Temperature, metabolic adaptation and crying in healthy full-term newborns cared for skin-to-skin or in a cot

Authors

  • K Christensson,

    Corresponding author
    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. 2Karolinska Hospital and International Health Care Research
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  • C Siles,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. Stockholm, Sweden and Departments of Paediatrics Hospital Doce de Octubre, Madrid, Spain
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  • L Moreno,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. Gynecology and Obstetrics Hospital Doce de Octubre, Madrid, Spain
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  • A Belaustequi,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. Stockholm, Sweden and Departments of Paediatrics Hospital Doce de Octubre, Madrid, Spain
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  • P De La Fuente,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. Gynecology and Obstetrics Hospital Doce de Octubre, Madrid, Spain
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  • H Lagercrantz,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
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  • P Puyol,

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
    2. Stockholm, Sweden and Departments of Paediatrics Hospital Doce de Octubre, Madrid, Spain
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  • J Winberg

    1. Karolinska Institute, Departments of Pediatrics Hospital Doce de Octubre, Madrid, Spain
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K Christensson, Department of Pediatrics, Karolinska Hospital, S-104 01 Stockholm, Sweden

Abstract

The aim of the present study was to compare temperatures, metabolic adaptation and crying behavior in 50 healthy, full-term, newborn infants who were randomized to be kept either skin-to-skin with the mother or next to the mother in a cot “separated”. The babies were studied during the first 90 min after birth. Axillary and skin temperatures were significantly higher in the skin-to-skin group; at 90 min after birth blood glucose was also significantly higher and the return towards zero of the negative base-excess was more rapid as compared to the “separated” group. Babies kept in cots cried significantly more than those kept skin-to-skin with the mother. Keeping the baby skin-to-skin with the mother preserves energy and accelerates metabolic adaptation and may increase the well-being of the newborn.

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