Larsen Joan Neergaard, Hansson Helena, Poorisrisak Porntiva, Navne Laura E, Rom Ane Lilleøre, Hegaard Hanne K, Sørensen Jette Led, Maastrup Ragnhild
Department of Neonatology, Copenhagen University Hospital -Rigshospitalet, Blegdamsvej 9, Copenhagen, 2100, Denmark.
Department of Pediatrics and Adolescent Medicine, , Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, Copenhagen, 2100, Denmark.
BMC Pregnancy Childbirth. 2025 Jul 2;25(1):692. doi: 10.1186/s12884-025-07811-w.
Mother-infant separation during postpartum care is common when either the infant or the mother requires specialized treatment, often disrupting skin-to-skin contact (SSC) and closeness for parents and infants. SSC promotes parent-infant bonding and has numerous short- and long-term benefits. However, challenges in implementation remain, especially in the highly specialized setting. We aimed to describe the frequency of obstetric and neonatal conditions in mother-infant pairs requiring postnatal care and to examine potential associations between these conditions and early SSC within six hours after birth with mother or co-parent.
This cross-sectional study included mother-infant pairs admitted to the Departments of Obstetrics and Neonatology. We collected data from medical records and questionnaires. We used descriptive statistics to analyze the frequency of conditions, and binomial generalized linear models were applied to analyze associations between selected conditions and early SSC.
We included 186 mothers with a median age of 32, of which 22.6% had chronic medical conditions, 54.8% underwent cesarean section, and 17.7% developed preeclampsia and/or HELLP. The mothers' 208 infants had a median gestational age of 33.36 weeks, 8.3% had an Apgar score of less than seven after 5 min, and 86.1% required respiratory support. Having an emergency or an elective cesarean section lowered the odds of early SSC compared to women without cesarean section (adjusted odds ratio (aOR) 0.19, 95% confidence interval (CI) 0.07; 0.46 and aOR 0.11, 95% CI 0.03; 0.36 respectively). All preterm infants had lower odds of early SSC compared to term infants, and the extremely preterm infants had the lowest odds (aOR 0.01, 95% CI: 0.00-0.04). Other neonatal conditions negatively associated with early SSC included Apgar scores less than seven after 5 min and need for respiratory support (aOR 0.15, 95% CI: 0.03-0.7 and aOR 0.07, 95% CI: 0.00-0.39).
The frequency of obstetric and neonatal conditions in mother-infant pairs is substantial, reflecting how mothers and infants often face different conditions simultaneously. We identified negative associations between cesarean section, prematurity, Apgar scores less than seven after 5 min, need for respiratory support, and the initiation of early SSC within six hours after birth.
在产后护理期间，当婴儿或母亲需要特殊治疗时，母婴分离很常见，这常常会破坏父母与婴儿之间的皮肤接触（SSC）以及亲密关系。皮肤接触促进母婴情感联结，并具有众多短期和长期益处。然而，在实施过程中仍存在挑战，尤其是在高度专业化的环境中。我们旨在描述需要产后护理的母婴对中产科和新生儿疾病的发生率，并研究这些疾病与出生后六小时内与母亲或共同父母进行早期皮肤接触之间的潜在关联。
这项横断面研究纳入了产科和新生儿科收治的母婴对。我们从病历和问卷中收集数据。我们使用描述性统计分析疾病的发生率，并应用二项式广义线性模型分析选定疾病与早期皮肤接触之间的关联。
我们纳入了186名母亲，中位年龄为32岁，其中22.6%患有慢性疾病，54.8%接受了剖宫产，17.7%发生了先兆子痫和/或HELLP综合征。这些母亲的208名婴儿中位孕周为33.36周，8.3%在5分钟后Apgar评分低于7分，86.1%需要呼吸支持。与未进行剖宫产的女性相比，进行急诊或择期剖宫产降低了早期皮肤接触的几率（调整后的优势比（aOR）分别为0.19，95%置信区间（CI）0.07；0.46和aOR 0.11，95%CI 0.03；0.36）。与足月儿相比，所有早产儿早期皮肤接触的几率都较低，极早产儿的几率最低（aOR 0.01，95%CI：0.00 - 0.04）。与早期皮肤接触呈负相关的其他新生儿疾病包括5分钟后Apgar评分低于7分以及需要呼吸支持（aOR 0.15，95%CI：0.03 - 0.7和aOR 0.07，95%CI：0.00 - 0.39）。
母婴对中产科和新生儿疾病的发生率很高，反映了母亲和婴儿常常同时面临不同状况。我们发现剖宫产、早产、5分钟后Apgar评分低于7分、需要呼吸支持与出生后六小时内开始早期皮肤接触之间存在负相关。
