ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Influence of skin to skin contact on cardiac indices and cerebral perfusion-oxygenation in severely asphyxiated infants.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo ascertain the impact of skin to skin contact (SSC) on cardiac and cerebral indices in infants with severe perinatal asphyxia. STUDY
designProspective comparison of cardiac function and cerebral perfusion-oxygenation in incubator care with SSC using echocardiography and near infrared spectroscopy (NIRS).
results13 infants formed the study cohort; gestation and birthweight were 38.6 ± 1 weeks and 3173 ± 724 g, respectively. All infants were cooled for 72 h and the study intervention was done on day 6 of life (range 4-7). Right ventricular output was higher (231 ± 60 vs 296 ± 72 ml/kg/min, P = 0.03) and pulmonary vascular resistance index was lower (3.5 ± 0.6 vs 3 ± 0.16, P = 0.01) after SSC. Middle cerebral artery resistive index trended lower (0.72 ± 0.05 vs 0.65 ± 0.1, P = 0.07). Six infants had NIRS measurement; cerebral tissue oxygenation index during SSC was significantly higher than pre-SSC (68.6 ± 6.6 vs 63.7 ± 4.7%, P = 0.03).
conclusionIn severely asphyxiated infants, 60 min of SSC confers significant haemodynamic benefits.
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