{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:05:07Z","timestamp":1791813907174,"version":"4.3.4"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T00:00:00Z","timestamp":1668729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Despite the lack of evidence, current resuscitation guidelines recommend tactile stimulation in apneic infants within the first minutes of life. The aim was to investigate whether timing, duration or intensity of tactile stimulation influences the extent of non-invasive respiratory support in extremely preterm infants during neonatal resuscitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In an observational study, we analyzed 47 video recordings and physiological parameters during postnatal transition in preterm infants below 32\n                      <jats:sup>0\/7<\/jats:sup>\n                      weeks of gestational age. Infants were divided into three groups according to the intensity of respiratory support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All infants were stimulated at least once during neonatal resuscitation regardless of their respiratory support. Only 51% got stimulated within the first minute. Rubbing the feet was the preferred stimulation method and was followed by rubbing or touching the chest. Almost all very preterm infants were exposed to stimulation and manipulation most of the time within their first 15\u2005min of life. Tactile stimulation lasted significantly longer but stimulation at multiple body areas started later in infants receiving prolonged non-invasive respiratory support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This observational study demonstrated that stimulation of very preterm infants is a commonly used and easy applicable method to stimulate spontaneous breathing during neonatal resuscitation. The concomitant physical stimulation of different body parts and therefore larger surface areas might be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2022.1041898","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T23:38:08Z","timestamp":1668728288000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Tactile stimulation in very preterm infants and their needs of non-invasive respiratory support"],"prefix":"10.3389","volume":"10","author":[{"given":"Maxi","family":"Kaufmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Seipolt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"R\u00fcdiger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Mense","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,11,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.clp.2016.07.002","article-title":"Sustained lung inflation: physiology and practice","volume":"43","author":"Foglia","year":"2016","journal-title":"Clin Perinatol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1053\/siny.2002.0129","article-title":"Mechanisms of ventilator-induced lung injury in premature infants","volume":"7","author":"Attar","year":"2002","journal-title":"Semin Neonatol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.jpeds.2020.05.039","article-title":"Mechanical ventilation duration, brainstem development, and neurodevelopment in children born preterm: a prospective cohort study","volume":"226","author":"Guillot","year":"2020","journal-title":"J Pediatr"},{"key":"B4","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.resuscitation.2021.02.014","article-title":"European resuscitation council guidelines 2021: newborn resuscitation and support of transition of infants at birth","volume":"161","author":"Madar","year":"2021","journal-title":"Resuscitation"},{"key":"B5","doi-asserted-by":"publisher","first-page":"45","DOI":"10.3389\/fped.2018.00045","article-title":"Effect of tactile stimulation on termination and prevention of apnea of prematurity: a systematic review","volume":"6","author":"Cramer","year":"2018","journal-title":"Front Pediatr"},{"key":"B6","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1111\/j.1440-1681.1995.tb01988.x","article-title":"Fetal lung liquid: a major determinant of the growth and functional development of the fetal lung","volume":"22","author":"Hooper","year":"1995","journal-title":"Clin Exp Pharmacol Physiol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/MOP.0000000000000590","article-title":"The physiology of neonatal resuscitation","volume":"30","author":"Hooper","year":"2018","journal-title":"Curr Opin Pediatr"},{"key":"B8","doi-asserted-by":"publisher","first-page":"F112","DOI":"10.1136\/archdischild-2017-312681","article-title":"Laryngeal closure impedes non-invasive ventilation at birth","volume":"103","author":"Crawshaw","year":"2018","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e2020038505E","DOI":"10.1542\/peds.2020-038505E","article-title":"Part 5: neonatal resuscitation 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care","volume":"147","author":"Aziz","year":"2021","journal-title":"Pediatrics"},{"key":"B10","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1203\/00006450-197711010-00007","article-title":"Cutaneous stimulation and generation of breathing in the fetus","volume":"11","author":"Scarpelli","year":"1977","journal-title":"Pediatr Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0034-5687(83)90098-1","article-title":"Instinctive resuscitation of the newborn rat","volume":"51","author":"Faridy","year":"1983","journal-title":"Respir Physiol"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-022-01945-9","article-title":"Tactile stimulation in the delivery room: past, present, future. 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