{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:09:48Z","timestamp":1790719788024,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T00:00:00Z","timestamp":1668729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013880","name":"Fondazione Italiana Vascolare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013880","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation for Acute Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["(2017\u201001497)"],"award-info":[{"award-number":["(2017\u201001497)"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["(2021\u201003169)"],"award-info":[{"award-number":["(2021\u201003169)"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the impact of immediate skin\u2010to\u2010skin contact with a parent after birth on thermal regulation in very preterm infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This clinical trial was conducted in three neonatal intensive care units in Scandinavia from 2018 to 2021. Infants born between 28\u2009+\u00a00 and 32\u2009+\u00a06\u2009weeks and days of gestation were randomised to immediate skin\u2010to\u2010skin contact or conventional care in an incubator during the first 6 postnatal hours. We report on a secondary outcome: serial measurements of axillary temperature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010one infants were randomised to skin\u2010to\u2010skin contact or conventional care. Mean (range) gestational ages were 31\u2009+\u00a02 (28\u2009+\u00a06, 32\u2009+\u00a05) and 31\u2009+\u00a00 (28\u2009+\u00a04, 32\u2009+\u00a06) weeks and days, mean birth weights were 1572 (702, 2352) and 1495 (555, 2440) grams, respectively. Mean (95%CI,\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value) temperatures were within the normal range in both groups, 0.2\u00b0C (\u22120.29, \u22120.14,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001) lower in the skin\u2010to\u2010skin contact group. The skin\u2010to\u2010skin contact group had a lower relative risk (95%CI,\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value) of developing events of hyperthermia, RR\u00a0=\u00a00.70 (0.50, 0.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Very preterm infants, irrespective of clinical stability, do not develop hypothermia during immediate skin\u2010to\u2010skin contact after birth. Immediate skin\u2010to\u2010skin contact did protect against events of hyperthermia. Concerns about thermal regulation should not limit implementation of immediate skin\u2010to\u2010skin contact in high\u2010resource settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.16590","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T02:02:17Z","timestamp":1667613737000},"page":"934-941","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Immediate skin\u2010to\u2010skin contact after birth ensures stable thermoregulation in very preterm infants in high\u2010resource settings"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3240-5016","authenticated-orcid":false,"given":"Karoline","family":"Lode\u2010Kolz","sequence":"first","affiliation":[{"name":"Department of Paediatrics Stavanger University Hospital  Stavanger Norway"},{"name":"Faculty of Health Sciences University of Stavanger  Stavanger Norway"},{"name":"Department of Clinical Neurophysiology Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Hermansson","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Astrid Lindgren Children's Hospital Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2934-2771","authenticated-orcid":false,"given":"Agnes","family":"Linn\u00e9r","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Astrid Lindgren Children's Hospital Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Clinical Science Intervention and Technology at Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stina","family":"Klemming","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Astrid Lindgren Children's Hospital Karolinska University Hospital  Stockholm Sweden"},{"name":"Lund\u2010Malm\u00f6 NIDCAP Training and Research Center, Department of Neonatology Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne Brit","family":"Hetland","sequence":"additional","affiliation":[{"name":"Departement of Biostatistics Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Bergman","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siri","family":"Lilliesk\u00f6ld","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Astrid Lindgren Children's Hospital Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Women's and Children's Health, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne Markhus","family":"Pike","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Stavanger University Hospital  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3187-067X","authenticated-orcid":false,"given":"Bj\u00f6rn","family":"Westrup","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wibke","family":"Jonas","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4305-141X","authenticated-orcid":false,"given":"Siren","family":"Rettedal","sequence":"additional","affiliation":[{"name":"Department of Paediatrics 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