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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorRodríguez-López, Jesús
dc.contributor.authorCruz Bértolo, Javier de la
dc.contributor.authorGarcía Lara, Nadia Raquel
dc.contributor.authorAsla Elorriaga, Izaskun
dc.contributor.authorRomán Echevarría, Lourdes
dc.contributor.authorVento, Máximo
dc.contributor.authorCopons Fernandez, Cristina
dc.date.accessioned2022-09-12T08:29:30Z
dc.date.available2022-09-12T08:29:30Z
dc.date.issued2022-05-31
dc.identifier.citationRodríguez-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.issn2296-2360
dc.identifier.urihttp://hdl.handle.net/11351/8139
dc.descriptionCardiorespiratory events; Prognostic factor; Pulse oximetry
dc.description.abstractBackground: 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.isoeng
dc.publisherFrontiers Media
dc.relation.ispartofseriesFrontiers in Pediatrics;10
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectInfants nadons
dc.subjectAnoxèmia - Diagnòstic
dc.subjectMares i fills
dc.subject.meshInfant, Newborn
dc.subject.meshHypoxia
dc.subject.meshMother-Child Relations
dc.titleMaternal and Neonatal Prognostic Factors for Cardiorespiratory Events in Healthy Term Neonates During Early Skin-to-Skin Contact
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3389/fped.2022.907570
dc.subject.decsrecién nacido
dc.subject.decshipoxia
dc.subject.decsrelaciones maternofiliales
dc.relation.publishversionhttps://doi.org/10.3389/fped.2022.907570
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut 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.pmid35712622
dc.identifier.wos000810966100001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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