Skin to Skin - Guideline

[ali]

Good morning 99ers,

I am in discussion with my nursing colleagues over the seemingly ad hoc approach to getting our extreme premmies out for S2S (particularly early on when ventilated/lines/temp instability etc), and whether a more formalised guideline may help (worked for feeding, hasn’t it?). Grateful for thoughts/opinions.

Regards

Al

[trish]

Hi Al,

I came across this article only just this morning. 

It is an interesting read on the subject.

I also love this YouTube from the March of Dimes Taking the Evidence Based Case for Kangaroo Care into the Clinical Setting

Cheers Trish

2018_Lim_Neonatal nurses perceptions of supportive factors and barriers to the implementation of skin-to-skin care in ELBW.pdf

[ali]

Many thanks Trish

Al

[trish]

You are welcome. I hope you find some nice resources to develop a S2S guideline. 

Many NICUs have guidelines, it might be worth emailing some to see if it would be possible to share. Or perhaps go to the professional body. I see you are from UK, contact the Neonatal Nurses Association http://www.nna.org.uk/ 

Cheers Trish

[vvegamontes1]

maybe help a little

volume10_issue05. News Perspectives of Kangaroo Care.pdf

blomqvist2010.pdf

carbasse2013.pdf

[ali]

Excellent reading.

Many thanks vvegamontes1 😊

 

[AntoineBachy]

Excellent topic again! A lot to discuss about.

 

In the same vein, do you have skin-to-skin experiences when your mom is in ICU? that she is in a state of coma?

We do practice skin to skin but adult intensivists are not very sensitive to these practices and are anxious about the risk of infection (multiresistant bugs).

Do you have knowledge of any articles in this regard?

 

Many thanks in advance for your comments, thoughts and opinions.

[Stefan Johansson]

@AntoineBachy We try to get over to the adult ICU if the mother is there, given that the infant is on CPAP (or less support). Am not aware of papers on multiresistance bugs but I guess that the "local barrier infection control" would work. We have no special hygien/infection control guidelines for these little trips to the adult ICU (but we follow our strict guidelines - hand hygiene, cleaning of equipment etc)

We have debated sometimes for who's benefit we do what with skin-to-skin, but personally I am a strong believer that skin-to-skin shall be practised in most conditions   At least the infant would still get the same calming experience and even if the mother is heavily sedated, maybe she also experience something positive.

[Stefan Johansson]

I got this email with more input from Susan Ludington:

Quote

 

The United States Institute for Kangaroo Care is producing the micropreemie Clinical Guidelines report for the national association of neonatal nurses in USA.  and Yes, we have many reports of using KC to help a mother in ICU after Postpartum hemorrhage avoid death. We have had no problems with infection and have had newborns visiting and staying for 8 hours per day with mom in ICU for up to 24 days without any problems. 

Please contact Susan.ludington@case.edu, director of the United States Institute for Kangaroo Care and I can lead you to some resources.

Everyone working with KC or micropreemies should be in touch with Diane Schultz in Winnipeg, Canada who has developed a new "sandwich" transfer method for micropreemies and we will all be presenting results at the International Network of Kangaroo Mother Care meeting in Bogota Colombia Nove. 14-17, 2018.