scholarly journals Using skin‐to‐skin contact for thermal control in very and extremely preterm infants must optimise heat exchange in order to maintain body temperature

2019 ◽  
Vol 109 (4) ◽  
pp. 647-648
Author(s):  
Johan Ågren
Keyword(s):  
Heat Exchange ◽  
Body Temperature ◽  
Preterm Infants ◽  
Thermal Control ◽  
Skin Contact ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin ◽  
Maintain Body Temperature

Time of initiation of skin-to-skin contact in extremely preterm infants in Sweden

2011 ◽  
Vol 101 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Evalotte Mörelius ◽  
Charlotte Angelhoff ◽  
Jennie Eriksson ◽  
Elisabeth Olhager
Keyword(s):  
Preterm Infants ◽  
Skin Contact ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin

‘Now she has become my daughter’: parents’ early experiences of skin-to-skin contact with extremely preterm infants

2017 ◽  
Vol 32 (2) ◽  
pp. 545-553 ◽  
Author(s):  
Ragnhild Maastrup ◽  
Janne Weis ◽  
Anne B. Engsig ◽  
Kirsten L. Johannsen ◽  
Vibeke Zoffmann
Keyword(s):  
Preterm Infants ◽  
Skin Contact ◽  
Early Experiences ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin

A controlled trial of skin-to-skin contact in extremely preterm infants

2006 ◽  
Vol 82 (7) ◽  
pp. 447-455 ◽  
Author(s):  
Rachel Miles ◽  
Frances Cowan ◽  
Vivette Glover ◽  
Jim Stevenson ◽  
Neena Modi
Keyword(s):  
Preterm Infants ◽  
Controlled Trial ◽  
Skin Contact ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin

scholarly journals Early Skin-to-Skin Care in Extremely Preterm Infants: Thermal Balance and Care Environment

2012 ◽  
Vol 161 (3) ◽  
pp. 422-426 ◽  
Author(s):  
Victoria Karlsson ◽  
Ann-Britt Heinemann ◽  
Gunnar Sjörs ◽  
Kerstin Hedberg Nykvist ◽  
Johan Ågren
Keyword(s):  
Preterm Infants ◽  
Skin Care ◽  
Thermal Balance ◽  
Care Environment ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin

Immediate skin‐to‐skin contact is feasible for very preterm infants but thermal control remains a challenge

2019 ◽  
Vol 109 (4) ◽  
pp. 697-704 ◽  
Author(s):  
Agnes Linnér ◽  
Stina Klemming ◽  
Bo Sundberg ◽  
Siri Lilliesköld ◽  
Björn Westrup ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Thermal Control ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Skin Contact ◽  
Skin To Skin

Increasing Early Skin-to-Skin in Extremely Low Birth Weight Infants

2021 ◽  
Vol 40 (4) ◽  
pp. 242-250
Author(s):  
Kacy L. Minot ◽  
Katelin P. Kramer ◽  
Colleen Butler ◽  
Michele Foster ◽  
Courtney Gregory ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Extremely Low Birth Weight ◽  
High Risk Population ◽  
Provider Education ◽  
Low Birth Weight Infants ◽  
Targeted Interventions ◽  
Specific Protocol ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Skin To Skin

BackgroundEarly skin-to-skin care (SSC) has been shown to improve outcomes after preterm birth, including improved clinical stability and establishment of breastfeeding. Recent evidence suggests the most unstable infants get the most benefit, yet these infants are not consistently offered opportunities for SSC because of safety concerns and discomfort of the care team.PurposeTo identify barriers and implement a multidimensional approach to increase SSC within the first 72 hours of life among infants born less than 28 weeks' gestation and less than 1,000 g in a Level IV university-based regional intensive care nursery.MethodsUsing Institute of Healthcare Improvement quality improvement methodology, a multidisciplinary team identified barriers to SSC and developed targeted interventions, including a unit-specific protocol; widespread parent, staff, and provider education; and an infant readiness checklist. The primary outcome was the rate of SSC within 72 hours. The balancing measure was the rate of severe intraventricular hemorrhage (IVH). Data were collected from monthly chart review and analyzed with statistical process control charts. The aim was to increase SSC within 72 hours of birth from 7 percent to greater than 80 percent within 12 months for infants born less than 28 weeks' gestation or less than 1,000 g.ResultsBetween June 2017 and December 2019, there were 52 extremely preterm infants included in the project (15 preintervention and 37 postintervention). The rate of SSC within the first 72 hours increased from 7 to 84 percent. There has been no increase in any or severe IVH during the project period despite the increased rate of SSC.Implications for PracticeImplementation of multidimensional, multidisciplinary interventions for reducing barriers to early SSC in extremely preterm infants resulted in rapid adoption of SSC in the first 72 hours of life without increasing severe IVH in this high-risk population.

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