Background <p>Immediate Kangaroo Mother Care (iKMC) after delivery and delayed cord clamping (DCC), both improve cardiorespiratory stability in newborns.</p> Methods <p>This prospective observational study included 96 moderate to late preterm (MLPT) neonates. Preductal pulse oximetry (SpO₂) and heart rate (HR) were recorded during the first 10 min after birth. Neonates who received iKMC and DCC were compared to those who did not receive iKMC.</p> Results <p>iKMC was performed in 64.6% of the infants. The iKMC group showed a non-significant trend toward higher SpO₂ levels. Mean SpO₂ was 76.06% in the iKMC group versus 70.98% in the non-iKMC group; at 420 s, it was 95.13% versus 93.77%. HR was significantly higher in the iKMC group at all time points, averaging 102.2 bpm at 120 s compared to 87.1 bpm in the non-iKMC group.</p> Conclusions <p>Combining iKMC with DCC improves hemodynamic stability and oxygenation in MLPT infants, with higher HR and earlier stabilization of SpO₂ levels.</p>

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“Impact of delayed cord clamping and immediate kangaroo mother care on oxygen saturation and heart rate in moderate and late preterm infants”

  • Nerea Valles-Murcia,
  • Marta Aguar,
  • Alejandro Pinilla-González,
  • Laura Torrejón-Rodriguez,
  • Alba Cayuela-Hernández,
  • Pilar Sáenz-González,
  • Raquel Escrig-Fernández,
  • Alba González-Timoneda,
  • Laura Collados-Gómez,
  • María Cernada,
  • Máximo Vento,
  • Álvaro Solaz-García

摘要

Background

Immediate Kangaroo Mother Care (iKMC) after delivery and delayed cord clamping (DCC), both improve cardiorespiratory stability in newborns.

Methods

This prospective observational study included 96 moderate to late preterm (MLPT) neonates. Preductal pulse oximetry (SpO₂) and heart rate (HR) were recorded during the first 10 min after birth. Neonates who received iKMC and DCC were compared to those who did not receive iKMC.

Results

iKMC was performed in 64.6% of the infants. The iKMC group showed a non-significant trend toward higher SpO₂ levels. Mean SpO₂ was 76.06% in the iKMC group versus 70.98% in the non-iKMC group; at 420 s, it was 95.13% versus 93.77%. HR was significantly higher in the iKMC group at all time points, averaging 102.2 bpm at 120 s compared to 87.1 bpm in the non-iKMC group.

Conclusions

Combining iKMC with DCC improves hemodynamic stability and oxygenation in MLPT infants, with higher HR and earlier stabilization of SpO₂ levels.