Graduate School, Universidad CES, Universidad de La Sabana, Medellín, Colombia; Paediatrics Department, School of Medicine, Universidad de La Sabana - Clínica Universidad de La Sabana, graduate school CES University, Chía, Colombia.
Research Department, Universidad de La Sabana, Chía, Colombia.
Early Hum Dev. 2020 May;144:105020. doi: 10.1016/j.earlhumdev.2020.105020. Epub 2020 Mar 25.
Skin-to-skin contact (SCC) at birth has a positive impact on breastfeeding indicators and physiological stabilization at birth. On the other hand, globally and in Colombia, morbidity and mortality have increased in intermediate- and low-risk infants. The aim of the study was to assess the effect of immediate skin-to-skin contact, compared to separation at birth, on the risk of hospitalization of intermediate- and low-risk infants prior to discharge from the maternity ward.
A retrospective cohort study of newborn who underwent a SCC compared to habitual management was conducted. Intermediate- and low-risk neonates with spontaneous neonatal adaptation and cardiorespiratory stability at birth were included. Main outcome measure was hospital admission prior to the discharge from the maternity ward.
A total of 816 infants were included, 672 (82.3%) in the skin-to-skin contact group and 144 (17.6%) in the habitual management group. The main causes of hospital admission were jaundice and feeding/sucking related issues. Significantly lower admission to the neonatal unit was found for infants in the contact group compared to infants who did not receive skin-to-skin contact (13.8% vs. 26.4%; OR 0.46, 95% CI 0.29-0.71, p = 0.001).
Skin-to-skin contact in newborns of intermediate and low risk has protective effects on the risk of hospital admission within the first few hours of life. SSC is proposed as a prevention strategy in second-level care scenarios.
出生时的皮肤接触（SCC）对母乳喂养指标和出生时的生理稳定有积极影响。另一方面，在全球范围内和哥伦比亚，中低危婴儿的发病率和死亡率都有所增加。本研究的目的是评估与出生时分离相比，立即进行皮肤接触对中低危婴儿在离开产科病房前住院风险的影响。
对接受 SCC 的新生儿与常规管理进行了回顾性队列研究。纳入具有自发性新生儿适应和出生时心肺稳定的中低危新生儿。主要观察指标为离开产科病房前的住院情况。
共纳入 816 名婴儿，其中 672 名（82.3%）在皮肤接触组，144 名（17.6%）在常规管理组。住院的主要原因是黄疸和与喂养/吸吮相关的问题。与未接受皮肤接触的婴儿相比，接触组婴儿入住新生儿病房的比例显著降低（13.8%对 26.4%；OR 0.46，95%CI 0.29-0.71，p=0.001）。
中低危新生儿的皮肤接触对生命最初几小时内住院风险有保护作用。SSC 被提议作为二级保健情况下的预防策略。
