Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weighing less than 1500 grams

Background: More and progressively smaller preterm infants are taken out of the incubator and placed skin to skin on their mother's chest to promote bonding, despite concerns that the infants are exposed to cold during this intervention. Objective: To test the hypothesis that skin-to-skin care...

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Bibliographic Details
Published in:The Journal of pediatrics 1997-02, Vol.130 (2), p.240-244
Main Authors: Bauer, Karl, Uhrig, Caroline, Sperling, Peter, Pasel, Katharina, Wieland, Christine, Versmold, Hans T.
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Body Temperature
Breath Tests
Calorimetry, Indirect
Cold Temperature - adverse effects
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Evaluation Studies as Topic
Humans
Incubators, Infant
Infant Care - methods
Infant, Newborn
Infant, Premature - physiology
Infant, Very Low Birth Weight - physiology
Intensive care medicine
Medical sciences
Oxygen Consumption
Rectum
Stress, Physiological - physiopathology
Time Factors
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Summary:Background: More and progressively smaller preterm infants are taken out of the incubator and placed skin to skin on their mother's chest to promote bonding, despite concerns that the infants are exposed to cold during this intervention. Objective: To test the hypothesis that skin-to-skin care is a cold stress for preterm infants weighing less than 1500 gm, with a decrease in rectal temperature, a decrease in peripheral skin temperature, or an increase in oxygen consumption compared with conditions monitored during incubator care. Study design: We studied 22 stable, spontaneously breathing preterm infants weighing less than 1500 gm (appropriate in size for gestational age), who had their first skin-to-skin care in the first week of life. We continuously measured rectal temperature, peripheral skin temperature (foot), and oxygen consumption (indirect calorimetry) for 1 hour in a thermoneutral incubator, during 1 hour of skin-to-skin care, and for another hour in the incubator. Mean values for the three periods were compared by analysis of variance. Results: During skin-to-skin care the mean rectal temperature was 0.2° C ( p
ISSN:0022-3476
1097-6833
DOI:10.1016/S0022-3476(97)70349-4