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

被引：65
作者：
Mehler, Katrin [1 ]
Hucklenbruch-Rother, Eva [2 ]
Trautmann-Villalba, Patricia [3 ]
Becker, Ingrid [4 ]
Roth, Bernhard [1 ]
Kribs, Angela [1 ]
机构：
[1] Univ Cologne, Childrens Hosp, Div Neonatol, Kerpenerstr 62, D-50937 Cologne, Germany
[2] Univ Cologne, Childrens Hosp, Res Grp Metab & Perinatal Programming, Cologne, Germany
[3] Inst Peripartal Intervent, Frankfurt, Germany
[4] Univ Cologne, Inst Med Stat Informat & Epidemiol, Cologne, Germany
来源：
ACTA PAEDIATRICA | 2020年 / 109卷 / 03期
关键词：
mother-infant bonding; premature infant; skin-to-skin contact; MOTHER; ATTACHMENT; BEHAVIOR; AGE; SENSITIVITY; EXPERIENCES; DEPRESSION; SEPARATION; PROTOCOL; BIRTH;
D O I：
10.1111/apa.14975
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Aim To investigate the effects of 60 minutes delivery room skin-to-skin contact (DR-SSC) compared with 5 minutes visual contact (VC) on mother-child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age. Methods A single-centre randomized controlled trial conducted in a German level III NICU. Eighty-eight preterm infants (25-32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR-SSC or 5 minutes VC. Forty-five infants were allocated to DR-SSC, 43 to VC. Results Delivery room skin-to-skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR-SSC dyads. DR-SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031). Conclusion In addition to regular intermittent kangaroo mother care, DR-SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR-SSC may have positive effects on preterm development.
引用
收藏
页码：518 / 526
页数：9
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