Skin to Skin Contact at Birth for Full Term Newborns-Randomized Controlled Trial

2014 ◽  
Vol 28 (1) ◽  
pp. 10-17
Author(s):  
Anupa R.A. Hinduja ◽  
Rekha H. Udani
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Full Term ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Term Newborns ◽  
Skin To Skin

Mother’s Bed Incline and Desaturation Episodes in Healthy Term Newborns during Early Skin-to-Skin Contact: A Multicenter Randomized Controlled Trial

Neonatology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Jesús Rodríguez-López ◽  
Javier De la Cruz Bértolo ◽  
Nadia Raquel García-Lara ◽  
José Luis Núñez Vecino ◽  
María Soriano-Ramos ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Primary Outcome ◽  
Respiratory Mechanics ◽  
Controlled Trial ◽  
Upright Position ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Multicenter Randomized Controlled Trial ◽  
Term Newborns ◽  
Skin To Skin

<b><i>Introduction:</i></b> Early skin-to-skin contact (ESSC) is associated with rare, sudden, unexpected postnatal collapse episodes. Placing the newborn in ESSC closer to an upright position may reduce the risk of airway obstruction and improve respiratory mechanics. This study assessed whether a greater inclination of the mother’s bed during ESSC would reduce the proportion of healthy term newborns (HTNs) who experienced episodes of pulse oximeter saturation (SpO<sub>2</sub>) &#x3c;91%. <b><i>Methods:</i></b> We conducted a multicenter randomized controlled trial comparing the effect of the mother’s bed incline, 45° versus 15°, on desaturation in HTNs during ESSC. Before delivery on 1,271 dyads, randomization was conducted, and stringent criteria to select healthy mothers and term newborns were monitored until after birth. Preductal SpO<sub>2</sub> was continuously monitored between 10 min and 2 h after birth. The primary outcome was the occurrence of at least one episode of SpO<sub>2</sub> &#x3c;91%. <b><i>Results:</i></b> 254 (20%) mother-infant dyads were eligible for analysis (45°, <i>n</i> = 126; 15°, <i>n</i> = 128). Overall, 57% (95% confidence interval [CI]: 51%–63%) of newborns showed episodes of SpO<sub>2</sub> &#x3c;91%. The proportion of infants with SpO<sub>2</sub> &#x3c;91% episodes was 52% in 45° and 62% in 15° (relative risk: 0.80; 95% CI: 0.6–1.07). <b><i>Conclusions:</i></b> We did not show that a high mother bed inclination during ESSC led to significantly fewer HTNs who experienced episodes of SpO<sub>2</sub> &#x3c;91%. Desaturation episodes from 10 min to 2 h after birth occurred in more than half of HTNs.

scholarly journals What is the impact of mother’s bed incline on episodes of decreased oxygen saturation in healthy newborns in skin-to-skin contact after delivery: Study protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jesús Rodríguez López ◽  
Nadia Raquel García Lara ◽  
María López Maestro ◽  
Javier De la Cruz Bértolo ◽  
José Carlos Martínez Ávila ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Oxygen Saturation ◽  
Study Protocol ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Skin To Skin ◽  
The Impact

scholarly journals Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emma Olsson ◽  
Martina Carlsen Misic ◽  
Randi Dovland Andersen ◽  
Jenny Ericson ◽  
Mats Eriksson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Management ◽  
Controlled Trial ◽  
Newborn Infants ◽  
Neonatal Care ◽  
Neonatal Pain ◽  
Randomized Controlled ◽  
Link Type ◽  
Skin Contact ◽  
Skin To Skin

Abstract Background During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infants’ pain management are essential to implement in the care of the newborn infant. Neonatal pain research has studied a range of non-pharmacological pain alleviating strategies during painful procedures, yet, regarding combined multisensorial parent-driven non-pharmacological pain management, research is still lacking. Methods/design A multi-center randomized controlled trial (RCT) with three parallel groups with the allocation ratio 1:1:1 is planned. The RCT “Parents as pain management in Swedish neonatal care – SWEpap”, will investigate the efficacy of combined pain management with skin-to-skin contact, breastfeeding and live parental lullaby singing compared with standard pain care initiated by health care professionals, during routine metabolic screening of newborn infants (PKU-test). Discussion Parental involvement in neonatal pain management enables a range of comforting parental interventions such as skin-to-skin contact, breastfeeding, rocking and soothing vocalizations. To date, few studies have been published examining the efficacy of combined multisensorial parent-driven interventions. So far, research shows that the use of combined parent-driven pain management such as skin-to-skin contact and breastfeeding, is more effective in reducing behavioral responses to pain in infants, than using the pain-relieving interventions alone. Combined parental soothing behaviors that provide rhythmic (holding/rocking/vocalizing) or orogustatory/orotactile (feeding/pacifying) stimulation that keep the parent close to the infant, are more effective in a painful context. In the SWEpap study we also include parental live lullaby singing, which is an unexplored but promising biopsychosocial, multimodal and multisensory pain alleviating adjuvant, especially in combination with skin-to-skin contact and breastfeeding. Trial registration ClinicalTrials.gov (NCT04341194) 10 April 2020.

scholarly journals Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Er-Mei Chen ◽  
Meei-Ling Gau ◽  
Chieh-Yu Liu ◽  
Tzu-Ying Lee
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Demographic Data ◽  
Intervention Group ◽  
Active Role ◽  
Control Group ◽  
Clinical Trial Registration ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Skin To Skin

This study examines how skin-to-skin contact between father and newborn affects the attachment relationship. A randomized controlled trial was conducted at a regional teaching hospital and a maternity clinic in northern Taiwan. The study recruited 83 first-time fathers aged 20 years or older. By block randomization, participants were allocated to an experimental (n=41) or a control (n=42) group. With the exception of skin-to-skin contact (SSC), participants from each group received the same standard care. Both groups also received anEarly Childcare for Fathersnursing pamphlet. During the first three days postpartum, the intervention group members were provided a daily SSC intervention with their respective infants. Each intervention session lasted at least 15 minutes in length. The outcome measure was the Father-Child Attachment Scale (FCAS). After adjusting for demographic data, the changes to the mean FCAS were found to be significantly higher in the intervention group than in the control group. We recommend that nurses and midwives use instructional leaflets and demonstrations during postpartum hospitalization, encouraging new fathers to take an active role in caring for their newborn in order to enhance father-neonate interactions and establish parental confidence. This trial is registered with clinical trial registration numberNCT02886767.

Sign in / Sign up

Export Citation Format

Share Document