Skin‐to‐skin back transfers provide a feasible, safe and low‐stress alternative to conventional neonatal transport

Hennequin, Yves; Grevesse, Laurence; Gylbert, Delphine; Albertyn, Valérie; Hermans, Sebastiaan; Overmeire, Bart Van

doi:10.1111/apa.14071

Cited by 14 publications

(37 citation statements)

References 7 publications

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“…In Mali, Cameroon and Malawi, babies are wrapped and placed between two 1.5‐L bottles filled with hot water. In Belgium, skin‐to‐skin contact has been the favourite mode of back transfer in the neonatal department of Erasme Hospital for the last 3 years 22 . Participants regarded the lack of policy on KMC between national government, regional authorities and hospitals as a major challenge in implementing KMC neonatal transport.…”

Section: Resultsmentioning

confidence: 99%

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Charpak¹,

Ángel²,

Banker

et al. 2020

Acta Paediatrica

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Aim: Building strategies for the country-level dissemination of Kangaroo mother care (KMC) to reduce the mortality rate in preterm and low birth weight babies and improve quality of life. KMC is an evidence-based healthcare method for these infants. However, KMC implementation at the global level remains low. Methods: The international network in Kangaroo mother brought 172 KMC professionals from 33 countries together for a 2-day workshop held in conjunction with the XIIth International KMC Conference in Bogota, Colombia, in November 2018. Participants worked in clusters to formulate strategies for country-level dissemination and scale-up according to seven pre-established objectives. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Resultsmentioning

confidence: 99%

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Charpak¹,

Ángel²,

Banker

et al. 2020

Acta Paediatrica

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“…No adverse events occurred during transport and mothers in the study rate high on a 0 to 10 scale that the mode decreased their stress. 26 Another study 27 of 31 stable preterm and term infants placed on the parents or caregivers chest and described to be transferred in a kangaroo position showed that the infants were psychologically stable and maintained a normal body temperature during ground ambulance transport. However, the parents' experiences were not investigated in either of these two studies.…”

Section: What This Paper Addsmentioning

confidence: 99%

Kangaroo position during neonatal ground ambulance transport: Parents' experiences

Lundqvist

Jakobsson

Terp

et al. 2021

Nursing in Critical Care

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Background: Kangaroo mother care including skin-to-skin care aims to overcome the negative effects of separating parents and infants and to increase the quality of care for infants and parents in need of neonatal care. In most cases where inter-hospital transport is needed, the infant is placed in a transport incubator, which increases the risk of separation due to ambulance service restrictions that imply that parents are not allowed to accompany these transport trips.Aim: To illuminate parents' experiences of holding their infant in a kangaroo position during neonatal ground ambulance transport.Study design: A qualitative design with an inductive approach.Methods: A total of 11 open interviews with Swedish parents were conducted two to seven days after their infant had been transferred in a kangaroo position between hospitals. The transcribed interviews were analysed using qualitative content analysis.Results: The emerged overarching category was "an uninterrupted closeness chain."The parents experienced that holding their infant during the transport extended the time they were close to their infant. Using the kangaroo position during ground ambulance transport also created a feeling of being important as a parent, as their participation during transport was appreciated. Parents' experiences were allocated into three categories: "Strengthen the feeling of being important as a parent," "promote security and create a positive environment for the baby" and "the professionals' attitude promotes security." Conclusion and relevance for clinical practice: This knowledge about parents' experiences is important in the continued work to develop interventions that focus on promoting zero separation in neonatal care. Using kangaroo position in a safety harness during ambulance transport enhances zero separation and closeness. To encourage the implementation of kangaroo position during ambulance transport, further research is needed to address parents' experiences of zero separation during transport of infants to a higher level of care.

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“…Interhospital transports of stable newborn infants without respiratory support through the SSC mode were safe and secure for infants and stressless for parents 8,9 . In our hospital, the distance between the birth room and the neonatal intensive care unit (NICU) is approximately 300 meters.…”

Section: Introductionmentioning

confidence: 94%

Potential benefits and pitfalls of skin-to-skin contact transport from birth room to neonatal unit

Clénet¹,

Carneiro²,

Jeanneaud³

et al. 2021

Preprint

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Background: Early and repeated skin-to-skin contact (SSC) between infants and their parents during neonatal hospitalization has positive effects on maternal bonding, breastfeeding, parent-child interactions and preterm infant neurodevelopmental outcomes.Purpose: Transfers through SSC of newborn infants requiring intensive care over 300 meters between the birth room and neonatal unit have been implemented since 2018. The safety of SSC transfer with the infant’s father was questioned when compared to the more common transfer method in incubators.Methods: Singletons born from May to December 2019 at our three-level maternity ward that required intensive neonatal care were eligible. The infants’ axillary temperature, heart rate, and oxygen need were reported at four timepoints during transfer in an incubator or through SSC and at 30 minutes after arrival in the neonatal unit. Infant characteristics, blood gas, glycemia, time-lapse between birth and first SSC in the unit and feeding modes were also reported.Results: Median gestational age was higher in the SSC group (incubator (n=54): 32 weeks vs SSC (n=57): 36 weeks, p=.003). All infants requiring mechanical ventilation were transported in an incubator. A decrease in temperature was observed during incubator installation in the SSC group (incubator: 0°C vs SSC: -0.2°C, p< .001), but the first SSC in the unit was earlier in this group (incubator: 22 h vs SSC: 11 h, p= .001 and p= .008 after adjustment for gestational age). Implications for practice: Although thermal stability was compromised, encouraging results regarding the first SSC in the unit promote the continuation of SSC transfers.

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Skin‐to‐skin back transfers provide a feasible, safe and low‐stress alternative to conventional neonatal transport

Cited by 14 publications

References 7 publications

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Strategies discussed at the XIIth international conference on Kangaroo mother care for implementation on a countrywide scale

Kangaroo position during neonatal ground ambulance transport: Parents' experiences

Potential benefits and pitfalls of skin-to-skin contact transport from birth room to neonatal unit

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