Evidence map›Paper›PMID 34670115›Full record

ArticleJornal de pediatria

Skin-to-skin contact and deaths in newborns weighing up to 1800 grams: a cohort study.

Marivanda J F Goudard, Zeni C Lamy, Sérgio T M Marba, Milady C V Cavalcante, Alcione M Dos Santos, Vivian M G de O Azevedo, Roberta Costa, Carolina N M Guimarães, Fernando Lamy-Filho

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In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marivanda J F GoudardUniversidade Federal do Maranhão, Departamento de Saúde Pública, São Luís, MA, Brazil.
Zeni C LamyUniversidade Federal do Maranhão, Departamento de Saúde Pública, São Luís, MA, Brazil.
Sérgio T M MarbaUniversidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Pediatria, Campinas, SP, Brazil.
Milady C V CavalcanteUniversidade Federal do Maranhão, Departamento de Saúde Pública, São Luís, MA, Brazil. Electronic address: milady.cavalcante@huufma.br.
Alcione M Dos SantosUniversidade Federal do Maranhão, Departamento de Saúde Pública, São Luís, MA, Brazil.
Vivian M G de O AzevedoUniversidade Federal de Uberlândia, Faculdade de Educação Física e Fisioterapia, Pós-graduação em Ciências da Saúde, Uberlândia, MG, Brazil.
Roberta CostaUniversidade Federal de Santa Catarina, Departamento de Enfermagem, Campus Universitário, Florianópolis, SC, Brazil.
Carolina N M GuimarãesUniversidade Federal do Maranhão, São Luís, MA, Brazil.
Fernando Lamy-FilhoUniversidade Federal do Maranhão, Departamento de Medicina III, São Luís, MA, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the association between dose of skin-to-skin contact (SSC) per day and initiation time with the occurrence of deaths in newborns with weight up to 1800g.

methodMulticentric cohort in five Brazilian neonatal units, including newborns with a birth weight of ≤1800g. The time of SSC was registered in individual file, by the team or family during the hospitalization. Maternal and newborn data were obtained through questionnaires applied to mothers and in medical records. Classification Tree was used for data analysis.

resultsThe performance of the first SSC after 206h was significantly associated with death (p = 0.02). Although there was no association between SSC/day and death (p = 0.09), the number of deaths among those who performed more than 146.9 minutes/day was lower (3;1.5%) than among those who performed this practice for a shorter time (13;6.4%), a fact considered of great clinical importance. Early and late infections present statistically significant associations with the outcome. The chance of death was equal to zero when there was no early infection in the group with the longest duration of SSC. This probability was also equal to zero in the absence of late sepsis for the group with less than 146.9 minutes/day of SSC.

conclusionsThe first SSC before 206 hours of life is recommended in order to observe a reduction in the risk of neonatal death. Staying in SSC for more than 146.9 min/day seems to be clinically beneficial for these neonates mostly when it was associated with the absence of infection.

Indexed as

Kangaroo-Mother Care MethodPerinatal DeathBirth WeightCohort StudiesFemaleHumansInfant, NewbornMothersInfant deathInfant, prematureKangaroo-mother care methodPremature birth

Identifiers

PMID34670115
PMCPMC9432175

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.