The effect of skin‐to‐skin care on cerebral oxygenation during nasogastric feeding of preterm infants

Marulli, Adriana; Kamlin, C. Omar F.; Dawson, Jennifer A; Donath, Susan; Davis, Peter G; Lorenz, Laila

doi:10.1111/apa.14158

Cited by 6 publications

(17 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Promotion of SSC is one mechanism by which nurses can help mothers in the provision of human milk so that mothers and infants achieve breastfeeding. For those infants not ready to orally feed, SSC has been found to be as safe as incubator care during gavage feedings, with no significant differences found in cerebral oxygenation, heart rate, or oxygen saturation (Marulli et al, 2018).…”

Section: Ssc and Feedingmentioning

confidence: 99%

Physiology of Stress and Use of Skin-to-Skin Care as a Stress-Reducing Intervention in the NICU

Pados¹

2019

Nursing for Women's Health

View full text Add to dashboard Cite

Section: Ssc and Feedingmentioning

confidence: 99%

Physiology of Stress and Use of Skin-to-Skin Care as a Stress-Reducing Intervention in the NICU

Pados¹

2019

Nursing for Women's Health

View full text Add to dashboard Cite

“…KMC, kangaroo mother care; SpO 2 , oxygen saturation; HR, heart rate; rScO 2 , regional cerebral oxygenation; FtOE, fractional tissue oxygen extraction; FiO 2 , fraction of inspired oxygen. requirement of noninvasive respiratory support and FiO 2 [13,14,25,26,28].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Fractional Cerebral Oxygen Extraction in Preterm Infants during the Kangaroo Care

et al. 2023

View full text Add to dashboard Cite

Introduction: We aimed to investigate the cerebral fractional tissue oxygen extraction (FtOE) during kangaroo care (KC) in premature infants and compare cardiorespiratory stability and hypoxic or bradycardic events between KC and incubator care. Methods: A single-center prospective observational study was carried out at the NICU of a level 3 perinatal center. Preterm infants <32 weeks gestational age were subjected to KC. Patients were subjected to continuous monitoring of regional cerebral oxygen saturation (rScO2), peripheral oxygen saturation (SpO2), and heart rate (HR) during KC, before KC (pre-KC), and after KC (post-KC). The monitoring data were stored and exported to MATLAB for synchronization and signal analysis including the calculation of the FtOE and events analysis (i.e., desaturations and bradycardias counts and anormal values). Furthermore, the event counts and the mean SpO2, HR, rScO2, and FtOE were compared between studied periods employing the Wilcoxon rank-sum test and the Friedman test, respectively. Results: A total of forty-three KC sessions with their corresponding pre-KC and post-KC segments were analyzed. The distributions of the SpO2, HR, rScO2, and FtOE showed different patterns according to the respiratory support, but not differences between the studied periods were detected. Accordingly, no significant differences in monitoring events were evidenced. However, cerebral metabolic demand (FtOE) was significantly lower during KC compared with post-KC (p = 0.019). Conclusion: Premature infants remain clinically stable during KC. Moreover, cerebral oxygenation is significantly higher and cerebral tissular oxygen extraction is significantly lower during KC compared with incubator care in post-KC. No differences in HR and SpO2 were shown. This novel data analysis methodology could be expanded to other clinical situations.

show abstract

“…Recent studies have focused on the analysis of the possible benefits in brain oxygenation during KC [7, 8, 17, 27, 29, 34, 36, 37]. Two studies employed INVOS (Medtronic, Minnesota, USA) (30,37), three employed Fore-Sight (Edwards LifeScience, California, USA) [7, 8, 17], and one study employed SenSmart X-100 (NONIN Medical, Stockholm, Sweden) [34]. Lorenz et al [8] showed a significant increase ( p < 0.01) in rScO 2 during KC (74.8% ± 4.6%) versus incubator care (73.6% ± 6.0%).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Only few studies [7, 8, 17, 29, 33] and with a low degree of evidence have analyzed FtOE during KC. Studies reported that FtOE was within the normal range and remained stable during KC and incubator care independently of the requirement of respiratory support [7, 8, 17, 33, 34]. We found strong quality (STROBE) and moderate evidence (GRADE) showing that the influence of KC compared to incubator care upon cerebral hemodynamics and oxygenation was not clinically significant.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Kangaroo Care on Premature Infants’ Oxygenation: Systematic Review

Solaz-García¹,

Lara-Cantón²,

Pinilla-González³

et al. 2022

Neonatology

View full text Add to dashboard Cite

Introduction: Kangaroo care (KC) is defined by the World Health Organization as a method of care consisting in putting premature infants or newborns in skin-to-skin contact with their parents. KC is an effective method of promoting health and well-being of infants and their families. Physiological stability during KC has been widely analyzed, however with controversial results. Methods: A systematic review was conducted. Electronic databases searched included MEDLINE, Embase, CINAHL, and Scopus. Two authors independently reviewed and extracted information using a data extraction form. The methodological quality of the observational studies was assessed using “STROBE” and the “Cochrane Collaboration tool” for randomized controlled trials. The physiological monitoring parameters included were heart rate (HR), arterial oxygen saturation (SpO2), regional cerebral oxygen saturation (rScO2), and fractional oxygen extraction (FtOE). Results: A total of 345 articles were identified. First, 302 articles were excluded by title and then 34 articles after full-text analysis. Finally, a total of 25 studies were included. Physiological parameters monitored (HR, SpO2, rScO2, and FtOE) showed no significant changes at different study periods: pre-KC, during KC, and post-KC. Conclusions: We conclude that stable preterm infants receiving or not respiratory support show no significant differences in HR, SpO2, FtOE during KC compared to routine incubator care. rScO2 remains stable during KC with slight upward trend. Further studies with a higher level of methodological quality are needed to confirm these findings.

show abstract

The effect of skin‐to‐skin care on cerebral oxygenation during nasogastric feeding of preterm infants

Cited by 6 publications

References 24 publications

Physiology of Stress and Use of Skin-to-Skin Care as a Stress-Reducing Intervention in the NICU

Physiology of Stress and Use of Skin-to-Skin Care as a Stress-Reducing Intervention in the NICU

Analysis of Fractional Cerebral Oxygen Extraction in Preterm Infants during the Kangaroo Care

Impact of Kangaroo Care on Premature Infants’ Oxygenation: Systematic Review

Contact Info

Product

Resources

About