Document Detail

Proposed guidelines for skin-to-skin treatment of neonatal hypothermia.
MedLine Citation:
PMID:  17013069     Owner:  NLM     Status:  MEDLINE    
Hypothermia is not uncommon in full-term, low-risk newborns during the first days of life. Standard care for treating hypothermia often involves the separation of the mother and the newborn while the infant is placed under a warmer and observed in the nursery. Because one important role of the postpartum nurse is to promote mother-infant attachment by encouraging the mother to spend time "getting to know" her infant, this separation can be problematic. This article proposes that skin-to-skin (STS) care, also called kangaroo care, an intervention in which the unclothed, diapered infant is placed on the mother's bare chest, be used to promote thermoregulation instead of using separation and a warmer. STS care has been recognized as a way to facilitate maternal-infant attachment and promote thermoregulation. The literature review here provides an analysis of the available evidence and the author's conclusion that the research supports the use of STS care as an alternative to traditional rewarming. The evidence was graded and organized into an evidence-based practice guideline for the use of STS care in the treatment of mild hypothermia in the low-risk infant. Suggestions for further research and outcomes measurement are included.
Maura Galligan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  31     ISSN:  0361-929X     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-10-02     Completed Date:  2006-11-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  298-304; quiz 305-6     Citation Subset:  IM; N    
Beth Israel Deaconess Medical Center, Boston, MA, USA.
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MeSH Terms
Clinical Nursing Research
Evidence-Based Medicine / organization & administration
Health Promotion / organization & administration
Hypothermia / classification,  diagnosis,  prevention & control*
Infant Care / organization & administration*
Infant, Newborn
Informed Consent
Monitoring, Physiologic / nursing
Mother-Child Relations*
Mothers / education,  psychology
Neonatal Nursing / organization & administration*
Nurse's Role
Nursing Assessment / organization & administration
Nursing Diagnosis / organization & administration
Patient Selection
Practice Guidelines as Topic*
Research Design
Rewarming / methods,  nursing
Risk Factors
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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