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A controlled trial of skin-to-skin contact in extremely preterm infants.
Early Hum Dev. 2006 Jul; 82(7):447-55.EH

Abstract

BACKGROUND

Extremely preterm birth, even in the absence of significant neurological impairment, is associated with altered pain responses and impaired memory and behaviour. Preterm birth increases the risk of maternal depression and may impede the development of the mother-infant relationship, factors that in turn are also associated with impaired infant outcome. Mother-infant skin-to-skin contact has been recommended as a simple means of ameliorating these effects.

METHODS

We conducted a pragmatic, prospective, controlled, intention-to-treat trial in two neonatal intensive care units. Infants born below 32 weeks gestation were recruited within the first week after birth and assigned to a control group receiving standard care, or an intervention group in which mothers were encouraged to provide a session of skin-to-skin contact once daily for 4 weeks. We assessed infant behaviour at time of discharge from hospital, responses to immunisation at 4 and 12 months of age, and memory, behaviour and development at 1 year corrected (postmenstrual) age. Indices of maternal depression, stress, anxiety, lactation performance and infant interaction were assessed at time of infant discharge, 4 months and 1 year.

RESULTS

No significant difference was identified in any infant or maternal measure at any time point.

CONCLUSIONS

Mother-infant skin-to-skin contact after extremely preterm birth results in neither benefit nor adverse consequences. Although there is no reason to dissuade mothers who wish to provide STS contact, we are unable to recommend resource allocation for the implementation of STS programmes for extremely preterm infants in a neonatal intensive care unit setting.

Authors+Show Affiliations

Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Controlled Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16458458

Citation

Miles, Rachel, et al. "A Controlled Trial of Skin-to-skin Contact in Extremely Preterm Infants." Early Human Development, vol. 82, no. 7, 2006, pp. 447-55.
Miles R, Cowan F, Glover V, et al. A controlled trial of skin-to-skin contact in extremely preterm infants. Early Hum Dev. 2006;82(7):447-55.
Miles, R., Cowan, F., Glover, V., Stevenson, J., & Modi, N. (2006). A controlled trial of skin-to-skin contact in extremely preterm infants. Early Human Development, 82(7), 447-55.
Miles R, et al. A Controlled Trial of Skin-to-skin Contact in Extremely Preterm Infants. Early Hum Dev. 2006;82(7):447-55. PubMed PMID: 16458458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A controlled trial of skin-to-skin contact in extremely preterm infants. AU - Miles,Rachel, AU - Cowan,Frances, AU - Glover,Vivette, AU - Stevenson,Jim, AU - Modi,Neena, Y1 - 2006/02/02/ PY - 2005/05/16/received PY - 2005/11/24/revised PY - 2005/11/24/accepted PY - 2006/2/7/pubmed PY - 2006/9/6/medline PY - 2006/2/7/entrez SP - 447 EP - 55 JF - Early human development JO - Early Hum Dev VL - 82 IS - 7 N2 - BACKGROUND: Extremely preterm birth, even in the absence of significant neurological impairment, is associated with altered pain responses and impaired memory and behaviour. Preterm birth increases the risk of maternal depression and may impede the development of the mother-infant relationship, factors that in turn are also associated with impaired infant outcome. Mother-infant skin-to-skin contact has been recommended as a simple means of ameliorating these effects. METHODS: We conducted a pragmatic, prospective, controlled, intention-to-treat trial in two neonatal intensive care units. Infants born below 32 weeks gestation were recruited within the first week after birth and assigned to a control group receiving standard care, or an intervention group in which mothers were encouraged to provide a session of skin-to-skin contact once daily for 4 weeks. We assessed infant behaviour at time of discharge from hospital, responses to immunisation at 4 and 12 months of age, and memory, behaviour and development at 1 year corrected (postmenstrual) age. Indices of maternal depression, stress, anxiety, lactation performance and infant interaction were assessed at time of infant discharge, 4 months and 1 year. RESULTS: No significant difference was identified in any infant or maternal measure at any time point. CONCLUSIONS: Mother-infant skin-to-skin contact after extremely preterm birth results in neither benefit nor adverse consequences. Although there is no reason to dissuade mothers who wish to provide STS contact, we are unable to recommend resource allocation for the implementation of STS programmes for extremely preterm infants in a neonatal intensive care unit setting. SN - 0378-3782 UR - https://www.unboundmedicine.com/medline/citation/16458458/A_controlled_trial_of_skin_to_skin_contact_in_extremely_preterm_infants_ DB - PRIME DP - Unbound Medicine ER -