الفهرس 
SKIN TO SKIN CONTACT (SSC) OR KANGAROO CAREOnly 14 pages are availabe for public view
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Abstract
The transition from fetal to neonatal life and the separation between baby and his mother represent one of most important cause of stress to the infant and may has permanent harmful effects on him. When the infant attempts to cope with a stressful situation, the developing hypothalamic-pituitary-adrenal axis is activated, culminating in alterations of cortisol level. Early Skin to skin contact (SSC) between mother and her baby through multi-sensory stimulation thought to promote positive mental and emotional health in neonates decreasing the neonatal stress after birth.
Measurement of salivary cortisol has been widely used as biomarker of hypothalamic pituitary adrenal (HPA) axis activity during normal activity and in response to stress.
Aim of this study is to evaluate the effect of early SSC between mother and her neonate on the salivary cortisol as biomarker of stress.
In this study, 40 full term neonates fulfilling inclusion and exclusion criteria, in the neonatal intensive care unit of Alexandria police hospital were trailed to evaluate the effect of early SSC on the salivary cortisol level as biomarker of stress.
All the infants in this study have been subjected to detailed history taking (age, sex, order of birth, consanguinity, any prenatal maternal complications, time of crying after birth, cyanosis or any problems during resuscitation) and clinical examination. The valid cases were divided into two groups, the control group (n=20) with no initiation of skin to skin contact before the first breast feeding and the study group (n=20) with initiation of skin to skin contact before 1st feeding. Salivary cortisol samples were collected from infants after delivery room resuscitation in both groups and 1hour after first feed.