Ludington-Hoe S M, Hadeed A J, Anderson G C
University of California, School of Nursing, Los Angeles 90024-1702.
J Perinatol. 1991 Mar;11(1):19-24.
Twelve stable premature infants in open-air cribs acted as their own controls in a study designed to evaluate the effect of skin-to-skin contact (SSC) with their mothers on infant heart rate, respiratory rate, oxygen saturation, and skin temperature. Measurements were taken every minute during three consecutive interfeeding periods (2 to 3 hours each): pre-SSC, SSC, and post-SSC. Skin-to-skin contact in the upright position between maternal breasts underneath a velour blouse occurred in the continuing care nursery of secondary level NICUs and was compared with infants lying in open-air cribs. All physiologic measures remained within normal limits, suggesting that SSC had no adverse effects. Statistically significant increases in heart rate and skin and rectal temperatures during SSC were also within normal limits. Skin-to-skin contact can occur between hospitalized stable premature infants and their mothers without physiologic compromise and heat loss to the infant. Practice implications are discussed.
在一项旨在评估与母亲进行皮肤接触（SSC）对婴儿心率、呼吸频率、血氧饱和度和皮肤温度影响的研究中，12名在开放式婴儿床中的稳定早产儿自身作为对照。在连续三个喂奶间期（每个间期2至3小时）每分钟进行测量：皮肤接触前、皮肤接触时和皮肤接触后。在二级新生儿重症监护病房的持续护理 nursery 中，母亲穿着天鹅绒衬衫，在直立姿势下，婴儿与母亲胸部进行皮肤接触，并与躺在开放式婴儿床中的婴儿进行比较。所有生理指标均保持在正常范围内，表明皮肤接触没有不良影响。皮肤接触期间心率、皮肤和直肠温度的统计学显著升高也在正常范围内。住院的稳定早产儿与其母亲之间可以进行皮肤接触，而不会对婴儿造成生理损害和热量损失。文中讨论了实际应用意义。
