布对布接触与常规护理在足月新生儿体温调节中的效果:一项开放标签随机对照试验。

IF 1.1 4区 医学 Q2 PEDIATRICS
Dipen V Patel, Hetal P Budh, Reshma K Pujara, Somashekhar M Nimbalkar
{"title":"布对布接触与常规护理在足月新生儿体温调节中的效果:一项开放标签随机对照试验。","authors":"Dipen V Patel, Hetal P Budh, Reshma K Pujara, Somashekhar M Nimbalkar","doi":"10.1093/tropej/fmaf035","DOIUrl":null,"url":null,"abstract":"<p><p>Neonatal hypothermia is a major contributor to morbidity and mortality in low- and middle-income countries (LMICs). While effective in reducing hypothermia, implementation of skin-to-skin contact (SSC) is often hindered by its privacy concerns. This study aimed to evaluate the efficacy and feasibility of cloth-to-cloth contact (CCC) as an alternative to SSC in term newborns at postnatal ward, where the newborn is dressed and placed in the kangaroo position on the mother's chest without exposing her bare skin. In this randomized trial, stable term newborns in a postnatal ward were assigned to either conventional care (dressed, kept beside the mother) or CCC (dressed, held in kangaroo position with both mother and baby clothed). Axillary temperatures were recorded up to 48 hours of life, and mothers' experiences with CCC were assessed using a structured questionnaire. Eighty-seven neonates were enrolled (43 conventional care, 44 CCC), with 369 and 379 temperature recordings, respectively. Mean axillary temperatures were similar between groups up to 42 hours. At 48 hours, the CCC group had a significantly higher mean temperature [36.85 (0.26)°C] than the conventional care group [36.73 (0.28)° C] (P = .04). The overall incidence of hypothermia was comparable, except in winter, when it was higher in the conventional care group (35.2%) than in the CCC group (22.8%) (P = .008). Most mothers found CCC feasible and preferred it over conventional care. CCC is an effective and feasible intervention for preventing hypothermia in term newborns, especially during colder months in LMIC settings.</p>","PeriodicalId":17521,"journal":{"name":"Journal of Tropical Pediatrics","volume":"71 5","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of cloth-to-cloth contact versus conventional care in thermoregulation of term newborns: an open-label randomized controlled trial.\",\"authors\":\"Dipen V Patel, Hetal P Budh, Reshma K Pujara, Somashekhar M Nimbalkar\",\"doi\":\"10.1093/tropej/fmaf035\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Neonatal hypothermia is a major contributor to morbidity and mortality in low- and middle-income countries (LMICs). While effective in reducing hypothermia, implementation of skin-to-skin contact (SSC) is often hindered by its privacy concerns. This study aimed to evaluate the efficacy and feasibility of cloth-to-cloth contact (CCC) as an alternative to SSC in term newborns at postnatal ward, where the newborn is dressed and placed in the kangaroo position on the mother's chest without exposing her bare skin. In this randomized trial, stable term newborns in a postnatal ward were assigned to either conventional care (dressed, kept beside the mother) or CCC (dressed, held in kangaroo position with both mother and baby clothed). Axillary temperatures were recorded up to 48 hours of life, and mothers' experiences with CCC were assessed using a structured questionnaire. Eighty-seven neonates were enrolled (43 conventional care, 44 CCC), with 369 and 379 temperature recordings, respectively. Mean axillary temperatures were similar between groups up to 42 hours. At 48 hours, the CCC group had a significantly higher mean temperature [36.85 (0.26)°C] than the conventional care group [36.73 (0.28)° C] (P = .04). The overall incidence of hypothermia was comparable, except in winter, when it was higher in the conventional care group (35.2%) than in the CCC group (22.8%) (P = .008). Most mothers found CCC feasible and preferred it over conventional care. CCC is an effective and feasible intervention for preventing hypothermia in term newborns, especially during colder months in LMIC settings.</p>\",\"PeriodicalId\":17521,\"journal\":{\"name\":\"Journal of Tropical Pediatrics\",\"volume\":\"71 5\",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Tropical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/tropej/fmaf035\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Tropical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/tropej/fmaf035","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

摘要

在低收入和中等收入国家,新生儿体温过低是造成发病率和死亡率的一个主要因素。虽然可以有效降低体温,但皮肤接触(SSC)的实施往往受到隐私问题的阻碍。本研究旨在评估布对布接触(CCC)作为产后病房足月新生儿SSC替代方案的有效性和可行性,新生儿被穿好衣服,以袋鼠姿势放在母亲胸前,不暴露她裸露的皮肤。在这项随机试验中,产后病房的稳定足月新生儿被分配到传统护理(穿衣服,放在母亲身边)或CCC(穿衣服,保持袋鼠姿势,母亲和婴儿都穿衣服)。记录48小时的腋窝温度,并使用结构化问卷评估母亲患CCC的经历。87例新生儿入组(43例常规护理,44例CCC),分别记录369次和379次体温。在42小时内,两组的平均腋窝温度相似。48 h时,CCC组的平均体温[36.85(0.26)℃]明显高于常规护理组[36.73(0.28)℃](P = 0.04)。除冬季外,常规护理组的低体温发生率(35.2%)高于CCC组(22.8%)(P = 0.008)。大多数母亲认为CCC是可行的,并且比传统护理更喜欢它。CCC是预防足月新生儿体温过低的有效和可行的干预措施,特别是在低收入和中等收入国家的寒冷月份。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of cloth-to-cloth contact versus conventional care in thermoregulation of term newborns: an open-label randomized controlled trial.

Neonatal hypothermia is a major contributor to morbidity and mortality in low- and middle-income countries (LMICs). While effective in reducing hypothermia, implementation of skin-to-skin contact (SSC) is often hindered by its privacy concerns. This study aimed to evaluate the efficacy and feasibility of cloth-to-cloth contact (CCC) as an alternative to SSC in term newborns at postnatal ward, where the newborn is dressed and placed in the kangaroo position on the mother's chest without exposing her bare skin. In this randomized trial, stable term newborns in a postnatal ward were assigned to either conventional care (dressed, kept beside the mother) or CCC (dressed, held in kangaroo position with both mother and baby clothed). Axillary temperatures were recorded up to 48 hours of life, and mothers' experiences with CCC were assessed using a structured questionnaire. Eighty-seven neonates were enrolled (43 conventional care, 44 CCC), with 369 and 379 temperature recordings, respectively. Mean axillary temperatures were similar between groups up to 42 hours. At 48 hours, the CCC group had a significantly higher mean temperature [36.85 (0.26)°C] than the conventional care group [36.73 (0.28)° C] (P = .04). The overall incidence of hypothermia was comparable, except in winter, when it was higher in the conventional care group (35.2%) than in the CCC group (22.8%) (P = .008). Most mothers found CCC feasible and preferred it over conventional care. CCC is an effective and feasible intervention for preventing hypothermia in term newborns, especially during colder months in LMIC settings.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Tropical Pediatrics
Journal of Tropical Pediatrics 医学-热带医学
CiteScore
4.00
自引率
0.00%
发文量
97
审稿时长
6-12 weeks
期刊介绍: The Journal of Tropical Pediatrics provides a link between theory and practice in the field. Papers report key results of clinical and community research, and considerations of programme development. More general descriptive pieces are included when they have application to work preceeding elsewhere. The journal also presents review articles, book reviews and, occasionally, short monographs and selections of important papers delivered at relevant conferences.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信