Watkins Heather C, Morgan Melissa C, Nambuya Harriet, Waiswa Peter, Lawn Joy E
Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
The Centre for Maternal, Adolescent, Reproductive, and Child Health, London School of Hygiene & Tropical Medicine, London, UK.
Acta Paediatr. 2018 Sep;107(9):1541-1547. doi: 10.1111/apa.14344. Epub 2018 Apr 19.
Kangaroo mother care (KMC) is a safe and effective method of reducing neonatal mortality in resource-limited settings, but there has been a lack of data on the duration of skin-to-skin contact (SSC) in busy, low-resource newborn units. Previous studies of intermittent KMC suggest the duration of SSC ranged from 10 minutes to 17 hours per day.
This was an observational study of newborn infants born weighing less than 2000 g, which collected quantitative data on SSC over the first week after birth. The study took place in July 2016 in the newborn unit of a low-resource facility in Uganda.
The mean daily duration of SSC over the first week after birth was three hours. This differed significantly from the World Health Organization recommendation of at least 20 hours of SSC per day. SSC was provided by mothers most of the time (73.5%), but other family members also took part, especially on the day of birth.
Our study found a disappointingly low daily duration of SSC in this Ugandan newborn unit. However, advocacy and community education of SSC may help to decrease the stigma of KMC, improve overall acceptance and reduce the age at SSC initiation.
袋鼠式护理（KMC）是一种在资源有限环境中降低新生儿死亡率的安全有效方法，但在繁忙、资源匮乏的新生儿病房中，关于皮肤接触（SSC）时长的数据一直缺乏。此前关于间歇性KMC的研究表明，SSC时长为每天10分钟至17小时不等。
这是一项针对出生体重小于2000克的新生儿的观察性研究，收集了出生后第一周内关于SSC的定量数据。该研究于2016年7月在乌干达一家资源匮乏机构的新生儿病房进行。
出生后第一周内，SSC的平均每日时长为3小时。这与世界卫生组织建议的每天至少20小时的SSC时长存在显著差异。大部分时间（73.5%）由母亲提供SSC，但其他家庭成员也会参与，尤其是在出生当天。
我们的研究发现，这家乌干达新生儿病房的SSC每日时长低得令人失望。然而，对SSC进行宣传和社区教育可能有助于减少对KMC的偏见，提高整体接受度，并降低开始进行SSC的年龄。
