Birth-related fatigue in 34-36-week preterm neonates: rapid recovery with very early kangaroo (skin-to-skin) care.
Birth-related fatigue in 34-36-week preterm neonates: rapid recovery with very early kangaroo (skin-to-skin) care.
复制标题
DOI：
10.1111/j.1552-6909.1999.tb01970.x
复制
发表时间：
1999-01-01
期刊：
影响因子：
--
通讯作者：
Rey, H
中科院分区：
文献类型：
--
作者：
Ludington-Hoe, S M;Anderson, G C;Rey, H
目的：测试早产儿在出生后6小时内将皮肤对皮肤放置在母亲胸前的生理和行为反应，称为袋鼠护理(KC)，而不是让新生儿进入重症监护病房。设计：这项描述性研究采用方便抽样的方法招募出生后不久至持续6小时在产房接受持续KC的新生儿。每分钟记录心率、呼吸频率、血氧饱和度、腹部温度和行为状态。收集：数据收集在哥伦比亚热带卡利的产房和私人产房。两名新生儿在KC开始前有呼噜声。结果：体温迅速上升到中温范围。除极少数例外，心率、呼吸频率和血氧饱和度保持在正常范围内；两名新生儿的呼噜呼吸在加温湿化氧气和持续KC的情况下消失。睡眠占主导地位，新生儿在48小时内完全母乳喂养就出院了，这表明KC是一个有利于疲劳恢复的环境。结论：从产房开始给予KC是安全的，对出生时看起来健康的34-36周妊娠新生儿可能有好处。照顾袋鼠有利于产后疲劳的恢复。
OBJECTIVE: To test preterm neonates' physiologic and behavioral responses when placed skin-to-skin on their mother's chests, called kangaroo care (KC), for the first 6 hours after birth, instead of having the neonates go to an intensive care unit.DESIGN: Convenience sampling was used in this descriptive study to enroll neonates who were given continuous KC beginning soon after birth in the delivery room and continuing for 6 hours. Heart rate, respiratory rate, oxygen saturation, abdominal temperature, and behavioral state were recorded each minute.SETTING: Data were collected in the delivery room and in a private labor room in tropical Cali, Colombia.PARTICIPANTS: Six 34-36-week preterm neonates with 5-minute APGAR scores of 6 or more were enrolled. Two neonates had grunting respirations before KC was begun.RESULTS: Temperature rose rapidly to thermoneutral range. With few exceptions, heart rate, respiratory rate, and oxygen saturation remained within normal limits; grunting respirations in two neonates disappeared with warmed humidified oxygen and continuous KC. Sleep predominated, and neonates were discharged home by 48 hours being fully breastfed, suggesting that KC was an environment conducive to recovery from fatigue.CONCLUSIONS: These data suggest that KC beginning in the delivery room can be given safely and perhaps with benefit to 34-36-week gestation neonates who appear healthy at birth. Kangaroo care was conducive to recovery from birth-related fatigue.