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language
eng
Author
Endo, Tomohiro Department of Clinical Nursing, Shimane University Faculty of Medicine, Izumo, Shimane, Japan
Sampei, Mari Department of Clinical Nursing, Shimane University Faculty of Medicine, Izumo, Shimane, Japan School of Nursing, Fukushima Medical University, Fukushima, Japan
Description
Background
While providing various benefits, concerns about the potential risks of kangaroo mother care, or skin-to-skin contact (SSC), between mother and her preterm infant hinder its widespread implementation in some resource- rich countries. In neonates, salivary chromogranin A (s-CgA) is elevated upon exposure to stress, whereas the perfusion index (PI) is associated with hemodynamics and peripheral perfusion. Here, we investigated the effects of SSC on s-CgA and the PI in preterm infants.

Methods
Twelve infants were enrolled in the study. Factors associated with baseline s-CgA were analyzed. Baseline s-CgA and the level after SSC were compared. Secreted IgA in the saliva was compared as the control. The PI before, throughout, and after SSC were compared.

Results
Baseline s-CgA was significantly lower in infants who were supplemented with baby formula milk in addition to breast milk before SSC (n = 2) compared with those fed with their mother's breast milk alone (n = 10, P = 0.03). SSC significantly decreased s-CgA in babies who were fed breast milk only before SSC (n = 10, P = 0.01) but not in those supplemented with formula milk before SSC (n = 2). Secreted IgA in saliva was not affected by SSC. The PI was significantly elevated during SSC (P = .01).

Conclusion
Our data indicate that SSC can reduce s-CgA levels when combined with mother's breast milk and increase the PI in preterm infants, thereby providing additional evidence of the benefit of SSC.
Journal Title
Pediatrics International
Volume
63
Issue
1
Start Page
53
End Page
59
ISSN
1442-200X
Published Date
2020-06-16
DOI
Publisher
Japan Pediatric Society
NII Type
Journal Article
Format
PDF
Rights
This is the peer reviewed version which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/ped.14350. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Text Version
著者版
Gyoseki ID
40441
OAI-PMH Set
Faculty of Medicine
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