Observation study showed that the continuity of skin-to-skin contact with low-birthweight infants in Uganda was suboptimal

We have carried out a randomised trial [of skin to skin contact with their mothers] among babies of less than 1500 gm . . . Mothers using skin to skin contact lactated for four weeks longer on average than the control group . . . [This maneuver] can enjoyably be offered to very low birthweight infants especially in developing countries where mother's lactation is vital.

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Newly born low birthweight infants stabilise better in skin-to-skin contact than when separated from their mothers: a randomised controlled trial

Acta Paediatrica ◽

10.1111/apa.13164 ◽

2015 ◽

Vol 105 (4) ◽

pp. 381-390 ◽

Cited By ~ 38

Author(s):

Kim Chi Luong ◽

Tien Long Nguyen ◽

Duy Huong Huynh Thi ◽

Henri P.O. Carrara ◽

Nils J. Bergman

Keyword(s):

Randomised Controlled Trial ◽

Low Birthweight ◽

Controlled Trial ◽

Skin Contact ◽

Randomised Controlled ◽

Skin To Skin

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Skin to skin contact for very low birthweight infants and their mothers.

Archives of Disease in Childhood ◽

10.1136/adc.63.11.1377 ◽

1988 ◽

Vol 63 (11) ◽

pp. 1377-1381 ◽

Cited By ~ 125

Author(s):

A Whitelaw ◽

G Heisterkamp ◽

K Sleath ◽

D Acolet ◽

M Richards

Keyword(s):

Low Birthweight ◽

Very Low Birthweight ◽

Skin Contact ◽

Very Low Birthweight Infants ◽

Skin To Skin

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Kangaroo mother care: need of the day

BMJ Case Reports ◽

10.1136/bcr-2018-228402 ◽

2019 ◽

Vol 12 (12) ◽

pp. e228402

Author(s):

Rubina Sohail ◽

Noreen Rasul ◽

Ammara Naeem ◽

Humayun Iqbal Khan

Keyword(s):

Developing Countries ◽

Neonatal Mortality ◽

Low Birthweight ◽

Kangaroo Mother Care ◽

Preterm Baby ◽

Mortality And Morbidity ◽

Safe Delivery ◽

Live Births ◽

Skin Contact ◽

Skin To Skin

Each year approximately 20 million low birthweight babies are born globally. Prematurity is a leading cause of neonatal mortality in developing countries and results in 60%–80% of neonatal deaths. Neonatal mortality is the major contributor to under-5 mortality. According to Pakistan Demographic and Health Survey 2017–2018, neonatal mortality in Pakistan is 42 per 1000 live births and under-5 mortality is 74 per 1000 live births. One out of every 22 newborns dies in Pakistan, which is an alarming figure. Majority of these deaths are preventable. They can be prevented by well-trained midwives, safe delivery, early initiation of breast feeding within an hour after birth and skin-to-skin contact. Pakistan is among the top 10 countries with the highest number of preterm births and with limited resources to manage the burden. Kangaroo mother care (KMC) is a safe and economical alternative to provide preterm care in developing countries. In babies at gestational age less than 37 weeks or with neonatal weight less than 2.5 kg, skin-to-skin contact prevents hypothermia and infection. Neonatal mortality and morbidity can be reduced by providing preterm care through KMC. This case report is of a preterm baby who was delivered at 33 weeks of gestation with a weight of 1.3 kg and was saved by KMC in the paediatric department of Services Hospital in Lahore.

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Oxygenation, Heart Rate and Temperature in Very Low Birthweight Infants during Skin-to-Skin Contact with Their Mothers

Acta Paediatrica ◽

10.1111/j.1651-2227.1989.tb11055.x ◽

1989 ◽

Vol 78 (2) ◽

pp. 189-193 ◽

Cited By ~ 88

Author(s):

D. ACOLET ◽

K. SLEATH ◽

A. WHITELAW

Keyword(s):

Heart Rate ◽

Low Birthweight ◽

Very Low Birthweight ◽

Skin Contact ◽

Very Low Birthweight Infants ◽

Skin To Skin

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Positive breastfeeding experiences and facilitators in mothers of preterm and low birthweight infants: a meta-ethnographic review

International Breastfeeding Journal ◽

10.1186/s13006-021-00435-8 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Renée Flacking ◽

Bente Silnes Tandberg ◽

Hannakaisa Niela-Vilén ◽

Rakel B. Jónsdóttir ◽

Wibke Jonas ◽

...

