Maternal singing for preterm infants during kangaroo care comforts both the mother and baby

2014 ◽  
Vol 103 (10) ◽  
pp. 995-996 ◽  
Author(s):  
Ulrika Ådén
Keyword(s):  
Preterm Infants ◽  
Kangaroo Care

scholarly journals What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Coutts ◽  
Alix Woldring ◽  
Ann Pederson ◽  
Julie De Salaberry ◽  
Horacio Osiovich ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Provider ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Healthcare Providers ◽  
Neurodevelopmental Outcomes ◽  
Kangaroo Care ◽  
Optimal Care ◽  
Barriers And Enablers ◽  
Provider Beliefs

Abstract Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers’ perspectives on the barriers and enablers of implementing KC. Methods This qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods. Results Four overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC. Conclusions A ‘one size fits all’ approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.

scholarly journals Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care

2012 ◽  
Vol 20 (3) ◽  
pp. 435-443 ◽  
Author(s):  
Thaíla Corrêa Castral ◽  
Fay Fathalee Warnock ◽  
Laiane Medeiros Ribeiro ◽  
Maria Gorete Lucena de Vasconcelos ◽  
Adriana Moraes Leite ◽  
...  
Keyword(s):  
Heart Rate ◽  
Preterm Infants ◽  
Salivary Cortisol ◽  
Mental Condition ◽  
Bivariate Analysis ◽  
Maternal Factors ◽  
Kangaroo Care ◽  
Explanatory Variables ◽  
Neonatal Response ◽  
Cortisol Levels

The relationship between maternal factors and the response of preterm infants to pain and stress experienced during heel puncture while in maternal kangaroo care was investigated. This descriptive study included 42 mothers and their preterm infants cared for in a neonatal unit. Data were collected in the baseline, procedure, and recovery phases. We measured the neonates' facial actions, sleep and wake states, crying, salivary cortisol levels, and heart rate, in addition to the mothers' behavior, salivary cortisol levels, and mental condition. The influence of the maternal explanatory variables on the neonatal response variables were verified through bivariate analysis, ANOVA, and multiple regression. The mothers' behavior and depression and/or anxiety did not affect the neonates' responses to pain and stress, though the mothers' levels of salivary cortisol before the procedure explained the variance in the neonates' levels of salivary cortisol after the procedure (p=0.036). Additionally, the mothers' baseline levels of salivary cortisol along with the neonates' age explained the variance in the neonates' heart rate (p=0.001). The ability of mothers to regulate their own stress contributed to the infants' responses to pain and stress.

scholarly journals Effects of Kangaroo Mother Care in the NICU on the Physiological Stress Parameters of Premature Infants: A Meta-Analysis of RCTs

2022 ◽  
Vol 19 (1) ◽  
pp. 583
Author(s):  
Delia Cristóbal Cañadas ◽  
Antonio Bonillo Perales ◽  
Rafael Galera Martínez ◽  
María del Pilar Casado-Belmonte ◽  
Tesifón Parrón Carreño
Keyword(s):  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Physiological Stress ◽  
Meta Analysis ◽  
Kangaroo Mother Care ◽  
Controlled Trials ◽  
Kangaroo Care ◽  
Incubator Care ◽  
Stress Parameters

Objective: The aim of this study was to analyze the randomised controlled trials that explored the effect of kangaroo mother care on physiological stress parameters of premature infants. Methods: Two independent researchers performed a systematic review of indexed studies in PubMed, Embase, CINAHL, Cochrane and Scopus. We included data from randomized controlled trials measuring the effects of kangaroo care compared to standard incubator care on physiological stress outcomes, defined as oxygen saturation, body temperature, heart rate and respiratory rate. The PRISMA model was used to conduct data extraction. We performed a narrative synthesis of all studies and a meta-analysis when data were available from multiple studies that compared the same physiological parameters with the kangaroo method as an intervention and controls and used the same outcome measures. Results: Twelve studies were eligible for inclusion in this meta-analysis. According to statistical analysis, the mean respiratory rate of preterm infants receiving KMC was lower than that of infants receiving standard incubator care (MD, −3.50; 95% CI, −5.17 to −1.83; p < 0.00001). Infants who received kangaroo mother care had a higher mean heart rate, oxygen saturation and temperature, although these results were not statistically significant. Conclusions: Current evidence suggests that kangaroo care in the neonatal intensive care unit setting is a safe method that may have a significant effect on some of the physiological parameters of stress in preterm infants. However, due to clinical heterogeneity, further studies are needed to assess the effects of physiological stress in the neonatal intensive care unit on the development of preterm infants.

scholarly journals Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial

2019 ◽  
Vol 87 (4) ◽  
pp. 683-688 ◽  
Author(s):  
Rania A. El-Farrash ◽  
Dina M. Shinkar ◽  
Dina A. Ragab ◽  
Ramy M. Salem ◽  
Wessam E. Saad ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Kangaroo Care ◽  
Neurobehavioral Performance ◽  
Randomized Controlled

scholarly journals Does daily kangaroo care provide sustained pain and stress relief in preterm infants?

2013 ◽  
Vol 6 (1) ◽  
pp. 45-52 ◽  
Author(s):  
A.J. Mitchell ◽  
C.C. Yates ◽  
D.K. Williams ◽  
J.Y. Chang ◽  
R. Whit Hall
Keyword(s):  
Preterm Infants ◽  
Stress Relief ◽  
Kangaroo Care
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