European Journal of Pediatrics

, Volume 175, Issue 4, pp 551–555 | Cite as

Skin-to-skin contact with an umbilical venous catheter: prospective evaluation in a level 3 unit

  • Zaoui-Grattepanche Catherine
  • Pindi Béatrice
  • Lapeyre Fabrice
  • Huart Claire
  • Duhamel Alain
Original Article
First Online:
Received:
Revised:
Accepted:

Abstract

The aim was to assess the incidence of complications related to skin-to-skin contact (SSC) in newborns with an umbilical venous catheter (UVC). We carried out a prospective follow-up study of all UVCs in a level 3 unit where SSC is systematic. A total of 333 babies were included (mean gestational age of 31.3 weeks (24–41), mean birth weight of 1618 g (454–4900). Two hundred sixty-three babies (78.9 %) had SSC, at a mean postnatal age of 24 h (3–144 h). Two babies presented with a significant umbilical bleeding, all in the first 3 h, before SSC. In 17 cases of UVC leaking, this necessitated an unwanted withdrawal of the UVC; of these, 14 UVCs (82 %) were in sub-hepatic position. In five cases of UVC displacement, babies had no SSC. The overall incidence (3 % [95 % CI = 1.4–5.4]) and incidence density (6.2/1000 UVC-day [95 % CI = 3–11.4]) of catheter-associated infections are similar to those identified by the French multicenter network NEOCAT in 2012 (5 % [95 % CI = 4.1–5.9] and 11.3/1000 UVC-day [95 % CI = 9.3–13.2]).

Conclusion: In this prospective, non-randomized study in a level unit, routine practice of SSC with a UVC does not seem to influence the incidence of mechanical and infectious complications.

What is known?

• SSC is beneficial for pretem infants.

• Fear of mechanical problems and/or infections with a UVC is an obstacle to early use of SSC.

What is New:

• In this study, SSC for preterm infants with a UVC is associated with low risks of mechanical complications, and does not seem to be associated with any higher risk of catheter-related infections.

Keywords

Catheter-associated bloodstream infection Kangaroo Mother Care Skin to skin contact Umbilical venous catheter 

Abbreviations

CECLIN

Centre d’Etude Contre Les Infections Nosocomiales (Study Center Against Nosocomial Infections)

CRI

Catheter-related infections

SSC

Skin-to-skin contact

ULIN

Unité de Lutte contre Les Infections Nosocomiales (Unit for treatment of Nosocomial Infections)

UVC

Umbilical venous catheter

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Notes

Authors’ contributions

Dr. Zaoui-Grattepanche Catherine contributed in study design, data collection, writing, and literature search. Dr. Pindi Béatrice contributed in data collection (NEOCAT). Dr. Lapeyre Fabrice contributed in study design. Dr. Huart Claire contributed in data interpretation (referent for infections). Dr. Duhamel Alain contributed in statistic analysis.

Compliance with ethical standards

This study was not funded. All procedures performed in this study were in accordance with the ethical standards. In France, there is no need for an observational study to be validated by an ethics committee.

Conflict of interest

All the authors declare that they have no competing interests.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Zaoui-Grattepanche Catherine
    • 1
  • Pindi Béatrice
    • 1
  • Lapeyre Fabrice
    • 1
  • Huart Claire
    • 2
  • Duhamel Alain
    • 3
  1. 1.Service de Néonatologie, Centre HospitalierValenciennesFrance
  2. 2.Unité de Lutte contre Les Infections nosocomialesCentre HospitalierValenciennesFrance
  3. 3.Department of biostatistics EA 2694University of Lille, CHRU LilleLilleFrance

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