Sergio Agudelo1, Diana Díaz2, María José Maldonado3, Eduardo Acuña4, Daniel Mainero5, Oman Pérez6, Laura Pérez6, Carlos Molina7. 1. Graduate School, Universidad CES, Universidad de La Sabana, Medellín, Colombia; Paediatrics Department, School of Medicine, Universidad de La Sabana - Clínica Universidad de La Sabana, graduate school CES University, Chía, Colombia. Electronic address: sergioagpe@unisabana.edu.co. 2. Research Department, Universidad de La Sabana, Chía, Colombia. Electronic address: Diana.diaz1@unisabana.edu.co. 3. Paediatrics Department, Universidad de La Sabana y Clínica Universidad de La Sabana, Chía, Colombia. Electronic address: Maria.maldonado5@unisabana.edu.co. 4. Paediatrics Department, Hospital Universitario de La Samaritana - Unidad Funcional Zipaquirá, Zipaquirá, Colombia. Electronic address: zppediatria.pmc@hus.org.co. 5. School of Medicine, Universidad de La Sabana, Chía, Colombia. Electronic address: danielmama@unisabana.edu.co. 6. Paediatrics Department, Hospital Universitario de La Samaritana - Unidad Funcional Zipaquirá, Zipaquirá, Colombia. 7. Graduate School, Universidad CES, Universidad de La Sabana, Medellín, Colombia. Electronic address: cmolinac@ces.edu.co.
Abstract
BACKGROUND: Skin-to-skin contact (SCC) at birth has a positive impact on breastfeeding indicators and physiological stabilization at birth. On the other hand, globally and in Colombia, morbidity and mortality have increased in intermediate- and low-risk infants. The aim of the study was to assess the effect of immediate skin-to-skin contact, compared to separation at birth, on the risk of hospitalization of intermediate- and low-risk infants prior to discharge from the maternity ward. METHODOLOGY: A retrospective cohort study of newborn who underwent a SCC compared to habitual management was conducted. Intermediate- and low-risk neonates with spontaneous neonatal adaptation and cardiorespiratory stability at birth were included. Main outcome measure was hospital admission prior to the discharge from the maternity ward. RESULT: A total of 816 infants were included, 672 (82.3%) in the skin-to-skin contact group and 144 (17.6%) in the habitual management group. The main causes of hospital admission were jaundice and feeding/sucking related issues. Significantly lower admission to the neonatal unit was found for infants in the contact group compared to infants who did not receive skin-to-skin contact (13.8% vs. 26.4%; OR 0.46, 95% CI 0.29-0.71, p = 0.001). CONCLUSION: Skin-to-skin contact in newborns of intermediate and low risk has protective effects on the risk of hospital admission within the first few hours of life. SSC is proposed as a prevention strategy in second-level care scenarios.
BACKGROUND: Skin-to-skin contact (SCC) at birth has a positive impact on breastfeeding indicators and physiological stabilization at birth. On the other hand, globally and in Colombia, morbidity and mortality have increased in intermediate- and low-risk infants. The aim of the study was to assess the effect of immediate skin-to-skin contact, compared to separation at birth, on the risk of hospitalization of intermediate- and low-risk infants prior to discharge from the maternity ward. METHODOLOGY: A retrospective cohort study of newborn who underwent a SCC compared to habitual management was conducted. Intermediate- and low-risk neonates with spontaneous neonatal adaptation and cardiorespiratory stability at birth were included. Main outcome measure was hospital admission prior to the discharge from the maternity ward. RESULT: A total of 816 infants were included, 672 (82.3%) in the skin-to-skin contact group and 144 (17.6%) in the habitual management group. The main causes of hospital admission were jaundice and feeding/sucking related issues. Significantly lower admission to the neonatal unit was found for infants in the contact group compared to infants who did not receive skin-to-skin contact (13.8% vs. 26.4%; OR 0.46, 95% CI 0.29-0.71, p = 0.001). CONCLUSION: Skin-to-skin contact in newborns of intermediate and low risk has protective effects on the risk of hospital admission within the first few hours of life. SSC is proposed as a prevention strategy in second-level care scenarios.
Authors: Sergio I Agudelo; Oscar A Gamboa; Eduardo Acuña; Lina Aguirre; Sarah Bastidas; Jennifer Guijarro; María Jaller; María Valderrama; María Lucia Padrón; Nathalie Gualdrón; Evelyn Obando; Fabio Rodríguez; Lina Buitrago Journal: Int Breastfeed J Date: 2021-04-13 Impact factor: 3.461