Immediate skin‐to‐skin contact after birth ensures stable thermoregulation in very preterm infants in high‐resource settings

Lode-Kolz, Karoline; Hermansson, Charlotte; Linnér, Agnes; Klemming, Stina; Hetland, Hanne Brit; Bergman, Nils; Lilliesköld, Siri; Pike, Hanne Markhus; Westrup, Björn; Jonas, Wibke; Rettedal, Siren

doi:10.1111/apa.16590

Cited by 22 publications

(22 citation statements)

References 19 publications

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“…Hypothermia is an important safety concern at preterm deliveries, but hyperthermia has received less attention. We found a higher occurrence of hyperthermia with SC than SSC which is in accordance with a similar study including infants born at 28 0 –32 6 weeks of gestation 19. On the other hand, Mehler et al reported that infants receiving 1 hour of SSC with the mother in the delivery room compared with those receiving SC had a mean skin temperature at admission to NICU of 36.6°C vs 36.1°C, respectively 8.…”

Section: Discussionsupporting

confidence: 91%

“…We found a higher occurrence of hyperthermia with SC than SSC which is in accordance with a similar study including infants born at 28 0 –32 6 weeks of gestation. 19 On the other hand, Mehler et al reported that infants receiving 1 hour of SSC with the mother in the delivery room compared with those receiving SC had a mean skin temperature at admission to NICU of 36.6°C vs 36.1°C, respectively. 8 All these studies support the theory that early SSC is safe and does not compromise, but rather improves, thermoregulation in the preterm infant.…”

Section: Discussionmentioning

confidence: 99%

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Skin-to-skin contact in the delivery room for very preterm infants: a randomised clinical trial

Kristoffersen

Bergseng

Engesland

et al. 2023

bmjpo

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ObjectiveEvaluating safety, feasibility and effects on physiological parameters of skin-to-skin contact (SSC) from birth between mothers and very preterm infants in a high-income setting.DesignOpen-label randomised controlled trial.SettingThree Norwegian neonatal units.PatientsPreterm infants at gestational age (GA) 280–316weeks and birth weight >1000g delivered vaginally or by caesarean section (C-section).InterventionTwo hours of early SSC between the mother and the infant compared to standard care (SC) where the infant is separated from the mother and transferred to the neonatal unit in an incubator.Results108 infants (63% male, 57% C-section, mean (SD) GA 30.3 weeks (1.3) and birth weight 1437 g (260)) were included. Median (IQR) age at randomisation was 23 min (17–30). During the first 2 hours after randomisation, 4% (2 of 51) and 7% (4 of 57) were hypothermic (<36.0°C) in the SSC and SC group, respectively (p=0.68, OR 0.5, 95% CI 0.1 to 3.1). Significantly fewer infants in the SSC group had hyperthermia (>37.5°C) (26% (13 of 57) vs 47% (27 of 51), respectively, p=0.02, OR 0.4, 95% CI 0.2 to 0.9). No infant needed mechanical ventilation within the first 2 hours. Median (IQR) duration of SSC was 120 (80–120) min in the intervention group. There was no difference in heart rate, respiratory rate and oxygen saturation between groups during the first 24 hours.ConclusionThis study from a high-income setting confirmed that SSC from birth for very preterm infants was safe and feasible. Physiological parameters were not affected by the intervention. The long-term effects on neurodevelopment, maternal–infant bonding and maternal mental health will be collected.Trial registration numberNCT02024854.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Skin-to-skin contact in the delivery room for very preterm infants: a randomised clinical trial

Kristoffersen

Bergseng

Engesland

et al. 2023

bmjpo

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“…As it is warm in the incubator and preterm newborns have difficulty regulating their body temperature, they are expected to experience a drop in body temperature when taken out of the incubator. Similar studies showed that newborns receiving KC experience a significant improvement in problems such as hypothermia and hypoglycemia compared to newborns receiving routine care [ 26 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 85%

