在婴儿≥36周的延迟带紧期间,仰卧或卧卧:一项随机试验
Brahim Bensouda1, Romain Mandel1, Abdelwaheb Mejri1
1Department of Pediatrics, Maisonneuve-Rosemont Hospital and University of Montreal, Montréal, Quebec, Canada.
American journal of perinatology
|September 19, 2023
概括
在延迟带紧期间出生后新生儿的定位不会影响30小时后的血红素水平. 倾斜和卧卧的位置都没有显示出婴儿血红素或大脑氧化量的显著差异.
科学领域:
- 新生儿护理 新生儿护理
- 围产期研究 围产期研究
- 产科 产科 产科 产科 产科
背景情况:
- 推延迟带紧 (DCC),但在这种实践中最佳的新生儿定位仍然未确立.
- 目前的文献缺乏关于婴儿在DCC期间出生后立即定位的指导.
研究的目的:
- 为了确定DCC期间在母亲的胸部上倾斜的位置是否会增加新生儿在30小时生命中的血红素水平,而不是躺卧的位置.
- 为了比较DCC期间倾斜和仰卧姿势之间的脑组织氧化 (CrSO2) .
主要方法:
- 一个随机的未盲目的试验包括健康的新生儿 (≥36周妊娠年龄) 通过阴道出生的头部表现.
- 婴儿被随机分配到倾斜或俯卧的位置,带紧延迟到出生后1分钟.
- 生命30小时后的血红素是主要结果;用近红外光谱作为次要结果评估大脑组织氧化率.
主要成果:
- 在躺着 (平均52%) 和倾斜 (平均53.1%) 位置之间,没有观察到30小时生命中血红素水平的统计学上显著差异.
- 30小时后脑组织氧化 (CrSO2) 水平在卧卧 (平均84.1%) 和卧卧 (平均82.2%) 组之间是可比的.
- 在生命30小时后,血红素和CrSO2水平之间没有发现相关性.
结论:
- 在延迟带紧期间,出生后立即倾斜和仰卧的位置不会影响生命30小时的血红素水平.
- 需要进一步的研究来评估定位对母乳养,母亲的满意度和超过30小时的长期结果的影响,以确定最终的建议.
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