in the NICU. Therefore, it is necessary to carry out procedures to keep the baby comfortable by maintaining the stress level through neonatal comfort care. This study aimed to determine the role of neonatal comfort care during the care of neonates in the NICU. This was a literature review study. Literatures were searched in PubMed, Google Scholar, and Clinical Key databases. The results obtained 10 literatures to be reviewed. The statistical results showed that through the implementation of pharmacological and non-pharmacological procedures, neonatal comfort care had a good impact on physiological distress and neonates’ comfort based on the comfort rating scale for neonates in the NICU. In conclusion, neonates’ comfort in the NICU increases significantly after being given neonatal comfort care. Keywords: Neonatal Comfort Care; Neonatal Intensive Care Unit; neonates in care Abstrak: Menjaga kenyamanan neonatus merupakan komponen penting dalam perawatan di lingkungan Neonatal Intensive Care Unit (NICU). Dalam upaya pengobatan yang dilaksanakan di NICU, neonatus akan terpapar lingkungan yang bervariasi hingga menerima stimuli berlebihan yang dapat menyebabkan peningkatan stres maupun rasa nyeri akibat perawatan invasif yang dilaksanakan. Oleh karena itu diperlukan prosedur pelaksanaan dalam memelihara kenyamanan neonatus untuk menjaga tingkat stres melalui neonatal comfort care. Penelitian ini bertujuan untuk mengetahui peran neonatal comfort care pada perawatan neonatus di NICU melalui suatu literature review. Pencarian literatur dilakukan di database PubMed, Google Scholar, dan Clinical Key. Hasil penelitian mendapatkan 10 literatur untuk diulas. Hasil statistik dari artikel yang diulas menunjukkan bahwa neonatal comfort care melalui pelaksanaan prosedur farmakologi dan non-farmakologi memiliki berdampak baik terhadap distres fisiologis dan kenyamanan neonatus berdasarkan skala penilaian kenyamanan terhadap neonatus yang berada di lingkungan NICU. Simpulan penelitian ini ialah kenyamanan neonatus yang berada di lingkungan NICU meningkat bermakna secara statistik setelah pemberian neonatal comfort care. Kata kunci: Neonatal Comfort Care; Neonatal Intensive Care Unit; bayi dalam perawatan

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Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial

Cited by 3 publications

References 35 publications

Comparison of Chest-to-Back Skin-to-Skin Contact and Chest-to-Chest Skin-to-Skin Contact on the Risk of Oxygen Desaturation and Change in Heart Rate in Low Birth Weight and/or Premature Babies: A Randomized Controlled Clinical Trial

Comparison of Chest-to-Back Skin-to-Skin Contact and Chest-to-Chest Skin-to-Skin Contact on the Risk of Oxygen Desaturation and Change in Heart Rate in Low Birth Weight and/or Premature Babies: A Randomized Controlled Clinical Trial

Skin-to-skin SDF positioning: The key to intersubjective intimacy between mother and very preterm newborn—A pilot matched-pair case-control study

Peran Neonatal Comfort Care di Neonatal Intensive Care Unit

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