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

IF 1.7 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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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.