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The researcher in charge has left the affiliation.
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This study will evaluate the effect of maternal-infant skin-to-skin contact (SSC) versus routine care on general stress in preterm infants in the neonatal intensive care unit (NICU).
Primary outcome of this trial to investigate the effects daily skin-to-skin contact on cumulative stress through measures salivary cortisol. The intervention group will receive mother-infant skin-to-skin contact at least 1 continuous hour everyday from infant 3 days of life until discharge. The control group will receive routine neonatal care during hospitalization except skin-to-skin contact. The concentration of salivary cortisol and other infant and parental outcomes will be measured in both groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Skin-to-skin contact group | Experimental | Provide maternal-infant skin-to-skin contact for preterm infants in the neonatal intensive care unit. |
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| Routine care group | Other | Perform routine nursing care for preterm infants in the neonatal intensive care unit. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin-to-skin contact | Behavioral | Preterm infants will receive maternal-infant skin-to-skin contact at least 1 continuous hour everyday from infant 3 days of life until discharge, and other nursing care will be same as the routine group. During skin-to-skin contact, place naked baby only with diaper on the mother's bare chest in an upright position and tilt the baby's head to one side in a slightly extended position to keeps the airway open, cover the infant with a blanket to keep them warm. A neonatal nurse will be stay with mother and infant to observe and support. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes on the concentration of cortisol of preterm infants | At 3 days of life (baseline) and 7 days of life, the saliva sample will collected from preterm infants by a neonatal nurse. The concentration of salivary cortisol will be measured using by radioimmunoassay. | From 3 days of life (baseline) to 7 days of life |
| Measure | Description | Time Frame |
|---|---|---|
| Changes on the level of cortisol during heel lancet | At 7 days of life, saliva sample will collected from preterm infants by a neonatal nurse before and 30 mins after heel lancet. | At the preterm infants 7 days of life |
| Score of Edinburgh Postnatal Depression Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xiaojing Hu | Children's Hospital of Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Fudan University | Shanghai | Shanghai Municipality | 201102 | China |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D015775 | Fractures, Stress |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Routine care | Other | Preterm infants will receive standard nursing care provided by neonatal nurses in accordance with hospital principles during hospitalization. |
|
Mothers' depression status will be measure by Edinburgh Postnatal Depression Scale through WeChat at discharge day. The questionnaire is a self screening tool, contains 10 items, each item is scored from 0-3 according to a 4-point Likert scale , and the total score is 0-30 points. The higher the score, the more severe the depression. All the questionnaires will collect and calculate by a neonatal nurse. |
| Through study completion, an average of 40 days |
| Length of hospital stays | Duration of hospitalization will calculate from the date of admission to the date of discharge, which obtained from clinical records files. | Through study completion, an average of 40 days |
| Crying time | At 7 days of life, crying time will be recorded and calculated by a neonatal nurse during heel lancet. | At the preterm infants 7 days of life |
| D000091642 | Urogenital Diseases |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |