| Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200- to 2199-gram newborns. | |
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MedLine Citation:
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PMID: 15244227 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Conventional care of prematurely born infants involves extended maternal-infant separation and incubator care. Recent research has shown that separation causes adverse effects. Maternal-infant skin-to-skin contact (SSC) provides an alternative habitat to the incubator, with proven benefits for stable prematures; this has not been established for unstable or newborn low-birthweight infants. SSC from birth was therefore compared to incubator care for infants between 1200 and 2199 g at birth. METHODS: This was a prospective, unblinded, randomized controlled clinical trial; potential subjects were identified before delivery and randomized by computerized minimization technique at 5 min if eligible. Standardized care and observations were maintained for 6 h. Stability was measured in terms of a set of pre-determined physiological parameters, and a composite cardio-respiratory stabilization score (SCRIP). RESULTS: 34 infants were analysed in comparable groups: 3/18 SSC compared to 12/13 incubator babies exceeded the pre-determined parameters (p < 0.001). Stabilization scores were 77.11 for SSC versus 74.23 for incubator (maximum 78), mean difference 2.88 (95% CI: 0.3-5.46, p = 0.031). All 18 SSC subjects were stable in the sixth hour, compared to 6/13 incubator infants. Eight out of 13 incubator subjects experienced hypothermia. CONCLUSION: Newborn care provided by skin-to-skin contact on the mother's chest results in better physiological outcomes and stability than the same care provided in closed servo-controlled incubators. The cardio-respiratory instability seen in separated infants in the first 6 h is consistent with mammalian "protest-despair" biology, and with "hyper-arousal and dissociation" response patterns described in human infants: newborns should not be separated from their mothers. |
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Authors:
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N J Bergman; L L Linley; S R Fawcus |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: 93 ISSN: 0803-5253 ISO Abbreviation: Acta Paediatr. Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-07-12 Completed Date: 2004-09-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: Norway |
Other Details:
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Languages: eng Pagination: 779-85 Citation Subset: IM |
Affiliation:
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Mowbray Maternity Hospital, Mowbray, South Africa. bergman@xsinet.co.za |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anxiety, Separation
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physiopathology* Birth Weight Female Gestational Age Heart Rate Humans Incubators, Infant* Infant Care / methods* Infant, Low Birth Weight / physiology* Infant, Newborn Infant, Premature / physiology* Male Mother-Child Relations Oxygen Consumption Respiration Skin* |
| Comments/Corrections | |
Comment In:
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Acta Paediatr. 2004 Jun;93(6):730-3
[PMID:
15244218
]
Acta Paediatr. 2006 Jan;95(1):15-6 [PMID: 16373290 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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