الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Skin to skin contact is described as holding the unclothed, diapered newborn on the mother’s or caretaker’s bare chest, usually in an upright position at birth or soon afterwards. Skin to-skin contact has also been referred to as kangaroo care.(1)Kangaroo care (KC) is one way of involving both mothers and fathers in the care of their at-risk infant and helps to humanize the NICU experience. Continued research has explored the safety and benefits of KC for the preterm infant in the NICU setting.(1)Transient tachypnea of the newborn (TTN) is a self-limited disease commonly seen in neonates throughout the world and is encountered by all physicians who take care of newborn infants. Infants with transient tachypnea of the newborn present within the first few hours of life with tachypnea and other signs of respiratory distress, increased oxygen requirement, and ABGs that do not reflect carbon dioxide retention.(58)The aim of this work was to study the immediate skin to skin contact (SSC) effect on decreasing incidence of Transient Tachypnea of Newborn (TTN) among C/S delivered babies.This study included a group of 130 newborn-mother pairs with C/S delivery in Alxandria police hospital who were randomly divided into two groups; group (I) which included 65 newborn-mother pairs who practiced SSC immediately after delivery for one hour and group (II) which included 65 age matched newborn-mother pairs as a control group without doing SSC after delivery.There was no statistically significant difference between both groups regarding gestational age (p = 0.826), gender (p = 0.482), and weight (p = 0.226). Relation between SSC and Respiratory rate:Comparing both groups, there was no significant statistical difference in the mean respiratory rate between two groups at 5 minutes (p = 0.246). However, the mean respiratory rate was significantly lower in SSC group compared to the group without doing SSC at 30 minutes (p = 0.006), at 60 minutes (p = 0.001), at 2 hours (p = 0.001) and at 6 hours (p = 0.001).Moreover, compared to initial respiratory rate measured at 5 minutes SSC group showed a statistically significant decrease in mean respiratory rate at 60 minutes (p <0.001), at 2 hours (p <0.001) and at 6 hours (p <0.001) unlike non SSC group which showed significance only after 6 hours compared to initial measurement at 5 minutes (p = 0.042)Relation between SSC and Heart rate:Comparing both groups, there was no significant statistical difference in the mean heart rate between two groups neither at 5 minutes, nor after 30 minutes, nor after 60 minutes. Meanwhile, the mean heart rate was significantly lower in SSC group compared to the group without doing SSC at 2 hours (p = 0.030) and at 6 hours (p <0.001).Moreover, compared to initial heart rate measured at 5 minutes SSC group showed a statistically significant decrease in mean heart rate at 60 minutes ( p = 0.007), at 2 hours ( p <0.001) and at 6 hours (p <0.001) compared to non SSC group II which didn’t show any statistical significance