Universität zu Köln

Mehler, Katrin ORCID: 0000-0002-3052-2147, Hucklenbruch-Rother, Eva, Trautmann-Villalba, Patricia, Becker, Ingrid ORCID: 0000-0001-5829-3553, Roth, Bernhard and Kribs, Angela (2020). Delivery room skin-to-skin contact for preterm infants-A randomized clinical trial. Acta Paediatr., 109 (3). S. 518 - 527. HOBOKEN: WILEY. ISSN 1651-2227

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mehler, Katrin UNSPECIFIED orcid.org/0000-0002-3052-2147 UNSPECIFIED Hucklenbruch-Rother, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Trautmann-Villalba, Patricia UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Ingrid UNSPECIFIED orcid.org/0000-0001-5829-3553 UNSPECIFIED Roth, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Kribs, Angela UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-141311
DOI:	10.1111/apa.14975
Journal or Publication Title:	Acta Paediatr.
Volume:	109
Number:	3
Page Range:	S. 518 - 527
Date:	2020
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1651-2227
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MOTHER; ATTACHMENT; BEHAVIOR; AGE; SENSITIVITY; EXPERIENCES; DEPRESSION; SEPARATION; PROTOCOL; BIRTH Multiple languages Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14131