A comparative study of the effects of Kangaroo care by mothers and maternal grandmothers on the vital signs of hospitalized preterm newborns: a randomized controlled clinical trial study

Dargahiyan

Ghasemi

Karami

et al. 2023

Trials

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Background Kangaroo care (KC) is an effective technique to prevent injury in newborns due to prematurity and hospitalization. Mothers of preterm newborns experience their own set of physical and mental problems. Such circumstances call for another family member to take care of the newborn. This study compared the effect of KC by mothers and maternal grandmothers on the vital signs of preterm newborns. Methods This parallel randomized controlled trial was done at the neonatal and NICU departments of the hospital in Kuhdasht in Iran. Eighty preterm neonates were selected through convenience sampling according to the eligibility criteria, then by stratified block randomization allocated to two groups. The control group received KC from the mother, and the intervention group received KC from the maternal grandmothers on the vital signs of preterm newborns. Vital signs were assessed 15 min before, during, and after the KC as the primary outcome. The data collection tools included a demographic questionnaire and a form to record the vital signs. Vital signs were measured by a pulse oximeter, an electronic thermometer, and observation. Data were analyzed by the chi-square test, the independent t-test, and the repeated measures ANOVA. Results The vital signs of newborns in each group showed a significant difference before, during, and after receiving KC (P < 0.05). Nevertheless, the vital signs of the newborns did not differ significantly between the mother and the maternal grandmother KC groups (P > 0.05). Conclusion KC by maternal grandmother may stabilize the vital signs of preterm newborns as much as when this type of care is provided by the mother. We, therefore, recommend the provision of KC by the maternal grandmother, as a support and substitute for the mother whenever she is incapable of being at the hospital and to enable the mother to rest. Trial registration Iranian Registry of Clinical Trials IRCT20211225053516N1, March 31, 2022.

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“…21,38,[43][44][45][46][47][48] Prematurely born infants, as well as those born with low birth weight, transition well in skin-to-skin contact. [49][50][51][52][53] Even in cases of operative birth, immediate skin-to-skin contact supports the safe transition of the newborn. [54][55][56] One of the physical aspects of skin-to-skin contact pertaining to maternal outcomes is the duration of the third stage of labour (the time to expel the placenta).…”

Section: Key Notesmentioning

confidence: 99%

“…Neonatal transition to extrauterine life with and without skin‐to‐skin contact has also been studied with babies from 25+ weeks and 1000+ g. As measured by parameters such as temperature, blood glucose levels and oxygen saturation, research examining full‐term infants' transition to extrauterine life has shown that skin‐to‐skin contact is safe and the optimal choice for the habitat of the newborn 21,38,43–48 . Prematurely born infants, as well as those born with low birth weight, transition well in skin‐to‐skin contact 49–53 . Even in cases of operative birth, immediate skin‐to‐skin contact supports the safe transition of the newborn 54–56 …”

Section: Introductionmentioning

confidence: 99%

Skin‐to‐skin contact after birth: Developing a research and practice guideline

Brimdyr,

Stevens,

Svensson

et al. 2023

Acta Paediatrica

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Aim: Skin-to-skin contact immediately after birth is recognised as an evidence-based best practice and an acknowledged contributor to improved short-and long-term health outcomes including decreased infant mortality. However, the implementation and definition of skin-to-skin contact is inconsistent in both practice and research studies. This project utilised the World Health Organization guideline process to clarify best practice and improve the consistency of application.

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Immediate skin‐to‐skin contact after birth ensures stable thermoregulation in very preterm infants in high‐resource settings

Cited by 22 publications

References 19 publications

Skin-to-skin contact in the delivery room for very preterm infants: a randomised clinical trial

Skin-to-skin contact in the delivery room for very preterm infants: a randomised clinical trial

A comparative study of the effects of Kangaroo care by mothers and maternal grandmothers on the vital signs of hospitalized preterm newborns: a randomized controlled clinical trial study

Skin‐to‐skin contact after birth: Developing a research and practice guideline

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