Physiological Stability in Very Preterm Infants During Skin-to-Skin Contact as Assessed by Near-Infrared Spectroscopy

2020 ◽  
Vol 20 (6) ◽  
pp. 495-498
Author(s):  
Ylva Thernström Blomqvist ◽  
Victoria Karlsson ◽  
Feven Dawit ◽  
Richard Sindelar ◽  
Johan Ågren
Keyword(s):  
Infrared Spectroscopy ◽  
Preterm Infants ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Skin Contact ◽  
Skin To Skin

Immediate skin‐to‐skin contact is feasible for very preterm infants but thermal control remains a challenge

2019 ◽  
Vol 109 (4) ◽  
pp. 697-704 ◽  
Author(s):  
Agnes Linnér ◽  
Stina Klemming ◽  
Bo Sundberg ◽  
Siri Lilliesköld ◽  
Björn Westrup ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Thermal Control ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Skin Contact ◽  
Skin To Skin

scholarly journals Immediate parent-infant skin-to-skin study (IPISTOSS): study protocol of a randomised controlled trial on very preterm infants cared for in skin-to-skin contact immediately after birth and potential physiological, epigenetic, psychological and neurodevelopmental consequences

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e038938 ◽  
Author(s):  
Agnes Linnér ◽  
Björn Westrup ◽  
Karoline Lode-Kolz ◽  
Stina Klemming ◽  
Siri Lillieskold ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Ethical Review ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Skin Contact ◽  
Vital Functions ◽  
Randomised Controlled ◽  
Skin To Skin

IntroductionIn Scandinavia, 6% of infants are born preterm, before 37 gestational weeks. Instead of continuing in the in-utero environment, maturation needs to occur in a neonatal unit with support of vital functions, separated from the mother’s warmth, nutrition and other benefits. Preterm infants face health and neurodevelopment challenges that may also affect the family and society at large. There is evidence of benefit from immediate and continued skin-to-skin contact (SSC) for term and moderately preterm infants and their parents but there is a knowledge gap on its effect on unstable very preterm infants when initiated immediately after birth.Methods and analysisIn this ongoing randomised controlled trial from Stavanger, Norway and Stockholm, Sweden, we are studying 150 infants born at 28+0 to 32+6 gestational weeks, randomised to receive care immediately after birth in SSC with a parent or conventionally in an incubator. The primary outcome is cardiorespiratory stability according to the stability of the cardiorespiratory system in the preterm score. Secondary outcomes are autonomic stability, thermal control, infection control, SSC time, breastfeeding and growth, epigenetic profile, microbiome profile, infant behaviour, stress resilience, sleep integrity, cortical maturation, neurodevelopment, mother-infant attachment and attunement, and parent experience and mental health.Ethics and disseminationThe study has ethical approval from the Swedish Ethical Review Authority (2017/1135-31/3, 2019–03361) and the Norwegian Regional Ethical Committee (2015/889). The study is conducted according to good clinical practice and the Helsinki declaration. The results of the study will increase the knowledge about the mechanisms behind the effects of SSC for very preterm infants by dissemination to the scientific community through articles and at conferences, and to the society through parenting classes and magazines.Study statusRecruiting since April 2018. Expected trial termination June 2021.Trial registration numberNCT03521310 (ClinicalTrials.gov).

scholarly journals Early skin-to-skin contact or incubator for very preterm infants: study protocol for a randomized controlled trial

Trials ◽  
2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Laila Kristoffersen ◽  
Ragnhild Støen ◽  
Hilde Rygh ◽  
Margunn Sognnæs ◽  
Turid Follestad ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Study Protocol ◽  
Controlled Trial ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Skin To Skin
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