Keyword(s):

Low Birthweight ◽

The Body ◽

Physical Contact ◽

Bibliographic Databases ◽

Emotional States ◽

Key Factors ◽

Skin Contact ◽

Comprehensive Search ◽

Reference Checking ◽

Skin To Skin

Abstract Background Most qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exploring what characterizes and facilitates a positive breastfeeding experience in mothers of preterm and/or LBW infants. Methods A systematic review using meta-ethnographic methods was conducted. Search strategies involved a comprehensive search strategy on six bibliographic databases, citation tracking and reference checking. The analysis involved a reciprocal level of translation and a line of argument synthesis. Results Searches identified 1774 hits and 17 articles from 14 studies were included, representing the views of 697 mothers. A positive breastfeeding experience was identified as being ‘attuned’. Three themes and eight sub-themes were developed to describe what characterizes attuned breastfeeding. ‘Trusting the body and what it can do’, concerned how attuned breastfeeding was facilitated through understanding the bodily responses and capacity and feeling comfortable with holding the infant and to breastfeed. ‘Being emotionally present – in the here and now’ described the importance of feeling relaxed and reassured. ‘Experiencing mutual positive responses’, illuminated how attunement was related to feelings of mutuality - when the mother recognises the infant’s cues, responds to these signals and receives a positive response from the infant. The key factors to facilitate attuned breastfeeding were opportunities for prolonged close physical contact with the infant, positive relationships with and support from staff and peers, and being facilitated to breastfeed when the infant showed feeding cues. Conclusions This study provides new insights into what characterizes a positive breastfeeding experience and how staff can facilitate and enable mothers to achieve attuned breastfeeding. Improvements in units’ design, such as for rooming-in and having prolonged skin-to-skin contact, and care provided by knowledgeable, supportive and encouraging staff and peers, are crucial. The mother’s physical and emotional states and the infant’s behavioural responses and physiological signals should guide the process towards positive breastfeeding practices.

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Midwives’ and mothers’ perspectives on skin-to-skin care of premature and low-birthweight infants in Puntland, Somalia

10.36368/shaj.v1i1.260 ◽

2021 ◽

Author(s):

Fatumo Osman ◽

Mohamed Said Egal ◽

Ahmed Ali Abdi ◽

Anisa Abdikarim Mohamud ◽

Kerstin Erlandsson

Keyword(s):

Low Birthweight ◽

Qualitative Content Analysis ◽

Family Members ◽

Thermal Control ◽

Skin Care ◽

Care Model ◽

Structured Interviews ◽

Her Family ◽

Skin Contact ◽

Skin To Skin

Background: More than 2.5 million children die yearly due to prematurity and low birthweight. Skin-to-skin care provides a thermal-control environment that offers protection from infection and eases breast milk feeding to the advantage of the new-born. Aim: This study aimed to explore barriers and facilitating factors for introducing skin-to-skin care of premature and low-birthweight infants based on input from mothers and midwives in Puntland, Somalia. Methods: Qualitative semi-structured interviews with four mothers and four midwives were analysed using qualitative content analysis. Results: The findings are presented in four categories: enabled by support and hands-on information to the mother and her family; aided by collaboration with the mother’s family to overcome the mother’s resistance; impeded by limited time, lack of resources and unavailable guidelines; and hindered by traditional and social beliefs. Both mothers and midwives emphasised the importance of information and education concerning skin-to-skin care of premature and low-birthweight infants. Family members and midwives facilitated skin-to-skin contact as the care model. The degree to which the midwives provided information to the mothers and their family members depended on how the two latter groups received and acted on such information and education. Lack of motivation by mothers, their families or midwives were barriers to skin-to-skin contact as a care model. Conclusion: Standardised guidelines, preferably culturally tailored for low socioeconomic groups, for midwives’ use when informing mothers and families on skin-to-skin contact as a care model for premature and low-birthweight infants would empower women, families and midwives to facilitate the practice in Puntland, Somalia.

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HOW TO PROLONG LACTATION IN MOTHERS OF VLBW INFANTS

PEDIATRICS ◽

10.1542/peds.84.6.994 ◽

1989 ◽

Vol 84 (6) ◽

pp. 994-994

Author(s):

Student

Keyword(s):

Developing Countries ◽

Low Birthweight ◽

Randomised Trial ◽

Control Group ◽

Very Low Birthweight ◽

Vlbw Infants ◽

Skin Contact ◽

Very Low Birthweight Infants ◽

Skin To Skin

We have carried out a randomised trial [of skin to skin contact with their mothers] among babies of less than 1500 gm...Mothers using skin to skin contact lactated for four weeks longer on average than the control group....[This maneuver] can enjoyably be offered to very low birthweight infants especially in developing countries where mother's lactation is vital.

Download Full-text