Katrin Mehler1, Eva Hucklenbruch-Rother2, Patricia Trautmann-Villalba3, Ingrid Becker4, Bernhard Roth1, Angela Kribs1. 1. Division of Neonatology, Children's Hospital, University of Cologne, Cologne, Germany. 2. Research group of Metabolism and Perinatal Programming, Children's Hospital, University of Cologne, Cologne, Germany. 3. Institute for Peripartal Interventions, Frankfurt, Germany. 4. Institute of Medical Statistics, Informatics, and Epidemiology, University of Cologne, Cologne, Germany.
Abstract
AIM: To investigate the effects of 60 minutes delivery room skin-to-skin contact (DR-SSC) compared with 5 minutes visual contact (VC) on mother-child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age. METHODS: A single-centre randomized controlled trial conducted in a German level III NICU. Eighty-eight preterm infants (25-32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR-SSC or 5 minutes VC. Forty-five infants were allocated to DR-SSC, 43 to VC. RESULTS:Delivery room skin-to-skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR-SSC dyads. DR-SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031). CONCLUSION: In addition to regular intermittent kangaroo mother care, DR-SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR-SSC may have positive effects on preterm development.
RCT Entities:
AIM: To investigate the effects of 60 minutes delivery room skin-to-skin contact (DR-SSC) compared with 5 minutes visual contact (VC) on mother-child interaction (MCI), salivary cortisol, maternal depression, stress and bonding at 6 months corrected age. METHODS: A single-centre randomized controlled trial conducted in a German level III NICU. Eighty-eight preterm infants (25-32 weeks of gestational age) were randomized after initial stabilization to either 60 minutes DR-SSC or 5 minutes VC. Forty-five infants were allocated to DR-SSC, 43 to VC. RESULTS: Delivery room skin-to-skin contact dyads showed a higher quantity of maternal motoric (18 vs 15, P = .030), infant's vocal (7 vs 5, P = .044) and motoric (20 vs 15, P = .032) responses. Moreover, the combined score of maternal and infant responsive behaviour was higher (86 vs 71, P = .041) in DR-SSC dyads. DR-SSC mothers had lower risk of both, early postpartum depression (15% vs 45%, P = .003) and impaired bonding (Score 3 vs 5, P = .031). CONCLUSION: In addition to regular intermittent kangaroo mother care, DR-SSC promotes MCI and decreases risk of maternal depression and bonding problems. Thus, DR-SSC may have positive effects on preterm development.
Authors: Liisa Lehtonen; Siri Lilliesköld; Kris De Coen; Liis Toome; Ana Gimeno; Sylvia Caballero; Rasa Tameliene; Sabine Laroche; Jana Retpap; Hege Grundt; Marie-Rose Van Hoestenberghe; Caryl Skene; Bernd Pape; Anna Axelin Journal: Front Psychol Date: 2022-07-22
Authors: Alexander James Cleator; Emma Coombe; Vasiliki Alexopoulou; Laura Levingston; Kathryn Evans; Jonathan Christopher Hurst; Charles William Yoxall Journal: Children (Basel) Date: 2022-01-05