Cerebral Blood Flow Indices During Immediate Skin-to-Skin Contact in Healthy Term Neonates: A Prospective Observational Study.

IF 1.5 4区医学 Q2 PEDIATRICS Indian pediatrics Pub Date : 2025-02-15 DOI:10.1007/s13312-025-3377-3

Somashekhar M Nimbalkar, Satyender S Yadav, Dipen V Patel, Mayur K Shinde, Reshma K Pujara

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引用次数: 0

Abstract

Objective: To evaluate the effect of skin-to-skin contact (SSC) started immediately after birth on cerebral blood flow (CBF) using middle cerebral artery (MCA) Doppler and vital parameters in stable-term infants.

Methods: Clinically stable term newborns delivered through normal vaginal deliveries who only required routine care were included in this observational study through convenience sampling. Newborns with any congenital malformation or multiple gestation were excluded. Heart rate, oxygen saturation and CBF parameters of MCA [Peak systolic velocity (PSV), end diastolic velocity (EDV), mean velocity (MV), pulsatility index (PI) and resistive Index (RI)] were measured using transcranial Doppler sonography at 5, 20, 40, 60 minutes of SSC.

Results: The mean (SD) gestational age was 38.4 (0.97) weeks. The mean CBF parameters of MCA Doppler viz., PSV, EDV, MV, and RI improved significantly at 60 min of SSC contact compared to baseline values except PI. Similarly, the physiological parameters viz; temperature, heart rate, and SPO2 showed significant improvement at 60 min of SSC care from baseline.

Conclusion: SSC improves cerebral hemodynamics in hemodynamically stable term neonates.

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健康足月新生儿直接皮肤接触时的脑血流指数：一项前瞻性观察研究

目的：应用大脑中动脉（MCA）多普勒和生命参数评价出生后立即开始皮肤接触（SSC）对稳定足月婴儿脑血流量（CBF）的影响。方法：采用方便抽样的方法，将经正常阴道分娩、仅需要常规护理的临床稳定足月新生儿纳入本观察性研究。排除任何先天性畸形或多胎妊娠的新生儿。分别于SSC 5、20、40、60分钟采用经颅多普勒超声测量MCA的心率、血氧饱和度和CBF参数[收缩期峰值速度（PSV）、舒张末期速度（EDV）、平均速度（MV）、脉搏指数（PI）和阻力指数（RI）]。结果：平均（SD）胎龄为38.4（0.97）周。除PI外，与基线值相比，在SSC接触60 min时，MCA多普勒viz、PSV、EDV、MV和RI的平均CBF参数显著改善。同样，生理参数，即；在SSC治疗60分钟后，体温、心率和SPO2较基线有显著改善。结论：SSC可改善血流动力学稳定足月新生儿的脑血流动力学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.