Immediate maternal thermal response to skin-to-skin care of newborn
Article first published online: 24 APR 2007
©2007 The Author(s)/Journal Compilation © 2007 Foundation Acta Pædiatrica/Acta Pædiatrica
Volume 96, Issue 5, pages 655–658, May 2007
How to Cite
Bergström, A., Okong, P. and Ransjö-Arvidson, A.-B. (2007), Immediate maternal thermal response to skin-to-skin care of newborn. Acta Paediatrica, 96: 655–658. doi: 10.1111/j.1651-2227.2007.00280.x
- Issue published online: 24 APR 2007
- Article first published online: 24 APR 2007
- Received 10 October 2006; revised 16 December 2006; accepted 14 February 2007.
- Skin-to-skin care;
Aim: To elucidate the immediate maternal thermal skin response when placing the neonate on the mothers' chest, skin-to-skin (STS).
Methods: Ugandan mothers with non-asphyxiated newborns after vaginal delivery (n = 39) were studied. Maternal skin and axillary temperatures were measured immediately before STS contact, then every 2 min for 20 min and finally 10 min after removing the neonate. Neonatal axillary/forehead temperatures were measured immediately before STS contact, and twice after initiating STS, followed by a measurement 10 min after the newborn had been removed.
Results: A rapid thermal response was demonstrated in maternal breast skin immediately after STS contact. It rose by 0.5°C (p < 0.0001) on average the first 2 min after STS contact and fell by 0.5°C 10 min after we had removed the neonate (p < 0.0001). Maternal axillary temperature also rose 2 min after initiation of STS (p < 0.0001) but stayed constant 10 min after removal of the newborn from the STS position.
Conclusion: The findings indicate that there is a rapid maternal, thermal response to the positioning of the newborn STS. The tactile contact may elicit a maternal adaptation enhancing the warming of the newborn. Possible mechanisms include maternal autonomic nerve-mediated skin vasodilatation.