「早期母子接触」実施の留意点 - jspnm.com · 1 2012年8月24日...

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  • 1

    2012 8 24

    1. NICU

    2.

    5 1 1 1.5

    3. NCPR

    4.

    5.

    6.

  • 2

    NICU

    2

    skin-to-skin

    Kangaroo

    careKangaroo mother careskin contactskin to skin contactearly skin to skin

    contactskin-to-skin(kangaroo)skin-to-skin contact on preterm infants

    NICU

    early skin-to-skin contactBirth

    Kangaroo Care

    1-4

  • 3

    2010 42 87.523

    54.8

    57 30

    -SID-ALTE

    1.1/10

    5.5/10 SID-ALTE

    2009 24

    SID-ALTE 665,126 17 2.6/10 17 7

    10 6 17 12

    1.8/10 9 2

    7

    2012 6) 37 Apgar 5

    8 12

    858,466 45 12 5.2/10

    45 24

    15 6

    24

    2012

    24 10

    2.6 5.0 7

    2010 1/4

    144 308 133 585

    65.4

    30.7

    48.2

    13.0

  • 4

    39.9

    35.51-5 41.86-10 7.815 14.9

    8 5

    10 28.515-30 27.740-60 19.790

    19.9

    74.8 28.3

    49.9 42.4

    4.2

    138,534 21 15.2/10 1

    1.5

    6

    (

    )

    1 5 Apgar 8

  • 5

    SpO290

    30

    2

    30

  • 6

    1Moore ER, Anderson GC, Bergman N. Early skin-to-skin contact for mothers and their

    healthy newborn infants Cochrane Database Sys Rev. 2007;18.

    2Bystrova K, Widstrom AM, Matthiesen AS, et al. Skin-to-skin contact may reduce

    negative consequences of the stress of being born: a study on temperature in newborn

    infants, subjected to different ward routines in St. Petersburg. Acta Paediatrica

    2003;92:3206.

    3Anderson GC, Chiu SH, Dombrowski MA, et al. Mother-newborn contact in a

    randomized trial of kangaroo (skin-to-skin) care. Journal of Obstetric, Gynecologic and

    Neonatal Nursing 2003;32:60411.

    4).

    20

    48-582010.

    5Poets A,Steinfeldt R, Poets CF et al. Sudden deaths and severe apparent life-threatening

    events in term infants within 24 hours of birth. Pediatrics. 2011;127:e869-73.

    6Becher JC, Bhushan SS, Lyon AJ. Unexpected collapse in apparently healthy newborns

    a prospective national study of a missing cohort of neonatal deaths and near-death events.

    Arch Dis Child Fetal Neonatal Ed. 2012;97:F30-4.

    7)Fleming PJUnexpected collapse of apparently healthy newborn infants: the benefits and

    potential risks of skin-to-skin contact. Arch Dis Child Fetal Neonatal Ed. 2012;97:F23.

    8).

    23.20123.

    9. . .

    2010;4:60-72.

  • 7

    30

    1 1 5 1

  • 8

    10 30 60 90 120

    60

    SpO2

    HR

    BT

    ()

    ()

  • 9

    SOAP

    1

    30

    2

    1 Apgar

    3

    4

  • 10

    1

    30

    2

    1 Apgar Apgar

    3

    4

  • 11

    3

    1

    1

    2

    4

    1

    (0829V1220130513 imic2657 doc