Early skin-to-skin contact and the risk of intraventricular haemorrhage and sepsis in preterm infants.

Autor: Johansson MW; Blekinge Hospital, Karlskrona, Sweden., Lilliesköld S; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.; Neonatal Unit, Karolinska University Hospital, Stockholm, Sweden., Jonas W; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Thernström Blomqvist Y; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Skiöld B; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.; Neonatal Unit, Karolinska University Hospital, Stockholm, Sweden., Linnér A; Neonatal Unit, Karolinska University Hospital, Stockholm, Sweden.; Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Aug; Vol. 113 (8), pp. 1796-1802. Date of Electronic Publication: 2024 May 27.
DOI: 10.1111/apa.17302
Abstrakt: Aim: This study aimed to investigate the risks of intraventricular haemorrhage (IVH) or sepsis in extremely and very preterm infants exposed to early skin-to-skin contact (SSC).
Methods: Data from the Swedish Neonatal Quality Register from 2015 to 2021 were extracted to compare the proportions of infants exposed and not exposed to SSC on day 0 and/or 1 in life that developed IVH or sepsis.
Results: A total of 2514 infants, 1005 extremely preterm and 1509 very preterm, were included. This amounted to 69% of all extremely and very preterm infants born during the study period. The proportion of infants with IVH exposed and not exposed to early SSC was 11% and 27%, an adjusted odds ratio (aOR) of 0.67 (95%CI 0.52-0.86, p = 0.002). The proportion of infants with sepsis exposed and not exposed to early SSC was 16% and 30%, an aOR of 0.94 (95%CI 0.75-1.2, p = 0.60). For extremely preterm infants, the proportion with sepsis when exposed and not exposed to early SSC was 29% and 44%, an aOR of 0.65 (95%CI 0.46-0.92, p = 0.015).
Conclusion: In the current setting, the risk of IVH or sepsis is not increased when an extremely or very preterm infant is exposed to early SSC.
(© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Databáze: MEDLINE
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