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[PMID]:28747364
[Au] Autor:Lorenz L; Marulli A; Dawson JA; Owen LS; Manley BJ; Donath SM; Davis PG; Kamlin COF
[Ad] Endereço:Newborn Research Centre and Neonatal Services, The Royal Women's Hospital, Melbourne, Australia.
[Ti] Título:Cerebral oxygenation during skin-to-skin care in preterm infants not receiving respiratory support.
[So] Source:Arch Dis Child Fetal Neonatal Ed;103(2):F137-F142, 2018 Mar.
[Is] ISSN:1468-2052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Skin-to-skin care (SSC) has proven benefits in preterm infants, but increased hypoxic and bradycardic events have been reported. This may make clinicians hesitant to recommend SSC as standard care. We hypothesised that regional cerebral oxygenation (rStO ) measured with near infrared spectroscopy is not worse during SSC compared with standard incubator care. DESIGN: Prospective, observational, non-inferiority study. SETTING: Single tertiary perinatal centre in Australia. PATIENTS: Forty preterm infants (median (IQR) 30.6 (29.1-31.7) weeks' gestation) not receiving respiratory support were studied on day 14 (8-38). INTERVENTIONS: Recordings during 90 min of incubator care, followed by 90 min of SSC. Each infant acted as their own control and caregivers were blinded to the rStO measurements. MAIN OUTCOME MEASURES: The primary outcome was the mean difference in rStO between SSC and incubator care. The prespecified margin of non-inferiority was -1.5%. Secondary outcomes included heart rate (HR), peripheral oxygen saturation (SpO ), time in quiet sleep, temperature and hypoxic (SpO <80% for >5 s) or bradycardic events (HR <80 bpm for >5 s) and time spent in cerebral hypoxia (rStO <55%) and hyperoxia (rStO >85%). RESULTS: Mean (SD) rStO was lower during SSC compared with incubator care: 73.6 (6.0)% vs 74.8 (4.6)%, mean difference (95% CI) 1.3 (2.2 to 0.4)%. HR was 5 bpm higher, SpO 1% lower and time in quiet sleep 24% longer during SSC. Little evidence of a difference was observed in temperature. The number of hypoxic or bradycardic events as well as the proportion of time spent in cerebral hypoxia and hyperoxia was very low in both periods. CONCLUSIONS: Mean rStO was marginally lower during SSC without observed differences in hypoxic or bardycardic events but an increase in time spent in quiet sleep. TRIAL REGISTRATION NUMBER: This trial is linked to Australian New Zealand Clinical Trials Registry: identifier 12616000240448. It was registered pre-results.
[Mh] Termos MeSH primário: Circulação Cerebrovascular/fisiologia
Recém-Nascido Prematuro
Método Canguru/métodos
Oxigênio/sangue
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Lactente Extremamente Prematuro
Recém-Nascido
Masculino
Oximetria
Estudos Prospectivos
Espectroscopia de Luz Próxima ao Infravermelho
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1136/archdischild-2016-312471


