SKIN TO SKIN CONTACT FOR PRETERM INFANTS & THEIR MOTHERS

母亲和早产儿之间的物理隔离 与母婴互动模式紊乱有关。 一 相对较新的干预，皮肤接触（SSC）（放置 穿着尿布的早产儿直立在母亲的乳房之间， 胸部对胸部），提供了密切的母婴接触。 SSC已 与增强与婴儿、产妇的亲密感有关 照顾早产儿的舒适度， 哺乳、呼吸暂停发生率降低和婴儿发病率降低 and mortality. 在实施SSC之前， 必须知道早产儿的身体状况。 目的 这项研究的目的是确定心肺，热，和状态 对连续3-5次以上多次SSC会话的行为影响 天稳定，持续护理早产儿谁是适当的， 妊娠和大于32周胎龄A前后测 将采用Zellen技术随机化的对照组设计， 采用 将检查SSC期间母亲的皮肤温度 因为它符合所需的中性热环境 婴儿。 SSC对摄食行为的影响将使用 安德森综合进食量表。 呼吸和体温 将在第一天和最后一天持续监测各项措施， 在三次连续互喂期间，通过生理记录仪记录SSC 3小时喂养婴儿的间隔时间（SSC前、SSC和SSC后） 时间表。 将通过脉搏血氧仪记录氧饱和度 与生理记录仪连接。 行为频率 使用安德森行为状态（尤其是安静睡眠） 在SSC前、SSC和SSC后期间，将每分钟记录一次量表。 观察员在南南合作第一天和最后一天的南南合作期间。 数据 每60秒获得的数据将被分析。 对照组和SSC婴儿 将留在他们的露天婴儿床，穿着帽子，T恤尿布， 婴儿鞋和两条毯子在继续护理托儿所为前SSC， 基线和SSC后时期。 假设心肺功能 所有受试者的体温测量值将保持在正常范围内 在治疗的第1天和最后一天的所有三个阶段， SSC婴儿将表现出显著更高的频率， 安静、规律睡眠的持续时间比C组婴儿在SSC期间长。 如果这些假设成立， 值不超过可接受的范围，则托儿所人员可以选择 采用SSC作为母婴密切接触的干预措施。

The physical separation between mother and premature infant is associated with disturbed patterns of maternal-infant interaction. A relatively new intervention, skin-to-skin contact (SSC) (placement of the diaper-clad premature infant upright between mother's breasts, chest-to-chest), provides close maternal-infant contact. SSC has been associated with enhanced feelings of closeness to the infant, maternal comfort in caring for the premature infant, longer durations of lactation, decreased incidence of apnea, and decreased infant morbidity and mortality. Before SSC can be practiced, its safety in relation to the physical status of the premature infant must be known. The purpose of this study is to determine the cardiorespiratory, thermal, and state behavior effects on multiple SSC sessions occurring over 3-5 consecutive days on stable, continuing care prematures who are appropriate for gestation and greater than 32 weeks gestational age A pretest-posttest control group design with randomization by Zellen technique will be used. The skin temperature of the mother during SSC will be examined for its compliant with the neutral thermal environment needed by the infant. The impact of SSC on feeding behavior will be assessed using the Anderson Complex Feeding Scale. Cardiorespiratory and thermal measures will be continuously monitored on the first and last days of SSC by a physiograph recorder during three consecutive interfeeding intervals (pre-SSC, SSC and post-SSC) in infants on 3-hour feeding schedules. Oxygen saturation will be recorded by a pulse oximeter interfaced with the physiograph recorder. The frequency of behavioral states (especially quiet sleep) using the Anderson Behavioral State Scale will be recorded every minute during the pre-SSC, SSC, and post- SSC periods by observers on the first and last day of SSC. The data obtained every 60 seconds will be analyzed. Control and SSC infants will remain in their open air cribs, clothed in hats, t-shirts diapers, booties and two blankets in the continuing care nursery for the pre-SSC, baseline, and post-SSC periods. Hypotheses are that cardiorespiratory and thermal measures will remain within normal limits for all subjects in all three periods on the 1st and last day of treatment and that the SSC infants will demonstrate significantly greater frequency and duration of quiet, regular sleep than C infants during the SSC period. If these hypotheses are upheld, and the cardiorespiratory and thermal values do no exceed accepted ranges, then nursery personnel may choose to adopt SSC as an intervention for close maternal-infant contact.