A Quality Improvement Project to Increase Frequency of Skin-to-Skin Contact for Extreme Low-Birth-Weight Infants in the Neonatal Intensive Care Unit

2021 ◽  
Vol 35 (3) ◽  
pp. 247-257
Author(s):  
Helen Nation ◽  
Lauren Sanlorenzo ◽  
Kiersten Lebar ◽  
Debra Brandon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Birth Weight ◽  
Neonatal Intensive Care ◽  
Low Birth Weight Infants ◽  
Improvement Project ◽  
Skin Contact ◽  
Skin To Skin ◽  
Extreme Low Birth Weight

Mortality and Growth of Low Birth Weight Infants on the Kangaroo Mother Program in Bogota, Colombia

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 931-932
Author(s):  
Andrew Whitelaw ◽  
Knut Liestøl
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nosocomial Infection ◽  
Hospital Care ◽  
Neonatal Intensive Care ◽  
Vertical Position ◽  
Low Birth Weight Infants ◽  
Skin Contact ◽  
Skin To Skin

The kangaroo mother program was started by Drs Rey and Martinez at the Instituto Materno Infantile in Bogota, Colombia in 1978. Mortality was high among low birth weight infants when hospital care was attempted. Neonatal intensive care was virtually nonexistent, and nosocomial infection was common. The essentials of the kangaroo mother program were: (a) educating and motivating the mother as the baby's main resource; b) discharge home regardless of weight as early as possible to minimize nosocomial infection; c) exclusive breast-feeding; d) encouraging bonding and keeping the baby warm by skin-to-skin contact inside the mother's clothes; and e) vertical position between the mother's breasts to minimize reflux and aspiration.

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