Effects of Skin-to-Skin Care on Late Preterm and Term Infants At-Risk for Neonatal Hypoglycemia.
Effects of Skin-to-Skin Care on Late Preterm and Term Infants At-Risk for Neonatal Hypoglycemia.
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DOI：
10.1097/pq9.0000000000000030
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发表时间：
2017-07-01
影响因子：
1.1
通讯作者：
Tolia, Veeral N
中科院分区：
文献类型：
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作者：
Chiruvolu, Arpitha;Miklis, Kimberly K;Tolia, Veeral N
目的：本研究的目的是评估在血糖监测（12-24 小时）期间延长皮肤接触护理 (SSC) 对有新生儿低血糖 (NH) 风险的晚期早产儿和足月儿的影响。 研究设计：我们进行了一项干预前和干预后的回顾性研究。我们将 SSC 干预前（2013 年 5 月 1 日至 2014 年 4 月 30 日）（SSC 前）出生的晚期早产儿和足月儿与实施 SSC 干预后一年（2014 年 5 月 1 日至 2015 年 4 月 30 日（SSC 后））出生的高危婴儿进行比较。新生儿重症监护病房中 NH 高危婴儿的比例从 SSC 前的 8.1% 显着下降到 SSC 后的 3.5%（P = 0.018）。在新生儿保育室接受静脉注射葡萄糖推注的婴儿数量也显着下降，从 5.9% 降至 2.1%（P = 0.02）。完全母乳喂养的婴儿数量从 36.4% 增加到 45.7%，尽管没有统计学意义（P = 0.074）。结论：我们医院实施的 SSC 干预措施与新生儿重症监护病房新生儿低血糖入院率显着减少有关。 SSC干预安全可行，无不良事件发生。
OBJECTIVE: The objective of this study was to evaluate the effects of prolonged skin-to-skin care (SSC) during blood glucose monitoring (12-24 hours) in late preterm and term infants at-risk for neonatal hypoglycemia (NH).STUDY DESIGN: We conducted a retrospective pre- and postintervention study. We compared late preterm and term infants at-risk for NH born in a 1-year period before the SSC intervention, May 1, 2013, to April 30, 2014 (pre-SSC) to at-risk infants born in the year following the implementation of SSC intervention, May 1, 2014, to April 30, 2015 (post-SSC).RESULTS: The number of hypoglycemia admissions to neonatal intensive care unit among at-risk infants for NH decreased significantly from 8.1% pre-SSC period to 3.5% post-SSC period (P = 0.018). The number of infants receiving intravenous dextrose bolus in the newborn nursery also decreased significantly from 5.9% to 2.1% (P = 0.02). Number of infants discharged exclusively breastfeeding increased from 36.4% to 45.7%, although not statistically significant (P = 0.074).CONCLUSION: This SSC intervention, as implemented in our hospital, was associated with a significant decrease in newborn hypoglycemia admissions to neonatal intensive care unit. The SSC intervention was safe and feasible with no adverse events.