Beiranvand Shourangiz, Valizadeh Fatemeh, Hosseinabadi Reza, Pournia Yadollah
Faculty of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
Faculty of Nursing, Jondishapour Ahvaz University of Medical Sciences, Ahvaz, Iran.
Int J Pediatr. 2014;2014:846486. doi: 10.1155/2014/846486. Epub 2014 Dec 25.
Background. The skin-to-skin contact (SSC) of mother and newborn is uncommon full-term newborns after delivering via cesarean section due to the possibility of hypothermia in the infants. The aim of this study was to compare mothers' and infant's temperatures after delivering via cesarean section. Material and Methods. In this randomized clinical trial, 90 infant/mothers dyads delivered via cesarean section were randomized to SSC (n = 46) and routine care (n = 44). In experimental group, skin-to-skin contact was performed for one hour and in the routine group the infant was dressed and put in the cot according to hospital routine care. The newborns' mothers' temperatures in both groups were taken at half-hour intervals. The data was analyzed using descriptive statistics, t-tests, and chi-square tests. Results. The means of the newborns' temperatures immediately after SSC (P = 0.86), half an hour (P = 0.31), and one hour (P = 0.52) after the intervention did not show statistically significant differences between the two groups. The mean scores of the infants' breastfeeding assessment in SSC (8.76±3.63) and routine care (7.25±3.5) groups did not show significant differences (P = 0.048). Conclusion. Mother and infant's skin-to-skin contact is possible after delivering via cesarean section and does not increase the risk of hypothermia.
背景。由于婴儿有体温过低的可能性，剖宫产术后母婴皮肤接触（SSC）在足月新生儿中并不常见。本研究的目的是比较剖宫产术后母婴的体温。材料与方法。在这项随机临床试验中，90对经剖宫产分娩的母婴被随机分为皮肤接触组（n = 46）和常规护理组（n = 44）。在实验组中，进行一小时的皮肤接触，在常规组中，婴儿按照医院常规护理穿衣并放入婴儿床。两组均每隔半小时测量新生儿及其母亲的体温。数据采用描述性统计、t检验和卡方检验进行分析。结果。干预后立即进行皮肤接触的新生儿体温均值（P = 0.86）、半小时后（P = 0.31）和一小时后（P = 0.52）在两组之间未显示出统计学上的显著差异。皮肤接触组（8.76±3.63）和常规护理组（7.25±3.5）婴儿母乳喂养评估的平均得分没有显著差异（P = 0.048）。结论。剖宫产术后母婴进行皮肤接触是可行的，且不会增加体温过低的风险。
