Kangaroo Baby Care: Just a Nice Experience or an Important Advance for Preterm Infants?

PEDIATRICS ◽  
1990 ◽  
Vol 85 (4) ◽  
pp. 604-605
Author(s):  
ANDREW WHITELAW
Keyword(s):  
Intensive Care ◽  
Home Care ◽  
Preterm Infant ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Developed Countries ◽  
Important Advance ◽  
Skin Contact ◽  
Skin To Skin

"Kangaroo baby care" or "skin-to-skin contact" describes the practice of holding a preterm infant naked (except for a diaper) between the mother's breasts. The baby's face pokes out of the top of the mother's dress like a baby kangaroo's. Rey and Martinez in Bogota, Colombia1 pioneered the home care of premature infants as small as 1000 g, the mother being taught to hold her baby head-up kangaroo-style to encourage lactation, prevent aspiration, and reduce rejection. Education and motivation of the mother in the care of preterm infants makes obvious sense in the developing world, but kangaroo baby care has also been applied in many developed countries in conjunction with neonatal intensive care rather than as a replacement for incubators and monitors.2-4

National Institues of Health Recommends the Routine Use of H2 Blockers in Preterm Infants be Carefully Evaluated

2006 ◽  
Vol 25 (3) ◽  
pp. 223-224 ◽  
Author(s):  
Elizabeth Pulsifer-Anderson ◽  
Ronnie Guillet
Keyword(s):  
Intensive Care ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Current Practice ◽  
Acid Reflux ◽  
National Institutes Of Health ◽  
Neonatal Intensive Care Units ◽  
New Findings ◽  
The U.S

ARETROSPECTIVE ANALYSIS OF data from 11,000 preterm infants in neonatal intensive care units (NICUs) in the U.S. found that infants receiving H2 blockers such as Zantac, Tagamet, Pepcid, and Axid were more likely to develop necrotizing enterocolitis (NEC).1 The study was funded by the National Institutes of Health (NIH). As a result of the findings of this study, Elias A. Zerhouni, MD, Director of the National Institutes of Health, issued a press release in February, 2006, stating, “This study strongly suggests that the current practice of prescribing H2 blockers to prevent or treat acid reflux in premature infants needs to be carefully reevaluated by all concerned in light of these new findings.”2

Holding the Very Low Birth Weight Infant: Skin-to-Skin Techniques

2005 ◽  
Vol 24 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Theresa Kledzik
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Intensive Care Units ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Neonatal Intensive Care Units ◽  
Low Birth Weight Infant ◽  
Skin To Skin

Skin-to-skin holding has been reported as a valuable intervention for preterm infants for over a decade. However, many neonatal intensive care units are not practicing this therapy and cite lack of protocols and techniques as a barrier. This article describes in detail the nursing considerations and techniques involved to successfully implement skin-to-skin holding for very low birth weight, technology-dependent infants. NICU protocols can be derived from this article.

A Physiologic Method for Monitoring Premature Infants

1995 ◽  
Vol 3 (1) ◽  
pp. 13-29
Author(s):  
Susan Ludington-Hoe ◽  
Christine E. Kasper
Keyword(s):  
Preterm Infant ◽  
Premature Infant ◽  
Premature Infants ◽  
Physiologic Monitoring ◽  
Skin Contact ◽  
New Instrument ◽  
Subject Variability ◽  
Skin To Skin ◽  
Electrical Components ◽  
Physiologic Data

Instrumentation capable of handling 12 continuous hours of nine-channel real-time physiologic data sampled at 10Hz was needed to test within and between subject variability and preterm infant responses to skin-to-skin contact with the mother. A review of basic electrical components, electrical principles related to physiologic monitoring, and electrophysiology concepts generic to physiologic monitoring is presented. The development, specifications and applications of a new instrument to monitor premature infant cardiorespiratory adaptations are discussed.

scholarly journals Neonatal Anemia

2021 ◽  
Author(s):  
Laura M. Dionisio ◽  
Thamires A. Dzirba
Keyword(s):  
Intensive Care ◽  
Clinical Practice ◽  
Iron Deficiency ◽  
Blood Loss ◽  
Blood Cell ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Laboratory Tests ◽  
Neonatal Intensive Care Units

Neonatal anemia and iron deficiency are frequent founds in neonatal intensive care units (NICUs). The three major causes of anemia in neonates are blood loss, reduced red blood cell production, and increased degradation of the erythrocytes. Premature infants in ICUs have high levels of iron deficiency, and ascertaining the cause of anemia in this group of patients can be a challenge in clinical practice. This chapter provides an updated review of neonatal anemia. It will concern the pathophysiology of neonatal anemia in term and preterm infants and a detailed discussion of the traditional and innovative laboratory tests for diagnosis and assessment of this condition in the ICUs

scholarly journals Value of Specialty Certification as a Kangaroo Caregiver

2017 ◽  
Vol 26 (4) ◽  
pp. 185-194 ◽  
Author(s):  
Aniko Kukla ◽  
Susan M. Ludington-Hoe
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Perceived Value ◽  
Kangaroo Care ◽  
Electronic Questionnaire ◽  
Skin Contact ◽  
Specialty Certification ◽  
Skin To Skin ◽  
Lack Of Knowledge

ABSTRACTKangaroo care (KC), also known as skin-to-skin contact, saves lives, but fewer than 50% of newborns and mothers in U.S. hospitals receive KC because of lack of knowledge and skill competency. Because nurses can increase knowledge and skill competency through a certification course, the value of certification as a kangaroo caregiver and administrative incentives for certification as a kangaroo caregiver were evaluated in 71 neonatal intensive care and maternal–newborn unit nurses who completed an electronic questionnaire and the Perceived Value of Certification Tool. Nurses highly valued their KC certification, agreeing with 17 of 18 positive value statements. KC certification increased salary for a few, but institution-based incentives for KC certification are still limited and recognition of KC certification is needed.

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