产后皮肤接触护理与婴儿安全：一项全州范围医院调查的结果
Post-Partum Skin-to-Skin Care and Infant Safety: Results of a State-Wide Hospital Survey.
作者信息
Tyrala Eileen, Goodstein Michael H, Batra Erich, Kelly Barbara, Bannon Judy, Bell Ted
机构信息
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
WellSpan York Hospital, York, PA, USA.
出版信息
Glob Pediatr Health. 2021 Jan 23;8:2333794X21989549. doi: 10.1177/2333794X21989549. eCollection 2021.
. Survey current experience with Skin to Skin care (SSC) in Pennsylvania Maternity Centers. . The nursing director of each Maternity Center in PA (n = 95) was sent an on-line confidential survey querying SSC practices. Responses were compared by delivery size, location, and nature of affiliation. Statistics analyzed by chi-square and student t-test. Of these 64/95 MCs (67%) responded. All allowed SSC after vaginal deliveries, 55% after C-section, 73% mother's room. Monitoring included delivery room nurse (94%) with support from other providers (61%), family members (37%), and electronic monitoring (5%). If SSC occurred in mother's room all reported family education on safe practices. 40% were aware of adverse SSC events, including falls and suffocation. About 80% educated staff about infant safety during SSC. Gaps in education and supervision during SSC were identified. Additional education and standardization of best practices are needed to reduce risks from falls and suffocation during SSC.
. 调查宾夕法尼亚州产科中心当前的皮肤接触护理（SSC）经验。. 向宾夕法尼亚州各产科中心（n = 95）的护理主任发送了一份在线保密调查问卷，询问SSC的实施情况。根据分娩规模、地点和附属性质对回复进行比较。采用卡方检验和学生t检验进行统计分析。在这95个产科中心中，有64个（67%）做出了回应。所有中心都允许在阴道分娩后进行皮肤接触护理，剖宫产术后为55%，73%的中心允许在母亲房间进行。监测包括产房护士（94%），并得到其他医护人员（61%）、家庭成员（37%）和电子监测（5%）的支持。如果在母亲房间进行皮肤接触护理，所有中心都报告对家属进行了安全操作教育。40%的中心知晓皮肤接触护理的不良事件，包括跌倒和窒息。约80%的中心对工作人员进行了皮肤接触护理期间婴儿安全方面的教育。确定了皮肤接触护理期间教育和监督方面的差距。需要进一步开展教育并规范最佳实践，以降低皮肤接触护理期间跌倒和窒息的风险。
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