Christensson K
Department of Woman Health, Karolinska Hospital, Stockholm, Sweden.
Acta Paediatr. 1996 Nov;85(11):1354-60. doi: 10.1111/j.1651-2227.1996.tb13925.x.
The aim of the present study was to compare axillar and skin temperatures and metabolic adaptation in healthy, fullterm elective caesarean section delivered infants who were randomized to be cared-for either in (a) an incubator, (b) a cot, or (c) skin-to-skin with the father. Forty-four infants were studied. The mean axillary temperature increase was significantly greater in the skin-to-skin cared-for infants than in the cot cared-for group. There were no significant difference in mean temperature increase between skin-to-sin cared-for and incubator cared-for infants. Blood glucose increase was significant in the skin-to-skin group, but not in the other groups. The catecholamine levels at 120 min after birth were all within normal range, and there were no differences between the three groups, suggesting that none of the groups was exposed to cold stress. Interestingly, at 24 h after birth the mean axillary temperature was significantly higher in the skin-to-skin group than in the incubator group. It can be concluded that fathers can effectively achieve heat conservation in healthy fullterm caesarean section delivered infants.
本研究的目的是比较健康足月择期剖宫产出生的婴儿在以下三种护理方式下的腋窝温度、皮肤温度和代谢适应性：(a) 置于保温箱中；(b) 放在婴儿床中；(c) 与父亲进行皮肤接触护理。共对44名婴儿进行了研究。与放在婴儿床中护理的婴儿组相比，与父亲进行皮肤接触护理的婴儿腋窝温度升高幅度显著更大。与父亲进行皮肤接触护理的婴儿和置于保温箱中护理的婴儿之间，平均体温升高幅度没有显著差异。皮肤接触组的血糖升高显著，但其他组没有。出生后120分钟时，儿茶酚胺水平均在正常范围内，三组之间没有差异，这表明三组均未受到冷应激影响。有趣的是，出生后24小时，与父亲进行皮肤接触护理组的平均腋窝温度显著高于保温箱组。可以得出结论，父亲能够有效地为健康足月剖宫产出生的婴儿保存热量。
