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:
CreatorsEmailORCIDORCID Put Code
Mehler, KatrinUNSPECIFIEDorcid.org/0000-0002-3052-2147UNSPECIFIED
Hucklenbruch-Rother, EvaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trautmann-Villalba, PatriciaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, IngridUNSPECIFIEDorcid.org/0000-0001-5829-3553UNSPECIFIED
Roth, BernhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kribs, AngelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
MOTHER; ATTACHMENT; BEHAVIOR; AGE; SENSITIVITY; EXPERIENCES; DEPRESSION; SEPARATION; PROTOCOL; BIRTHMultiple languages
PediatricsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14131

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