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Effects of Skin-to-Skin Care on Late Preterm and Term Infants At-Risk for Neonatal Hypoglycemia

Arpitha Chiruvolu1, Kimberly K Miklis1, Karen C Stanzo1

  • 1Department of Women and Infants, Baylor Scott and White Medical Center McKinney and Pediatrix Medical Group, Tex.; Department of Education and Research, Baylor Scott and White Medical Center McKinney, Tex.; Department of Quantitative Sciences, Baylor Scott and White Health Care System, Dallas, Tex.; and Department of Pediatrics, Baylor University Medical Center and Pediatrix Medical Group, Tex.

Pediatric Quality & Safety
|September 20, 2018
PubMed

Insights

Prolonged skin-to-skin care (SSC) significantly reduced neonatal hypoglycemia admissions in at-risk infants. This safe and feasible intervention also decreased dextrose use, promoting better infant health outcomes.

Area of Science:

  • Neonatalogy
  • Pediatrics
  • Public Health

Background:

  • Neonatal hypoglycemia (NH) is a common concern in late preterm and term infants.
  • Effective interventions are needed to manage and prevent NH.
  • Skin-to-skin care (SSC) is a recognized method for infant care.

Purpose of the Study:

  • To evaluate the impact of prolonged skin-to-skin care (SSC) on neonatal hypoglycemia in at-risk infants.
  • To assess the safety and feasibility of implementing SSC for blood glucose monitoring.

Main Methods:

  • A retrospective pre- and postintervention study design was employed.
  • Data from at-risk infants born before (May 2013-April 2014) and after (May 2014-April 2015) SSC implementation were compared.
  • Prolonged SSC (12-24 hours) was implemented for blood glucose monitoring.

Main Results:

  • Hypoglycemia admissions to the neonatal intensive care unit (NICU) decreased significantly from 8.1% to 3.5% (P=0.018).
  • Intravenous dextrose bolus administration in the newborn nursery significantly decreased from 5.9% to 2.1% (P=0.02).
  • Exclusive breastfeeding rates increased from 36.4% to 45.7% (P=0.074).

Conclusions:

  • Prolonged skin-to-skin care significantly reduced NICU admissions for neonatal hypoglycemia.
  • The SSC intervention was demonstrated to be safe and feasible in a hospital setting.
  • SSC shows promise as an effective strategy for managing at-risk newborns.
Abstract

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