| Short duration of skin-to-skin contact: effects on growth and breastfeeding. | |
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MedLine Citation:
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PMID: 17803670 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To compare weight gain and head growth in very-low-birthweight (VLBW, <1501 g) infants with or without exposure to short duration of skin-to-skin contact (STSC) during their stay in a neonatal intensive care unit. METHODS: Stable VLBW infants were randomised into either STSC or control group. Parents of the STSC group were encouraged to provide STSC for at least 1 h daily. RESULTS: One hundred and forty-six infants were randomised, but only 126 were enrolled (STSC group: n = 64; Controls: n = 62). Infants in the STSC group had better mean weekly increase in head circumference (1.0 cm (SD = 0.3) vs. 0.7 cm (SD = 0.3); P < 0.0001) and higher breastfeeding rate at discharge (29.7% vs. 14.5%; P = 0.04). Although the mean duration of maternal education was longer in STSC (13.0 vs. 12.1 years; P = 0.04) than in controls, linear regression analysis showed that the significant predictors associated with weekly head growth were exposure to STSC (unstandardised coefficient: 0.2; 95% confidence intervals (CI): 0.1, 0.3; P < 0.0001) and head circumference of infants at the time of enrollment (unstandardised coefficient: -0.05; 95% CI: -08, -0.03; P < 0.0001); the number of years of maternal education was not a significant predictor. Logistic regression analysis showed that the only significant predictors of successful breastfeeding at discharge were receiving expressed breast milk at enrollment (adjusted OR: 4.1; 95% CI: 1.4, 11.7; P = 0.009) and receiving expressed breast milk during intervention period (adjusted OR: 8.3; 95% CI: 2.8, 24.4; P < 0.0001); exposure to STSC and maternal education were not significant predictors. CONCLUSION: Exposure to short duration of STSC may promote head growth in VLBW infants. |
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Authors:
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Nem-Yun Boo; Faizah Mohamed Jamli |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial Date: 2007-09-04 |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 43 ISSN: 1034-4810 ISO Abbreviation: J Paediatr Child Health Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-26 Completed Date: 2008-02-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 831-6 Citation Subset: IM |
Affiliation:
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Department of Paediatrics, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Kuala Lumpur, Malaysia. nemyun_boo@imu.edu.my |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Breast Feeding* Female Growth* Humans Infant, Newborn Infant, Very Low Birth Weight Intensive Care Units, Neonatal Malaysia Parent-Child Relations* Prospective Studies Skin* Treatment Outcome Weight Gain |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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