A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding
A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding
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DOI：
10.1016/j.earlhumdev.2014.12.005
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发表时间：
2015-01-01
影响因子：
2.5
通讯作者：
Frostell, Anneli
中科院分区：
文献类型：
--
作者：
Morelius, Evalotte;Ortenstrand, Annika;Frostell, Anneli
目的：评估几乎连续的皮肤接触（SSC）对唾液皮质醇、父母压力、父母抑郁和母乳喂养的影响。研究设计：这是一项随机研究，参与晚期早产儿（妊娠32-35周）的家庭。唾液皮质醇的反应性进行了测量，婴儿在尿布的变化在一个月的校正年龄，并在婴儿和母亲在静止的脸在四个月的校正年龄。父母双方在一个月时完成了瑞典父母压力问卷（SPSQ），并在一个月和四个月时完成了爱丁堡产后抑郁量表（EPDS）。Ainsworth的敏感性量表被用来控制父母的sensitivity.Subjects：37个家庭从两个不同的新生儿护理单位在瑞典，随机分配到几乎连续的SSC或标准护理（SC）。结果：婴儿随机分配到SSC有一个较低的唾液皮质醇反应在一个月（p = 0.01）。在SSC组中，4个月时母亲和早产儿的唾液皮质醇水平之间存在相关性（rho = 0.65，p = 0.005），但在SC组中则没有相关性（rho = 0.14，p = 0.63）。结论：连续性SSC降低了婴儿对处理的反应性，改善了母婴唾液皮质醇水平的一致性，降低了父亲对配偶关系问题的体验。(C)2014爱思唯尔爱尔兰有限公司版权所有。
Aim: To evaluate the effects of almost continuous skin-to-skin contact (SSC) on salivary cortisol, parental stress, parental depression, and breastfeeding.Study design: This is a randomised study engaging families of late preterm infants (32-35 weeks gestation). Salivary cortisol reactivity was measured in infants during a nappy change at one month corrected age, and in infants and mothers during still-face at four month corrected age. Both parents completed the Swedish Parenthood Stress Questionnaire (SPSQ) at one month and the Edinburgh Postnatal Depression Scale (EPDS) at one and four months. Ainsworth's sensitivity scale was used to control for parental sensitivity.Subjects: Thirty-seven families from two different neonatal care units in Sweden, randomised to either almost continuous SSC or standard care (SC).Results: Infants randomised to SSC had a lower salivary cortisol reactivity at one month (p = 0.01). There was a correlation between the mothers' and the preterm infants' salivary cortisol levels at four months in the SSC group (rho = 0.65, p = 0.005), but not in the SC group (rho = 0.14, p = 0.63). Fathers in SSC scored lower on the SPSQ sub-scale spouse relationship problems compared to fathers in SC (p < 0.05).Conclusions: Almost continuous SSC decreases infants' cortisol reactivity in response to handling, improves the concordance between mothers' and infants' salivary cortisol levels, and decreases fathers' experiences of spouse relationship problems. (C) 2014 Elsevier Ireland Ltd. All rights reserved.