Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial
Skin-to-skin contact (SSC) is one of the critical components of kangaroo mother care (KMC), which is an intervention to enhance the survival of low birth weight (LBW) and/or premature infants in low-income settings. Chest-to-chest (CC) contact has been practiced widely; however, mothers face practic...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/8873169 |
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| author | Sisay Gere Yemane Berhane Alemayehu Worku |
| author_facet | Sisay Gere Yemane Berhane Alemayehu Worku |
| author_sort | Sisay Gere |
| collection | DOAJ |
| description | Skin-to-skin contact (SSC) is one of the critical components of kangaroo mother care (KMC), which is an intervention to enhance the survival of low birth weight (LBW) and/or premature infants in low-income settings. Chest-to-chest (CC) contact has been practiced widely; however, mothers face practical challenges to continuously provide CC-SSC. Hence, we assessed the efficacy of chest-to-back (CB) SSC as an alternative to CC-SSC in regulating body temperature for LBW and/or premature babies in Ethiopia. We applied a noninferiority clinical trial among LBW and/or premature infants admitted to a referral hospital neonatal intensive care unit (NICU) in Ethiopia. The study randomized the infants into two crossover arms; arm 1 applied first CB-SSC followed by CC-SSC, and arm 2 applied first CC-SSC followed by CB-SSC. The outcome measure was a change in skin temperature. We used a linear mixed-effect model for analysis. The result showed no statistically significant difference in the mean temperature between the comparison arms. In conclusion, we found that the CB-SSC was not inferior to the CC-SSC in regulating body temperature of the babies. Thus, CB-SSC can be further investigated as an alternative to CC-SSC in the kangaroo care model in low-income settings. |
| format | Article |
| id | doaj-art-9ec4af3bb1e6447596ca90f12af7049d |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-9ec4af3bb1e6447596ca90f12af7049d2025-02-03T06:06:27ZengWileyInternational Journal of Pediatrics1687-97401687-97592021-01-01202110.1155/2021/88731698873169Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical TrialSisay Gere0Yemane Berhane1Alemayehu Worku2Department of Nursing, College of Health Sciences, Arsi University, Asella, EthiopiaDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, EthiopiaDepartment of Biostatistics, Faculty of Health, Addis Ababa University, Addis Ababa, EthiopiaSkin-to-skin contact (SSC) is one of the critical components of kangaroo mother care (KMC), which is an intervention to enhance the survival of low birth weight (LBW) and/or premature infants in low-income settings. Chest-to-chest (CC) contact has been practiced widely; however, mothers face practical challenges to continuously provide CC-SSC. Hence, we assessed the efficacy of chest-to-back (CB) SSC as an alternative to CC-SSC in regulating body temperature for LBW and/or premature babies in Ethiopia. We applied a noninferiority clinical trial among LBW and/or premature infants admitted to a referral hospital neonatal intensive care unit (NICU) in Ethiopia. The study randomized the infants into two crossover arms; arm 1 applied first CB-SSC followed by CC-SSC, and arm 2 applied first CC-SSC followed by CB-SSC. The outcome measure was a change in skin temperature. We used a linear mixed-effect model for analysis. The result showed no statistically significant difference in the mean temperature between the comparison arms. In conclusion, we found that the CB-SSC was not inferior to the CC-SSC in regulating body temperature of the babies. Thus, CB-SSC can be further investigated as an alternative to CC-SSC in the kangaroo care model in low-income settings.http://dx.doi.org/10.1155/2021/8873169 |
| spellingShingle | Sisay Gere Yemane Berhane Alemayehu Worku Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial International Journal of Pediatrics |
| title | Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial |
| title_full | Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial |
| title_fullStr | Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial |
| title_full_unstemmed | Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial |
| title_short | Chest-to-Back Skin-to-Skin Contact to Regulate Body Temperature for Low Birth Weight and/or Premature Babies: A Crossover Randomized Controlled Clinical Trial |
| title_sort | chest to back skin to skin contact to regulate body temperature for low birth weight and or premature babies a crossover randomized controlled clinical trial |
| url | http://dx.doi.org/10.1155/2021/8873169 |
| work_keys_str_mv | AT sisaygere chesttobackskintoskincontacttoregulatebodytemperatureforlowbirthweightandorprematurebabiesacrossoverrandomizedcontrolledclinicaltrial AT yemaneberhane chesttobackskintoskincontacttoregulatebodytemperatureforlowbirthweightandorprematurebabiesacrossoverrandomizedcontrolledclinicaltrial AT alemayehuworku chesttobackskintoskincontacttoregulatebodytemperatureforlowbirthweightandorprematurebabiesacrossoverrandomizedcontrolledclinicaltrial |