title: [Skin-to-skin care in the delivery room: impact of SpO2 monitoring].
abstract: BACKGROUND
  Skin-to-skin care in the delivery room increases mother-newborn bonding, reduces the newborn's stress level, and facilitates breastfeeding. However, a few reports of life-threatening events in newborn infants during skin-to-skin care have prompted suggestions that SpO2 monitoring may be of value in the delivery room. The present study compared SpO2 monitoring with standard clinical practices during skin-to-skin care in the delivery room. The midwife's opinion and the mother's anxiety level were assessed for both procedures.
  
  
  METHODS
  The midwife's opinion was measured on a Likert scale and the mother's anxiety level was measured on the State-Trait Anxiety Inventory Y-A and Y-B scales. Two procedures (standard clinical practice vs. SpO2 monitoring) were compared prospectively in two consecutive 3-month periods.
  
  
  RESULTS
  Seventy case report forms were completed for the "standard clinical practice" group and 62 were completed for the "SpO2 monitoring" group. The care procedure was considered to be satisfactory or quite satisfactory in 60 cases (96.8%) in the "SpO2 monitoring" group and in 57 cases (81.4%; P<0.05) in the "standard clinical practice" group. There was no significant difference between the groups in terms of the mean maternal anxiety level.
  
  
  CONCLUSIONS
  SpO2 monitoring during skin-to-skin care in the delivery room was well accepted by the midwife. Relative to standard clinical practice alone, SpO2 monitoring was not associated with elevated maternal anxiety levels.
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France; PériTox (EA 4285 - UMI 01 unité mixte INERIS), faculté de médecine, UPJV, 80054 Amiens, France. Electronic address: tourneux.pierre@chu-amiens.fr.
authors.forename: P
authors.initials: P
authors.lastname: Tourneux
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: E
authors.initials: E
authors.lastname: Dubruque
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: A
authors.initials: A
authors.lastname: Baumert
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France; PériTox (EA 4285 - UMI 01 unité mixte INERIS), faculté de médecine, UPJV, 80054 Amiens, France.
authors.forename: E
authors.initials: E
authors.lastname: Carpentier
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: E
authors.initials: E
authors.lastname: Caron-Lesenechal
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: L
authors.initials: L
authors.lastname: Barcat
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Elalouf
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Blanchard
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: A
authors.initials: A
authors.lastname: Boniface
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Poupart
authors.affiliation: Gynécologie-obstétrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: J
authors.initials: J
authors.lastname: Gondry
authors.affiliation: Médecine néonatale et réanimation pédiatrique, pôle femme-couple-enfant, CHU d'Amiens, 1, place Victor-Pauchet, 80054 Amiens cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Fontaine
mesh_terms: D006801:Humans; D001291:Attitude of Health Personnel; D003696:Delivery Rooms; D060127:Kangaroo-Mother Care Method; D008880:Midwifery; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000378:metabolism; D011446:Prospective Studies; D007231:Infant, Newborn
chemical_list: D010100:Oxygen