dc.contributor | Vall d'Hebron Barcelona Hospital Campus |
dc.contributor.author | Rodríguez-López, Jesús |
dc.contributor.author | Cruz Bértolo, Javier de la |
dc.contributor.author | García Lara, Nadia Raquel |
dc.contributor.author | Asla Elorriaga, Izaskun |
dc.contributor.author | Román Echevarría, Lourdes |
dc.contributor.author | Vento, Máximo |
dc.contributor.author | Copons Fernandez, Cristina |
dc.date.accessioned | 2022-09-12T08:29:30Z |
dc.date.available | 2022-09-12T08:29:30Z |
dc.date.issued | 2022-05-31 |
dc.identifier.citation | Rodríguez-López J, De la Cruz Bértolo J, García-Lara NR, Asla Elorriaga I, Román Echevarría L, Vento M, et al. Maternal and Neonatal Prognostic Factors for Cardiorespiratory Events in Healthy Term Neonates During Early Skin-to-Skin Contact. Front Pediatr. 2022 May 31;10:907570. |
dc.identifier.issn | 2296-2360 |
dc.identifier.uri | https://hdl.handle.net/11351/8139 |
dc.description | Cardiorespiratory events; Prognostic factor; Pulse oximetry |
dc.description.abstract | Background: During early skin-to-skin contact (ESSC), alterations in peripheral oxygen saturation (SpO2) and heart rate (HR) have been frequently observed.
Objectives: This study aimed to determine the incidence of cardiorespiratory events (CREs) during ESSC in healthy term newborns (HTNs) and estimate the association of maternal and neonatal prognostic factors with the risk of CREs.
Methods: A pooled analysis of the cohort from a clinical trial involving healthy mother–child dyads during ESSC was performed. Pulse oximetry was employed to continuously monitor SpO2 and HR within 2 h after birth. The individual and combined prognostic relevance of the demographic and clinical characteristics of dyads for the occurrence of a CRE (SpO2 <91% or HR <111 or >180 bpm) was analyzed through logistic regression models.
Results: Of the 254 children assessed, 169 [66.5%; 95% confidence interval (95% CI), 60.5–72.5%] had at least one CRE. The characteristics that increased the risk of CRE were maternal age ≥35 years (odds ratio, 2.21; 95% CI, 1.19–4.09), primiparity (1.96; 1.03–3.72), gestational body mass index (BMI) >25 kg/m2 (1.92; 1.05–3.53), and birth time between 09:00 p.m. and 08:59 a.m. (2.47; 1.02–5.97).
Conclusion: CREs were more frequent in HTNs born during nighttime and in HTNs born to first-time mothers, mothers ≥35 years, and mothers with a gestational BMI >25 kg/m2. These predictor variables can be determined during childbirth. Identification of neonates at higher risk of developing CREs would allow for closer surveillance during ESSC. |
dc.language.iso | eng |
dc.publisher | Frontiers Media |
dc.relation.ispartofseries | Frontiers in Pediatrics;10 |
dc.rights | Attribution 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.source | Scientia |
dc.subject | Infants nadons |
dc.subject | Anoxèmia - Diagnòstic |
dc.subject | Mares i fills |
dc.subject.mesh | Infant, Newborn |
dc.subject.mesh | Hypoxia |
dc.subject.mesh | Mother-Child Relations |
dc.title | Maternal and Neonatal Prognostic Factors for Cardiorespiratory Events in Healthy Term Neonates During Early Skin-to-Skin Contact |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.3389/fped.2022.907570 |
dc.subject.decs | recién nacido |
dc.subject.decs | hipoxia |
dc.subject.decs | relaciones maternofiliales |
dc.relation.publishversion | https://doi.org/10.3389/fped.2022.907570 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.organismes | Institut Català de la Salut |
dc.contributor.authoraffiliation | [Rodríguez-López J, García-Lara NR] Department of Neonatology, Health Research Institute Imas12, 12 de Octubre University Hospital, Complutense University, Madrid, Spain. [De la Cruz Bértolo J] Health Research Institute Imas12, 12 de Octubre University Hospital, Madrid, Spain. [Asla Elorriaga I, Román Echevarría L] Neonatology Unit, Cruces University Hospital, Baracaldo, Spain. [Vento M] Division of Neonatology, Neonatal Research Group, Health Research Institute La Fe, University and Polytechnic Hospital La Fe, Valencia, Spain. [Copons Fernández C] Servei de Neonatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain |
dc.identifier.pmid | 35712622 |
dc.identifier.wos | 000810966100001 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |