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随机对照试验的早期皮肤接触:对母亲和新生儿的影响。

Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn.

机构信息

Pediatrics, Hospital Madrid-Torrelodones, Madrid, Spain.

出版信息

Acta Paediatr. 2010 Nov;99(11):1630-4. doi: 10.1111/j.1651-2227.2009.01597.x.

DOI:10.1111/j.1651-2227.2009.01597.x
PMID:19912138
Abstract

OBJECTIVE

To estimate the influence of skin-to-skin care on the thermal regulation of the infant and the rate of breastfeeding at different points of time. We also aim to establish whether skin-to-skin contact reduces maternal pain during episiotomy repair and decreases the time to expel the placenta.

METHODS

A randomized control study was performed with 137 patients in each branch of the study. Differences between the study groups were analysed with the unpaired t-test, Fisher test or chi-square test as appropriate.

RESULTS

Greater thermal stability in the skin-to-skin care group was found where an average temperature rise of 0.07°C was observed. Mothers in the skin-to-skin care group exclusively breastfed more frequently at discharge. Mean time to expel the placenta was lesser in the skin-to-skin care group.

CONCLUSION

This study shows that skin-to-skin care implies better thermal regulation and a better proportion of exclusive breastfeeding at hospital discharge.

摘要

目的

评估皮肤接触对婴儿体温调节和不同时间母乳喂养率的影响。我们还旨在确定皮肤接触是否可以减少会阴切开修复过程中的产妇疼痛,并减少胎盘排出时间。

方法

对每个研究分支的 137 名患者进行了随机对照研究。使用未配对 t 检验、Fisher 检验或卡方检验分析研究组之间的差异。

结果

皮肤接触组的皮肤温度更稳定,平均体温升高 0.07°C。皮肤接触组的母亲在出院时更频繁地进行纯母乳喂养。皮肤接触组排出胎盘的平均时间更短。

结论

本研究表明,皮肤接触可更好地调节体温,且产妇在出院时更倾向于进行纯母乳喂养。

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