We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The effect of skin-to-skin care on cerebral oxygenation during nasogastric feeding of preterm infants.
- Authors
Marulli, A.; Kamlin, C. O. F.; Dawson, J. A.; Donath, S. M.; Davis, P. G.; Lorenz, L.; Kamlin, Cof
- Abstract
<bold>Aim: </bold>To describe cerebral oxygenation during gavage feeding of preterm infants during incubator and skin-to-skin care.<bold>Methods: </bold>Further analysis of data from two crossover studies comparing cerebral oxygenation, heart rate and oxygen saturation during skin-to-skin care with incubator care. Data were analysed in three epochs; 10 minutes prefeed, during-feed and 10 minutes postfeed. Measurements from infants fed during incubator care were compared with those obtained during skin-to-skin care.<bold>Results: </bold>In 39 infants [median (IQR) 27.8 (26.1-30.0) weeks' gestation], there was no difference in cerebral oxygenation between pre-, during- and postfeed. Heart rate increased by three beats per minute postfeed compared with during-feed. Twenty infants received two gavage feeds, one feed in the incubator and another during skin-to-skin care. There was no difference in cerebral oxygenation and heart rate; peripheral oxygen saturation decreased by 3% during feeding whilst skin-to-skin care compared with feeding in the incubator.<bold>Conclusion: </bold>Cerebral oxygenation remained stable before, during and after gavage feeding in an incubator and during skin-to-skin care. The small decrease in oxygen saturation whilst receiving gavage feeding during skin-to-skin care is unlikely to be clinically important, providing reassurance that preterm infants maintain physiological stability during skin-to-skin care.
- Subjects
AUSTRALIA; TUBE feeding; PREMATURE infants; HEART beat; PREGNANCY; SKIN care; CEREBRAL circulation; COMPARATIVE studies; CONFIDENCE intervals; CROSSOVER trials; ENTERAL feeding; INFANT incubators; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; MULTIVARIATE analysis; NEONATAL intensive care; POSTNATAL care; RESEARCH; RISK assessment; GASTRIC intubation; EVALUATION research; NEONATAL intensive care units; TREATMENT effectiveness; OXYGEN consumption
- Publication
Acta Paediatrica, 2018, Vol 107, Issue 3, p430
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1111/apa.14158