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Texto completo SciELO Saúde Pública
[PMID]:28453036
[Au] Autor:Melo SE; Melo OO; Suarez N
[Ad] Endereço:Universidad Nacional de Colombia, Bogotá, semelom@unal.edu.co.
[Ti] Título:[Multilevel model for global weight gain rate in the kangaroo-mother program in Bogotá].
[Ti] Título:Modelo multinivel de tasa global de ganancia de peso en el programa madre canguro en Bogotá..
[So] Source:Rev Salud Publica (Bogota);18(2):238-250, 2016 Apr.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objectives To formulate a multilevel model for the longitudinal study of global weight gain rate in the Kangaroo-Mother Care Program. Methodology A multilevel model is used, taking time and some infant and mother variables in the first level. Measures associated with the global weight gain rate are considered for the second level. Results At 5 % significance, the intercept and the parameter associated to the time (days after birth) squared variable have a significant effect on the global rate of weight gain. The slope for the time variable is significant at the 6 % level. Also, under this model, we find that the gender delay in intrauterine growth of the infant, height and perimeter do not have a significant effect on the infant's global rate of weight gain. The weight in the various controls performed is significant at the 5 % level. There are differences between the two infant's gestational classifications (1: 26 to 40 weeks; 2: greater than 40 weeks), and between the infant's weight classifications of the categories two with one, and three with one (1: 2500 gm or more; 2: between 1500 and 2499 gm; 3: less than 1500 gm). Conclusion For each additional appointment, the average weight gain rate of the infant decreases. However, the infant keeps gaining weight, but not at the same rate as in the initial appointments.
[Mh] Termos MeSH primário: Método Canguru
Ganho de Peso
[Mh] Termos MeSH secundário: Colômbia
Feminino
Seres Humanos
Recém-Nascido de Baixo Peso/crescimento & desenvolvimento
Recém-Nascido
Recém-Nascido Prematuro/crescimento & desenvolvimento
Estudos Longitudinais
Masculino
Fatores Sexuais
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28691610
[Ti] Título:Evidence suggests that kangaroo mother care improves premature infant outcomes.
[So] Source:Nurs Child Young People;29(6):21, 2017 Jul 10.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The British Association of Perinatal Medicine ( 2016 ) has reported that 60,000-70,000 infants a year require neonatal intervention in the UK, or about 10% of all babies born in England. The World Health Organization ( 2015 ) found a 0% decrease in mortality rates in neonatal units worldwide through the adoption of KMC.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Método Canguru
[Mh] Termos MeSH secundário: Seres Humanos
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170727
[Lr] Data última revisão:
170727
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.29.6.21.s24


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[PMID]:28691609
[Ti] Título:Kangaroo care for low birthweight infants.
[So] Source:Nurs Child Young People;29(6):21, 2017 Jul 10.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background Kangaroo mother care (KMC) is defined by the World Health Organization (WHO) as early, continuous and prolonged kin-to-skin contact between mother and baby.
[Mh] Termos MeSH primário: Recém-Nascido de Baixo Peso
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Recém-Nascido
Método Canguru
Mães
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.29.6.21.s23


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[PMID]:28554355
[Au] Autor:Boyd MM
[Ti] Título:Implementing Skin-to-Skin Contact for Cesarean Birth.
[So] Source:AORN J;105(6):579-592, 2017 Jun.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Early skin-to-skin (STS) contact in the OR facilitates the development of mothering behaviors, breastfeeding success, and newborn adaptation to extrauterine life. A team at my institution performed a quality improvement project to implement a standard of care for STS contact in the OR during and after cesarean birth. Thirty-seven of 50 mother-infant dyads experienced STS contact in the OR or in the postanesthesia care unit. Twenty-five mothers and newborns who experienced STS contact did so on the OR bed. The median time newborns spent engaged in STS contact with their mothers was 42 minutes and 30 seconds. Developing and using a standard of care to implement this evidence-based practice facilitated acceptance of this intervention. Obstacles that staff members encountered included maternal or neonatal instability, equipment problems, and nurse staffing issues. Staff members addressed these obstacles through creative problem-solving.
[Mh] Termos MeSH primário: Cesárea
Método Canguru/normas
Comportamento Materno
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Adaptação Fisiológica
Aleitamento Materno
Prática Clínica Baseada em Evidências
Feminino
Seres Humanos
Recém-Nascido
Relações Mãe-Filho
Salas Cirúrgicas
Assistência Perioperatória/normas
Gravidez
Tato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE


