「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
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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.
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7
30
1 1 5 1
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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
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Women’s Health Science ウィメンズヘルス科学研究室(渡邊 …...Women’s Health Science 母子相互作用の促進を目的に、触覚 刺激の効果を自律神経活動指標と母
健全母性育成事業(思春期保健対策)admin7.aiiku.or.jp › ~doc › houkoku › h04 › h040123.pdf資料2. 健全母性育成事業(思春期保健対策) 現状と課題