Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial

Many preterm infants cared for in incubators do not experience Kangaroo Care (KC), skin-to-skin contact with their mothers, due to fear of body heat loss when being held outside the incubator. A randomized clinical trial of 16 KC and 13 control infants using a pretest-test-posttest design of three consecutive interfeeding intervals of 2.5 to 3.0 h duration each was conducted over 1 day. Infant abdominal and toe temperatures were measured in and out of the incubator; maternal breast temperature was measured during KC. Repeated measures ANOVA showed no change in abdominal temperature across all periods and between groups. Toe temperatures were significantly higher during KC than incubator periods, and maternal breast temperature met each infant’s neutral thermal zone requirements within 5 min of onset of KC. Preterm infants similar to those studied here will maintain body warmth with up to 3 h of KC.

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Heat Loss Prevention (Help) in the Delivery Room: A Randomized Clinical Trial in Very Preterm Infants

Paediatrics & Child Health ◽

10.1093/pch/8.suppl_b.41b ◽

2003 ◽

Vol 8 (suppl_B) ◽

pp. 41B-41B ◽

Cited By ~ 1

Author(s):

S Vohra ◽

Rs Roberts ◽

B Zhang ◽

M Janes ◽

B Schmidt

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Heat Loss ◽

Preterm Infants ◽

Delivery Room ◽

Loss Prevention ◽

Very Preterm Infants ◽

Very Preterm

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Skin-to-Skin Contact Beginning in the Delivery Room for Colombian Mothers and Their Preterm Infants

Journal of Human Lactation ◽

10.1177/089033449300900424 ◽

1993 ◽

Vol 9 (4) ◽

pp. 241-242 ◽

Cited By ~ 19

Author(s):

Susan M. Ludington-Hoe ◽

Gene C. Anderson ◽

Sharleen Simpson ◽

Annie Hollingsead ◽

Luz Angela Argote ◽

...

Keyword(s):

Preterm Infants ◽

Delivery Room ◽

Skin Contact ◽

Skin To Skin

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Delivery room skin-to-skin contact in preterm infants affects long-term expression of stress response genes

Psychoneuroendocrinology ◽

10.1016/j.psyneuen.2020.104883 ◽

2020 ◽

Vol 122 ◽

pp. 104883

Author(s):

Eva Hucklenbruch-Rother ◽

Christina Vohlen ◽

Nava Mehdiani ◽

Titus Keller ◽

Bernhard Roth ◽

...

Keyword(s):

Stress Response ◽

Preterm Infants ◽

Delivery Room ◽

Stress Response Genes ◽

Skin Contact ◽

Skin To Skin

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The effect of skin-to-skin contact at birth, early versus immediate, on the duration of exclusive human lactancy in full-term newborns treated at the Clínica Universidad de La Sabana: study protocol for a randomized clinical trial

Trials ◽

10.1186/s13063-016-1587-7 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 1

Author(s):

Sergio Agudelo ◽

Oscar Gamboa ◽

Fabio Rodríguez ◽

Sandra Cala ◽

Nathalie Gualdrón ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Study Protocol ◽

Full Term ◽

Skin Contact ◽

Term Newborns ◽

Skin To Skin

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Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns

International Breastfeeding Journal ◽

10.1186/s13006-021-00379-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Sergio I Agudelo ◽

Oscar A Gamboa ◽

Eduardo Acuña ◽

Lina Aguirre ◽

Sarah Bastidas ◽

...

Keyword(s):

Clinical Trial ◽

Exclusive Breastfeeding ◽

Negative Impact ◽

Onset Time ◽

Full Term ◽

Breastfeeding Duration ◽

Bivariate Analysis ◽

Skin Contact ◽

Term Newborns ◽

Skin To Skin

Abstract Background Skin-to-skin contact (SSC) compared to separation at birth has a positive effect on breastfeeding. However, separation at birth is common with negative impact on breastfeeding. The aim was to determine the effect of immediate SSC compared to early SSC on the duration of exclusive breastfeeding. Methods A randomized multicentre parallel clinical trial was conducted in two hospitals in Cundinamarca (Colombia) between November 2018 and January 2020. Low-risk full term newborns at birth were included. Neonates were assigned to immediate (in the first minute after birth) or early onset (start exactly at 60 min of life) skin to skin contact. Monthly follow-up was performed until 6 months of age. The primary outcome was the percentage of exclusively breastfed infants at 6 months (time in months with human milk as the only source of food). Secondary outcomes were the percentage of infants with exclusive breastfeeding at 3 months, duration in months of exclusive breastfeeding, neonate’s breastfeeding ability, percentage of weight change between birth and the first week of life and hospitalization in the neonatal unit in the first week. A bivariate analysis was performed to determine the variables associated with exclusive breastfeeding at 6 months. A survival analysis was performed to evaluate the effect of the onset of SSC on exclusive breastfeeding duration. Results A total of 297 newborns were included: 49.8% (n = 148) in the immediate SSC group, and 50.2% (n = 149) in the early SSC group. The mean duration of exclusive breastfeeding in both groups was 5 months. There were no differences between the groups in the percentage of exclusive breastfeeding at 6 months (relative risk [RR] 1.06, 95% CI 0.72, 1.58) or in the duration of exclusive breastfeeding (hazard ratio [HR] 0.98, 95% CI 0.74, 1.28). Conclusions The percentage of infants and the duration of exclusive breastfeeding in the first 6 months of age were the same between the two groups of SSC interventions. Given the current barriers to its implementation, the results of this study could positively impact the use of SSC at birth and standardize the intervention and improve breastfeeding indicators. Trial registration ClinicalTrials.gov NCT02687685.

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