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[PMID]:28320495
[Au] Autor:Hubbard JM; Gattman KR
[Ti] Título:Parent-Infant Skin-to-Skin Contact Following Birth: History, Benefits, and Challenges.
[So] Source:Neonatal Netw;36(2):89-97, 2017 Mar 01.
[Is] ISSN:1539-2880
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is a practice with strong roots in nature and has a significant influence on health outcomes, particularly for at-risk newborns in low-resource settings. In this comprehensive review, benefits of SSC for newborns, mothers, and fathers after vaginal and cesarean births are discussed as well as the benefits of SSC observed for infants in the NICU. Barriers to SSC practice implementation are discussed, and proposed solutions and recommendations are offered. By understanding the many benefits of SSC and strategies for implementation, health care providers can best support and promote this high-quality, evidence-based practice with mothers, newborns, and their families.
[Mh] Termos MeSH primário: Método Canguru/métodos
Relações Mãe-Filho
Apego ao Objeto
Cuidado Pós-Natal/métodos
Tato/fisiologia
[Mh] Termos MeSH secundário: Aleitamento Materno/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Fenômenos Fisiológicos da Pele
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1891/0730-0832.36.2.89


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[PMID]:28284409
[Au] Autor:Angeli F
[Ad] Endereço:Pôle gynécologie-obstétrique-médecine de la reproduction-chirurgie abdomino-pelvienne, Hôpital Tenon, AP-HP, 4 Rue de la Chine, 75020 Paris, France. Electronic address: francine.angeli@aphp.fr.
[Ti] Título:[Promoting developmental care in maternity and neonatal units].
[Ti] Título:Promouvoir les soins de soutien au développement en maternité et en néonatologie..
[So] Source:Rev Infirm;66(229):41-43, 2017 Mar.
[Is] ISSN:1293-8505
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Many professionals are involved in providing holistic care for infants and their family. To this effect, the teams of Tenon maternity hospital in Paris are promoting developmental care. This approach favours the support of the parents and the wellbeing of the baby. This article reflects on the conditions of its implementation.
[Mh] Termos MeSH primário: Desenvolvimento Infantil
Serviços de Saúde Materno-Infantil
[Mh] Termos MeSH secundário: Unidades Hospitalares
Maternidades
Seres Humanos
Lactente
Recém-Nascido
Método Canguru
Comportamento Materno
Relações Mãe-Filho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170313
[St] Status:MEDLINE


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[PMID]:28231274
[Au] Autor:Kollmann M; Aldrian L; Scheuchenegger A; Mautner E; Herzog SA; Urlesberger B; Raggam RB; Lang U; Obermayer-Pietsch B; Klaritsch P
[Ad] Endereço:Division of Obstetrics and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
[Ti] Título:Early skin-to-skin contact after cesarean section: A randomized clinical pilot study.
[So] Source:PLoS One;12(2):e0168783, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Early bonding by skin-to-skin contact (SSC) has been demonstrated to be beneficial for mothers and newborns following vaginal delivery. The aim of this study was to investigate the impact of intraoperative bonding (early SSC) after cesarean section on neonatal adaptation, maternal pain and stress response. STUDY DESIGN: This prospective, randomized-controlled pilot study was performed at a single academic tertiary hospital (Department of Obstetrics and Gynecology, Medical University of Graz, Austria) between September 2013 and January 2014. Women were randomly assigned to intraoperative ("early") SCC (n = 17) versus postoperative ("late") SCC (n = 18). Main variables investigated were neonatal transition (Apgar score, arterial oxygen saturation, heart rate and temperature), maternal pain perception and both maternal and neonatal stress response by measuring the stress biomarkers salivary free cortisol and salivary alpha amylase. RESULTS: There was no evidence for differences in parameters reflecting neonatal transition or stress response between the 'Early SSC Group' and the 'Late SSC Group'. Maternal salivary cortisol and alpha-amylase levels as well as maternal wellbeing and pain did not differ between the groups. However, the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group' (p = 0.004). CONCLUSIONS: This study did not reveal significant risks for the newborn in terms of neonatal transition when early SSC is applied in the operating room. Maternal condition and stress marker levels did not differ either, although the rise of maternal salivary alpha-amylase directly after delivery was higher in the 'Early SSC Group' compared to the 'Late SSC Group', which may indicate a stressor sign due to intensive activation of the sympathetic-adreno-medullary-system. This needs to be further evaluated in a larger prospective randomized trial. TRIAL REGISTRATION: ClinicalTrials.gov NCT01894880.
[Mh] Termos MeSH primário: Cesárea
Método Canguru
[Mh] Termos MeSH secundário: Adulto
Índice de Apgar
Áustria
Temperatura Corporal
Cesárea/métodos
Feminino
Frequência Cardíaca
Seres Humanos
Hidrocortisona/análise
Recém-Nascido
Método Canguru/métodos
Relações Mãe-Filho
Percepção da Dor
Projetos Piloto
Gravidez
Estudos Prospectivos
Saliva/química
alfa-Amilases Salivares/análise
Estresse Fisiológico
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
EC 3.2.1.1 (Salivary alpha-Amylases); WI4X0X7BPJ (Hydrocortisone)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170224
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0168783


