Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial

Mehler, Katrin; Hucklenbruch‐Rother, Eva; Trautmann‐Villalba, Patricia; Becker, Ingrid; Roth, Bernhard; Kribs, Angela

doi:10.1111/apa.14975

Cited by 72 publications

(94 citation statements)

References 36 publications

(70 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, he utility of multimodal monitoring over the use of physiological monitoring for the prediction of IVH warrants further investigation. Furthermore, the specific impact of multimodal monitoring on opportunities for mother-baby interaction and the establishment of parental ties will need investigation in future studies [22, 23]. In the future, advanced systems using wireless monitoring technology may help alleviate parental anxiety and allow for practices such as skin-to-skin contact during multimodal monitoring [24, 25].…”

Section: Discussionmentioning

confidence: 99%

Combined Multimodal Cerebral Monitoring and Focused Hemodynamic Assessment in the First 72 h in Extremely Low Gestational Age Infants

et al. 2020

View full text Add to dashboard Cite

Background: Characteristic changes in cerebral saturation (CrSO2), amplitude-integrated electroencephalography (aEEG), and echocardiography (ECHO) may be associated with intraventricular hemorrhage (IVH); however, the feasibility of their combined application is not known. Objective: The aim of this work was to investigate the feasibility and safety of combined multimodal cerebral and hemodynamic monitoring in extremely low gestational age (ELGA) infants in the first 72 h after birth. Methods: In this prospective observational study of 50 infants born between 23 + 0 and 27 + 6 weeks gestation, we measured CrSO2 and aEEG, starting <8 h until 72 h of age. Sequential echocardiography and head ultrasound were performed at 4–8, 12–18, 24–30, and 48–60 h of age. The primary outcome was feasibility of multimodal monitoring, defined as >75% of the subjects satisfying at least 3/4 criteria: (a) CrSO2 and (b) aEEG monitoring each for >75% of the time, and (c) at least 2 out of 4 ECHO and (d) head ultrasounds (at least one by age 24 h). Adverse reactions to sensors, desaturation, and bradycardia during ultrasound studies were recorded. Results: Fifty infants were enrolled over 14 months. Multimodal monitoring was feasible in 49 (98%) infants. Forty-one (82%) infants fulfilled all 4 criteria. Mild erythema below CrSO2 sensors lasting 3–8 h without skin breakdown was noted in 8/50 subjects (16%). Desaturation was noted during 17/197 (8.6%) of the ultrasound studies. In total, 26/50 (52%) infants developed IVH (grade I/II, n = 22; grade III/IV, n = 4). Conclusion: Multimodal monitoring is feasible, safe, and well tolerated in ELGA infants in the first 72 h after birth.

show abstract

Section: Discussionmentioning

confidence: 99%

Combined Multimodal Cerebral Monitoring and Focused Hemodynamic Assessment in the First 72 h in Extremely Low Gestational Age Infants

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Quality of mother-child interaction responses (primary outcome) at 6 months corrected age was better (p = 0.04) in those who received direct early skinto-skin contact. NICU admission temperature was higher in the early skin-to-skin contact group (median: 36.6°C vs. 36.1°C,p < 0.001).The authors concluded that delivery room skin-skin contact promotes maternal-child interaction, decreases maternal depression and bonding problems, and may benefit preterm development 16. In our experience, mothers invariably want to cuddle their extremely preterm newborns.…”

mentioning

confidence: 70%

“…NICU admission temperature was higher in the early skin‐to‐skin contact group (median: 36.6°C vs. 36.1°C, p < 0.001). The authors concluded that delivery room skin–skin contact promotes maternal‐child interaction, decreases maternal depression and bonding problems, and may benefit preterm development 16 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delivery room cuddles for extremely preterm babies and parents: concept, practice, safety, parental feedback

et al. 2021

View full text Add to dashboard Cite

Aim Following extreme preterm birth, there has traditionally been felt an imperative to rush baby to the neonatal unit for ongoing intensive care. Immediate needs of parents to bond with their babies through direct early physical contact have often been overlooked; many weeks can pass before parents get to hold their babies for the first time. Recognition of the importance of early contact is growing. We aimed to review the safety and value of routinely practising delivery room cuddles for extremely preterm babies. Methods We reviewed delivery room cuddles in babies born <27 weeks’ gestation in our centre between 2006 and 2017 via case‐control. We also conducted a questionnaire survey of mothers who experienced a delivery room cuddle to gain their feedback and perspectives. Results We found no difference in age or temperatures on neonatal unit admission. There was no case of inadvertent extubation associated with cuddles. Parental feedback was very positive. Conclusion With appropriate safeguards, delivery room cuddles are feasible and achievable for extremely preterm babies irrespective of birth gestation. Facilitation of the cuddle is an early and very important family‐centred care practice which seems much appreciated by parents and which may improve bonding, lactation, and maternal mental health.

show abstract

“…Notably, the incidence of PPD among these mothers was very high (36.6%). Many randomized controlled trials have implicated that insufficient contact with babies will increase the odds of PPD [30][31][32]. Therefore, clinical healthcare workers should provide psychological supplies to mothers with NICU babies.…”

Section: Discussionmentioning

confidence: 99%

Preeclampsia and Its Complications Exacerbate Development of Postpartum Depression: A Retrospective Cohort Study

Chen

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Background. Hypertensive disorders were proved to be associated with the development of depression. But it is unclear if pregnancy-induced hypertensive diseases, especially preeclampsia (PE), will affect postpartum moods. We aimed to determine the incidence rate of postpartum depression (PPD) in PE patients and comprehensively evaluate the association between PPD and PE, including its severity and complications. Methods. 425 participants including 130 PE mothers were enrolled in this retrospective cohort study. Each woman was asked to complete a questionnaire integrating the Edinburgh Postnatal Depression Scale (EPDS), the Leakage Index Questionnaire, and a pain scale questionnaire within 6 weeks after delivery. The EPDS cut-off score above 13 was recognized as screening positive for PPD. Data between groups were compared by bivariate analysis. Results. PE mothers showed a direct tendency to PPD development. The positive screening for PPD in the PE group was significantly higher than that of the control group (30.77% vs. 14.58%). Based on the results of the regression model, women diagnosed with severe PE and fetal growth restriction were more inclined to develop PPD than normal ones (AOR: 2.759, 95% CI: 1.206-6.315 and AOR: 3.450, 95% CI: 1.596-7.458). It is also indicated that postpartum pain exacerbated the odds of PPD in PE patients (AOR: 1.509, 95% CI: 1.078-2.114). Conclusions. PE was an independent risk factor for PPD. Its severity and complications exacerbate the development of PPD. Doctors and society should pay more attention to PE patients after delivery against the development of PPD.

show abstract

Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial

Cited by 72 publications

References 36 publications

Combined Multimodal Cerebral Monitoring and Focused Hemodynamic Assessment in the First 72 h in Extremely Low Gestational Age Infants

Combined Multimodal Cerebral Monitoring and Focused Hemodynamic Assessment in the First 72 h in Extremely Low Gestational Age Infants

Delivery room cuddles for extremely preterm babies and parents: concept, practice, safety, parental feedback

Preeclampsia and Its Complications Exacerbate Development of Postpartum Depression: A Retrospective Cohort Study

Contact Info

Product

Resources

About