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Inpatient Skin-to-skin Care Predicts 12-Month Neurodevelopmental Outcomes in Very Preterm Infants.
Lazarus, Molly F; Marchman, Virginia A; Brignoni-Pérez, Edith; Dubner, Sarah; Feldman, Heidi M; Scala, Melissa; Travis, Katherine E.
Afiliación
  • Lazarus MF; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA; Department of Pediatrics, Burke-Cornell Medical Research Institute, Weill Medical College, Cornell University, New York, NY.
  • Marchman VA; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA; Department of Psychology, Stanford University, Stanford, CA.
  • Brignoni-Pérez E; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA; Department of Psychiatry, Stanford University, Stanford, CA.
  • Dubner S; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA.
  • Feldman HM; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA.
  • Scala M; Division of Neonatology, Department of Pediatrics, Stanford University, Stanford, CA.
  • Travis KE; Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, Stanford University, Stanford, CA; Department of Pediatrics, Burke-Cornell Medical Research Institute, Weill Medical College, Cornell University, New York, NY. Electronic address: ket4008@med.cornell.edu.
J Pediatr ; 274: 114190, 2024 Jul 14.
Article en En | MEDLINE | ID: mdl-39004169
ABSTRACT

OBJECTIVE:

To examine the relationship between inpatient skin-to-skin care rates and neurodevelopmental scores measured at 12 months in very preterm (VPT) infants. STUDY

DESIGN:

From a retrospective review of medical records of 181 VPT infants (<32 weeks gestational age [GA] at birth), we derived skin-to-skin care rate, ie, total minutes of skin-to-skin care each infant received over the number of days of hospital stay. We used scores on the Capute Scales from routine follow-up assessments at 12 months to measure neurodevelopmental outcomes.

RESULTS:

Families averaged approximately 17 minutes/day of skin-to-skin care (2 days/week, 70 minutes/session), although there was substantial variability. Variation in skin-to-skin rate was positively associated with outcomes at 12 months corrected age (r = 0.25, P < .001). Skin-to-skin rate significantly predicted 6.2% unique variance in 12-month neurodevelopmental outcomes, after adjusting for GA, socioeconomic status (SES), health acuity, and visitation frequency. A 20-minute increase in skin-to-skin care per day was associated with a 10-point increase (0.67 SDs) in neurodevelopmental outcomes at 12 months. GA and infant health acuity did not moderate these relations.

CONCLUSION:

VPT infants who experienced more skin-to-skin care during hospitalization demonstrated higher scores on 12-month neurodevelopmental assessments. Results provide evidence that skin-to-skin care confers extended benefits to VPT infants through the first year of life. Skin-to-skin care offers promise as a family-centered intervention designed to promote positive developmental outcomes in at-risk infants.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos