Anderson Gene Cranston, Chiu Sheau-Huey, Dombrowski Mary Alice, Swinth Joan Y, Albert Jeffrey M, Wada Nancy
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4909, USA.
J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct;32(5):604-11. doi: 10.1177/0884217503256616.
To describe the type and percent time of contact 0-48 hours postbirth for mother-preterm newborn (infant) dyads given kangaroo care (skin-to-skin) or standard care (controls).
Randomized controlled trial with assignment by computerized minimization to kangaroo care (n = 48) or control (n = 43).
Postpartum units and neonatal intensive-care units (NICU).
Preterm infants 32 to less than 37 weeks gestation and their mothers.
Kangaroo (skin-to-skin, SS) care (KC).
Type and percent time of mother-infant contact (SS versus holding wrapped in blankets).
Analyses were based on four groups: assignment for infants in each group to postpartum or NICU. For KC dyads, SS postpartum was 22.0%; SS NICU was 7.5%. KC wrapped holding postpartum was 11.6%; NICU was 1.8%. For control dyads, wrapped holding postpartum was 13.9%; NICU was 6.1%.
Amount of SS was much less than expected. Reasons include unavailability of infants or mothers and hospital staff interrupting contact. However, KC postpartum dyads were held wrapped almost as often as control postpartum dyads. Total contact time for KC dyads (SS plus wrapped) was more than double that of controls. These data suggest that hospital and social supports for families are needed to facilitate early initiation of SS, prolonged periods of mother-infant SS contact, and reduction of maternal stress.
描述接受袋鼠式护理（肌肤相亲）或标准护理（对照组）的早产新生儿母婴二元组在出生后0至48小时的接触类型和接触时间百分比。
采用计算机最小化分配法进行随机对照试验，分为袋鼠式护理组（n = 48）和对照组（n = 43）。
产后病房和新生儿重症监护病房（NICU）。
孕周为32至小于37周的早产儿及其母亲。
袋鼠式（肌肤相亲，SS）护理（KC）。
母婴接触的类型和接触时间百分比（肌肤相亲与包裹在毯子里抱持）。
分析基于四组：每组婴儿分配至产后病房或新生儿重症监护病房。对于袋鼠式护理二元组，产后肌肤相亲为22.0%；新生儿重症监护病房为7.5%。袋鼠式护理组产后包裹抱持为11.6%；新生儿重症监护病房为1.8%。对于对照组二元组，产后包裹抱持为13.9%；新生儿重症监护病房为6.1%。
肌肤相亲的时间远低于预期。原因包括婴儿或母亲无法接触以及医院工作人员中断接触。然而，袋鼠式护理组产后二元组被包裹抱持的频率几乎与对照组产后二元组相同。袋鼠式护理组二元组的总接触时间（肌肤相亲加包裹抱持）是对照组的两倍多。这些数据表明，需要医院和社会为家庭提供支持，以促进肌肤相亲的尽早开始、延长母婴肌肤相亲接触时间并减轻母亲的压力。
