Autonomic Nervous System Changes in Term Infants during Early Skin-to-skin Contact (SSC) : Examination of SSC Effectiveness and the Influence of Meconium-stained Amniotic Fluid
Autonomic Nervous System Changes in Term Infants during Early Skin-to-skin Contact (SSC) : Examination of SSC Effectiveness and the Influence of Meconium-stained Amniotic Fluid
复制标题
足月婴儿早期皮肤接触 (SSC) 期间自主神经系统的变化：SSC 有效性检查和胎粪染色羊水的影响
DOI：
10.11441/shinshumedj.67.91
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Kanai Makoto.
中科院分区：
文献类型：
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作者：
Haga Akiko;Tokutake Chitaru;Sakaguchi Kesami;Samejima Atsuko;Yoneyama Miki;Ohira Masayoshi;Ichikawa Motoki;Kanai Makoto.
目的：为了确定早期皮肤接触（SSC）的影响和胎粪污染的羊水（MSAF）对婴儿谁满足SSC的适应症，通过检查自主神经系统和生理指标的变化，在正常阴道分娩的足月儿出生的影响：我们的研究人群包括情况下，满足适应症实施SSC。研究A包括12名接受SSC的婴儿（SSC组）和10名未接受SSC的婴儿（非SCC组），研究B包括9名患有MSAF的婴儿（SSC伴MSAF组）和12名未接受MSAF的婴儿（SSC伴明确AF组）。检测心率变异性（HRV）、心率（HR）、血氧饱和度（SpO2）、睡眠觉醒状态（出生后连续测量2小时）、呼吸频率（RR）和体温（每15分钟测量一次）。在研究A中，无论是否存在SSC，交感神经系统（SNS）活动在出生后1小时加速，但在2小时后，SSC组的SNS活性受到抑制。在SSC期间，SpO 2在> 95%的正常范围内进展，并且婴儿明显更经常处于睡眠状态。在研究B中，根据是否存在MSAF，HRV、HR、RR、体温、SpO2和睡眠状态没有差异。结论：SSC在出生后2h诱导睡眠状态并抑制SNS过度活跃，从而有效地诱导休息状态。当SSC适应症得到满足时，我们首次证明了MSAF对婴儿没有不良影响。
Aim: To determine the effects of early skin-to-skin contact (SSC) and the influence of meconium-stained amniotic fluid (MSAF) on infants who satisfied the SSC indications by examining the changes in autonomic nervous system and physiological indices in term infants born with normal vaginal delivery.Methods: Our study population included cases that satisfied indications for implementing SSC. Study A included 12 infants who underwent SSC (SSC group) and 10 who did not (non-SCC group), and Study B included 9 infants with MSAF (SSC with MSAF group) and 12 without it (SSC with clear AF group). We measured heart rate variability (HRV), heart rate (HR), oxygen saturation (SpO 2), state of sleep-wakefulness (measured continuously for 2h after birth), respiratory rate (RR), and body temperature (measured every 15 min).Results: In Study A, irrespective of the presence/absence of SSC, sympathetic nervous system (SNS) activities accelerated at 1h after birth, but after 2h, the SNS activity was suppressed in the SSC group. During SSC, SpO 2 progressed within the normal range of> 95%, and the infants were significantly more often in a state of sleep. In Study B, there was no difference in HRV, HR, RR, temperature, SpO 2, and state of sleep according to the presence/absence of MSAF.Conclusions: SSC is effective in inducing a state of rest because it induces a state of sleep and suppresses SNS hyperactivity at 2h after birth. When SSC indications are satisfied, we demonstrated, for the first time, that MSAF has no adverse effect on infants.