Ylva Thernström Blomqvist, Fanny Söderström, Victoria Karlsson
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引用次数: 0
摘要
目的：虽然出生后早期皮肤对皮肤护理（SSC）已被证明对极早产儿有许多好处，包括热稳定性，但对极早产儿的可行性知之甚少。我们的目的是评估我们在出生后1周启动SSC的做法，也适用于最不成熟的婴儿，那些出生在妊娠24周以下的婴儿。方法：回顾性分析瑞典乌普萨拉大学医院（Uppsala University Hospital） 5年（2015-2019）期间所有胎龄（GA）为22+0-23+6周的新生儿。结果：57例患儿中，43例患儿(GA 23+1±0.5周；出生体重520±75 g)在出生后1周内出现第一次SSC，中位（IQR）年龄为4 (3；5)天，此时大多数婴儿仍在接受机械通气（93%）和脐带导管（63%）。SSC持续时间为128±74 min。结论：在我们的实践中，出生后1周皮肤对皮肤护理是可行的，在本回顾性研究中，很少有婴儿（5%）出现过体温过低。SSC程序的进一步改进有望进一步降低低体温的风险。
Supporting Early Skin-to-Skin Care of Infants Born at 22-23 Weeks' Gestation.
Aim: While skin-to-skin care (SSC) early after birth has been demonstrated to promote many benefits in very preterm infants, including thermal stability, less is known about its feasibility in infants born extremely preterm. We aimed to evaluate our practice of initiating SSC in the 1 week of life also in the most immature infants, those born at less than 24 weeks gestation.
Methods: Retrospective chart review of all inborn infants with a gestational age (GA) of 22+0-23+6 weeks, during a 5-year period (2015-2019) at Uppsala University Hospital, Sweden.
Results: Out of 57 infants, 43 infants (GA 23+1 ± 0.5 weeks; birth weight 520 ± 75 g) had their first SSC in the 1 week of life, at a median (IQR) age of 4 (3; 5) days, when most infants were still receiving mechanical ventilation (93%) and had umbilical catheters (63%). SSC duration was 128 ± 74 min. Significant hypothermia (< 36.0°) occurred in 2/43 (5%). 72% survived.
Conclusions: In our practice, skin-to-skin care in the 1 week of life is feasible, and in this retrospective study, few infants (5%) experienced hypothermia. Further improvements in the SSC procedure could be expected to further minimise the risk of hypothermia.
期刊介绍：
Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including:
neonatal medicine
developmental medicine
adolescent medicine
child health and environment
psychosomatic pediatrics
child health in developing countries
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