The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: A randomized, controlled trial

被引:159
作者
Ferber, SG [1 ]
Makhoul, IR
机构
[1] Univ Haifa, Fac Social Welf & Hlth Studies, Dept Nursing, IL-31905 Haifa, Israel
[2] Technion Israel Inst Technol, Rambam Med Ctr, Meyer Childrens Hosp, Dept Neonatol, Haifa, Israel
[3] Technion Israel Inst Technol, Bruce Rappaport Fac Med, IL-31096 Haifa, Israel
关键词
skin-to-skin contact; kangaroo care; birth; neurobehavior; newborn infant;
D O I
10.1542/peds.113.4.858
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background. The method of skin-to-skin contact (kangaroo care [KC]) has shown physiologic, cognitive, and emotional gains for preterm infants; however, KC has not been studied adequately in term newborns. Aims. To evaluate the effect of KC, used shortly after delivery, on the neurobehavioral responses of the healthy newborn. Study Design. A randomized, controlled trial using a table of random numbers. After consent, the mothers were assigned to 1 of 2 groups: KC shortly after delivery or a no-treatment standard care ( control group). Subjects. Included were 47 healthy mother-infant pairs. KC began at 15 to 20 minutes after delivery and lasted for 1 hour. Control infants and KC infants were brought to the nursery 15 to 20 and 75 to 80 minutes after birth, respectively. Results. During a 1-hour-long observation, starting at 4 hours postnatally, the KC infants slept longer, were mostly in a quiet sleep state, exhibited more flexor movements and postures, and showed less extensor movements. Conclusions. KC seems to influence state organization and motor system modulation of the newborn infant shortly after delivery. The significance of our findings for supportive transition from the womb to the extrauterine environment is discussed. Medical and nursing staff may be well advised to provide this kind of care shortly after birth.
引用
收藏
页码:858 / 865
页数:8
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