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  • Title: [How do mothers experience skin contact with their very immature (gestational age 27-30 weeks), only days old premature infants?].
    Author: Bauer K, Uhrig C, Versmold H.
    Journal: Z Geburtshilfe Neonatol; 1999; 203(6):250-4. PubMed ID: 10612198.
    Abstract:
    BACKGROUND: Mothers are offered skin-to-skin contact with their preterm infants with the intention to promote bonding. But it is not known if the mother of a very immature fragile infant perceives skin-to-skin contact as a helpful intervention or a stressful situation. PATIENTS AND METHODS: Mothers of singleton preterm infants (gestational age 27-30 weeks) began skin-to-skin contact as soon as the infant was breathing spontaneously. They prospectively documented frequency and duration of skin-to-skin contact, they rated their anxiety or confidence and their attachment to the infant and described their observations of the infant daily for 14 days in a semi-structured questionnaire. RESULTS: 17 of 25 mother-infant-pairs in the observation period fulfilled the entry criteria, 14 questionnaires about 196 skin-to-skin periods could be analyzed (median gestational age 27.5 weeks (27-30), median birth weight 1130 g (695-1300). Skin-to-skin contact began at a median age of 3 days [2-7]. The median duration of the skin-to-skin periods was increased at maternal request from 60 to 120 minutes between day 1 and 14 (p = 0.004). Even then 21% of the mothers wanted a still longer duration of skin-to-skin contact. Mothers reported anxiety only 5 times. 82% of the mothers reported positive own feelings during skin-to-skin contact and 78% felt that skin-to-skin contact increased their attachment to their infant. CONCLUSION: The mothers studied perceived skin-to-skin contact with their very immature infants as a positive and helpful intervention. Skin-to-skin contact took place regularly and for increasing periods of time.
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