Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial
Aim To investigate the effects of 60 minutes delivery room skin‐to‐skin contact (DR‐SSC) compared with 5 minutes visual contact (VC) on mother‐child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age. Methods A single‐centre randomized controlled...
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| Veröffentlicht in: | Acta Paediatrica 2020-03, Vol.109 (3), p.518-526 |
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| creator | Mehler, Katrin Hucklenbruch‐Rother, Eva Trautmann‐Villalba, Patricia Becker, Ingrid Roth, Bernhard Kribs, Angela |
| description | Aim
To investigate the effects of 60 minutes delivery room skin‐to‐skin contact (DR‐SSC) compared with 5 minutes visual contact (VC) on mother‐child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age.
Methods
A single‐centre randomized controlled trial conducted in a German level III NICU. Eighty‐eight preterm infants (25‐32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR‐SSC or 5 minutes VC. Forty‐five infants were allocated to DR‐SSC, 43 to VC.
Results
Delivery room skin‐to‐skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR‐SSC dyads. DR‐SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031).
Conclusion
In addition to regular intermittent kangaroo mother care, DR‐SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR‐SSC may have positive effects on preterm development. |
| doi_str_mv | 10.1111/apa.14975 |
| format | Article |
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To investigate the effects of 60 minutes delivery room skin‐to‐skin contact (DR‐SSC) compared with 5 minutes visual contact (VC) on mother‐child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age.
Methods
A single‐centre randomized controlled trial conducted in a German level III NICU. Eighty‐eight preterm infants (25‐32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR‐SSC or 5 minutes VC. Forty‐five infants were allocated to DR‐SSC, 43 to VC.
Results
Delivery room skin‐to‐skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR‐SSC dyads. DR‐SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031).
Conclusion
In addition to regular intermittent kangaroo mother care, DR‐SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR‐SSC may have positive effects on preterm development.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.14975</identifier><identifier>PMID: 31423649</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Child ; Clinical trials ; Cortisol ; Delivery Rooms ; Female ; Gestational age ; Humans ; Infant, Newborn ; Infant, Premature ; Infants ; Kangaroo-Mother Care Method ; Maternal behavior ; Mother-Child Relations ; Mothers ; mother‐infant bonding ; Newborn babies ; Parent-child relations ; Postpartum ; Postpartum depression ; Pregnancy ; Premature babies ; premature infant ; Skin ; skin‐to‐skin contact</subject><ispartof>Acta Paediatrica, 2020-03, Vol.109 (3), p.518-526</ispartof><rights>2019 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>2020 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-914417b44d2757f181f2c5a0e00a8925fff8681724a35676602917e8bfb9a4db3</citedby><cites>FETCH-LOGICAL-c3535-914417b44d2757f181f2c5a0e00a8925fff8681724a35676602917e8bfb9a4db3</cites><orcidid>0000-0002-3052-2147</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.14975$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.14975$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31423649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehler, Katrin</creatorcontrib><creatorcontrib>Hucklenbruch‐Rother, Eva</creatorcontrib><creatorcontrib>Trautmann‐Villalba, Patricia</creatorcontrib><creatorcontrib>Becker, Ingrid</creatorcontrib><creatorcontrib>Roth, Bernhard</creatorcontrib><creatorcontrib>Kribs, Angela</creatorcontrib><title>Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
To investigate the effects of 60 minutes delivery room skin‐to‐skin contact (DR‐SSC) compared with 5 minutes visual contact (VC) on mother‐child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age.
Methods
A single‐centre randomized controlled trial conducted in a German level III NICU. Eighty‐eight preterm infants (25‐32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR‐SSC or 5 minutes VC. Forty‐five infants were allocated to DR‐SSC, 43 to VC.
Results
Delivery room skin‐to‐skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR‐SSC dyads. DR‐SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031).
Conclusion
In addition to regular intermittent kangaroo mother care, DR‐SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR‐SSC may have positive effects on preterm development.</description><subject>Child</subject><subject>Clinical trials</subject><subject>Cortisol</subject><subject>Delivery Rooms</subject><subject>Female</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Kangaroo-Mother Care Method</subject><subject>Maternal behavior</subject><subject>Mother-Child Relations</subject><subject>Mothers</subject><subject>mother‐infant bonding</subject><subject>Newborn babies</subject><subject>Parent-child relations</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Pregnancy</subject><subject>Premature babies</subject><subject>premature infant</subject><subject>Skin</subject><subject>skin‐to‐skin contact</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EouUx8APIEgsMoX4m8ViVp1QJBpDYLCexJZckLnYKKlM_gYEv7JdgCDAg4eH6DkdHVweAA4xOcXwjNVenmImMb4AhTjlOCCHZJhiiHNGEE04HYCeEGUKECpZugwHFjNCUiSF4ONO1fdZ-Cb1zDQyPtl2v3joXx-cOS9d2quygcR7Ove60b6BtjWq7sF69j6FXbeUa-6orWNa2taWqYeetqvfAllF10Pvf_y64vzi_m1wl05vL68l4mpSUU54IzBjOCsYqkvHM4BwbUnKFNEIqF4QbY_I0xxlhivI0S1NEBM50XphCKFYVdBcc9965d08LHTrZ2FDqulatdosgYwkuWC4ojujRH3TmFr6N10lCOREo5yyN1ElPld6F4LWRc28b5ZcSI_mZW8bc8it3ZA-_jYui0dUv-dM3AqMeeLG1Xv5vkuPbca_8ADNRitg</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Mehler, Katrin</creator><creator>Hucklenbruch‐Rother, Eva</creator><creator>Trautmann‐Villalba, Patricia</creator><creator>Becker, Ingrid</creator><creator>Roth, Bernhard</creator><creator>Kribs, Angela</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3052-2147</orcidid></search><sort><creationdate>202003</creationdate><title>Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial</title><author>Mehler, Katrin ; Hucklenbruch‐Rother, Eva ; Trautmann‐Villalba, Patricia ; Becker, Ingrid ; Roth, Bernhard ; Kribs, Angela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-914417b44d2757f181f2c5a0e00a8925fff8681724a35676602917e8bfb9a4db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Child</topic><topic>Clinical trials</topic><topic>Cortisol</topic><topic>Delivery Rooms</topic><topic>Female</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Kangaroo-Mother Care Method</topic><topic>Maternal behavior</topic><topic>Mother-Child Relations</topic><topic>Mothers</topic><topic>mother‐infant bonding</topic><topic>Newborn babies</topic><topic>Parent-child relations</topic><topic>Postpartum</topic><topic>Postpartum depression</topic><topic>Pregnancy</topic><topic>Premature babies</topic><topic>premature infant</topic><topic>Skin</topic><topic>skin‐to‐skin contact</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehler, Katrin</creatorcontrib><creatorcontrib>Hucklenbruch‐Rother, Eva</creatorcontrib><creatorcontrib>Trautmann‐Villalba, Patricia</creatorcontrib><creatorcontrib>Becker, Ingrid</creatorcontrib><creatorcontrib>Roth, Bernhard</creatorcontrib><creatorcontrib>Kribs, Angela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehler, Katrin</au><au>Hucklenbruch‐Rother, Eva</au><au>Trautmann‐Villalba, Patricia</au><au>Becker, Ingrid</au><au>Roth, Bernhard</au><au>Kribs, Angela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2020-03</date><risdate>2020</risdate><volume>109</volume><issue>3</issue><spage>518</spage><epage>526</epage><pages>518-526</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
To investigate the effects of 60 minutes delivery room skin‐to‐skin contact (DR‐SSC) compared with 5 minutes visual contact (VC) on mother‐child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age.
Methods
A single‐centre randomized controlled trial conducted in a German level III NICU. Eighty‐eight preterm infants (25‐32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR‐SSC or 5 minutes VC. Forty‐five infants were allocated to DR‐SSC, 43 to VC.
Results
Delivery room skin‐to‐skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR‐SSC dyads. DR‐SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031).
Conclusion
In addition to regular intermittent kangaroo mother care, DR‐SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR‐SSC may have positive effects on preterm development.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31423649</pmid><doi>10.1111/apa.14975</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3052-2147</orcidid></addata></record> |
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| ispartof | Acta Paediatrica, 2020-03, Vol.109 (3), p.518-526 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Child Clinical trials Cortisol Delivery Rooms Female Gestational age Humans Infant, Newborn Infant, Premature Infants Kangaroo-Mother Care Method Maternal behavior Mother-Child Relations Mothers mother‐infant bonding Newborn babies Parent-child relations Postpartum Postpartum depression Pregnancy Premature babies premature infant Skin skin‐to‐skin contact |
| title | Delivery room skin‐to‐skin contact for preterm infants—A randomized clinical trial |
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