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[PMID]:28230674
[Au] Autor:Stockwell S
[Ad] Endereço:Serena Stockwell.
[Ti] Título:Benefits of Kangaroo Care for Premature Babies Continue into Young Adulthood.
[So] Source:Am J Nurs;117(3):15, 2017 Mar.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Method is now generally part of standard care.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Método Canguru
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Recém-Nascido
Unidades de Terapia Intensiva Neonatal
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170317
[Lr] Data última revisão:
170317
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170224
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000513272.38141.e3


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[PMID]:28223373
[Au] Autor:Mendelson T; Cluxton-Keller F; Vullo GC; Tandon SD; Noazin S
[Ad] Endereço:Departments of Mental Health, and tmendel1@jhu.edu.
[Ti] Título:NICU-based Interventions To Reduce Maternal Depressive and Anxiety Symptoms: A Meta-analysis.
[So] Source:Pediatrics;139(3), 2017 Mar.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Parents whose infants are being treated in the NICU are at high risk for depression and anxiety, with negative implications for parenting and infant development. OBJECTIVE: We conducted a systematic review and meta-analysis of NICU-based interventions to reduce maternal depressive or anxiety symptoms. DATA SOURCES: PubMed, Embase, PsychInfo, Cochrane, and CINAHL were searched for relevant studies. Reference lists from selected studies were reviewed. STUDY SELECTION: Inclusion criteria included randomized controlled design, a parent-focused intervention delivered in the NICU, valid maternal depressive or anxiety symptom measures at pre- and postintervention, and publication in a peer-reviewed journal in English. DATA EXTRACTION: Data extraction was conducted independently by 2 coders. RESULTS: Twelve studies met inclusion criteria for qualitative review; 2 were excluded from quantitative analyses for high risk of bias. Fixed- and random-effects models, with 7 eligible studies assessing depressive symptoms, indicated an effect of -0.16 (95% confidence interval [CI], -0.32 to -0.002; < .05) and, with 8 studies assessing anxiety symptoms, indicated an effect of -0.12 (95% CI, -0.29 to 0.05; = .17). The subset of interventions using cognitive behavioral therapy significantly reduced depressive symptoms (effect, -0.44; 95% CI, -0.77 to -0.11; = .01). LIMITATIONS: The small number and methodological shortcomings of studies limit conclusions regarding intervention effects. CONCLUSIONS: Combined intervention effects significantly reduced maternal depressive but not anxiety symptoms. The evidence is strongest for the impact of cognitive behavioral therapy interventions on maternal depressive symptoms.
[Mh] Termos MeSH primário: Ansiedade/prevenção & controle
Depressão Pós-Parto/prevenção & controle
Unidades de Terapia Intensiva Neonatal
Mães/psicologia
[Mh] Termos MeSH secundário: Terapia Cognitiva
Feminino
Seres Humanos
Recém-Nascido
Método Canguru
Fototerapia
Psicoterapia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE



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