scholarly journals Kangaroo Mother Care 1: Alleviation of Physiological Problems in Premature Infants

2017 ◽  
Vol 26 (3) ◽  
pp. 117-124 ◽  
Author(s):  
Rebecca J. Bear ◽  
David J. Mellor

ABSTRACTKangaroo mother care (KMC) involves placing the newborn infant into prolonged and continuous skin-to-skin contact with the mother as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Claimed benefits of KMC as an aid to the clinical mitigation of some detrimental features of prematurity need to be evidence based. This article, the first of two, provides an overview of the impact of prematurity on those features of neonates to which KMC may be directed. Specifically, the mitigation of some cardiorespiratory, neurophysiological, sensory, gastrointestinal, musculoskeletal, renal, metabolic, and immunological impacts are outlined. Relevant neurobehavioral, psychosocial, sociocultural, and economic perspectives are briefly reviewed in the companion article. These two articles provide scientific support for a wider upscaling of KMC education and its cautious use in physiologically stable preterm infants.

2017 ◽  
Vol 26 (4) ◽  
pp. 177-184 ◽  
Author(s):  
Rebecca J. Bear ◽  
David J. Mellor

ABSTRACTKangaroo mother care (KMC) involves infant skin-to-skin contact with the mother from as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Much evidence supports use of KMC clinically as an aid to mitigating some detrimental features of prematurity. This article—the second of two—explores impairments in brain development because of uncongenial inputs from the postnatal therapeutic environment of premature infants, not encountered in utero, and some of their negative neurobehavioral, psychosocial, sociocultural, and economic implications. It is concluded that evidence favoring the use of KMC in stable preterm infants is very strong and that, as noted by others, barriers to implementation of KMC, apart from infant infirmity, are mainly because of hesitancy from parents, health-care professional, and/or institutions, which may be unfounded.


Author(s):  
Ines Ratni Pravitasari ◽  
◽  
Vitri Widyaningsih ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Premature birth is most often challenge with many health issues such as low birth weight. Kangaroo position is the practice of skin-to-skin contact between an infant and parents and was found to be an effective intervention for improving weight gain in premature infant. This study aimed to investigate the effectiveness of kangaroo mother care to elevate infant weight in premature infants. Subjects and Method: This was a meta-analysis and systematic review. This study collected published articles from PubMed, Science Direct, and Google Scholar databases. The inclusion criteria were full text, in English language, and using randomized control trial study design. The study population was premature infants. The intervention was kangaroo mother care. The comparison was conventional care. The outcome was infant weight. The selected articles were analyzed using RevMan 5.3. Results: 9 articles were met the study criteria. This study had high heterogeneity between groups (I2= 89%; p<0.001). Kangaroo mother care was higher elevated infant weight than conventional method (Standardized Mean Difference= 0.60; 95% CI= 0.17 to 1.03; p= 0.006). Conclusion: Kangaroo mother care is effective to elevate infant weight in premature infants. Keywords: Kangaroo mother care, infant weight, preterm infant Correspondence: Ines Ratni Pravitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285649507909. DOI: https://doi.org/10.26911/the7thicph.03.127


2015 ◽  
Vol 6 (2) ◽  
pp. 75-80
Author(s):  
Deborah J. Ruxer ◽  
Tracy Brewer ◽  
Karen Mateer ◽  
Melissa Burkhardt ◽  
Mary Shay

Objective: To evaluate dose of skin-to-skin (STS) contact as a nursing intervention to increase the rate of exclusive breastfeeding after dischargeDesign: A descriptive correlational studySetting: A Level II maternity unit in OhioParticipants: Women who had a vaginal delivery of a term, well newborn, with intent to exclusively breastfeedMethods: Newborns were placed STS with their mothers at birth. Mothers were encouraged to maintain frequent STS with their newborns while in the hospital, and kept a log of STS time. A lactation consultant made follow-up phone calls at 4 weeks and 8 weeks postpartum to assess breastfeeding exclusivity. Spearman rho was used to analyze the data.Results: Duration of STS was not correlated with exclusive breastfeeding at either 4 weeks or 8 weeks postpartum. However, early STS was correlated with exclusive breastfeeding at 4 weeks postpartum.


2021 ◽  
Vol 21 (suppl 1) ◽  
pp. 65-75
Author(s):  
Maysa Arlany de Oliveira ◽  
Natácia Élem Felix Silva ◽  
Juliana de Castro Nunes Pereira ◽  
Mayara Amanda de Oliveira ◽  
Suzana Lins da Silva ◽  
...  

Abstract Objectives: to present scientific recommendations for perinatal care in the context of the COVID-19 pandemic. Methods: a narrative review was carried out between March and September in 2020 from BIREME, the Scientific Electronic Library Online and the Virtual Health Library databases, based on the descriptors: “Perinatal Care''; “Coronavirus”; “Coronavirus Infection''; “Obstetrics”and “Newborns”. The information was grouped into four categories, namely, prenatal care; labor and birthcare; care for puerperal women and the newborn. Results: 14 publications were found, 9 scientific articles and 5 technical standards pursuant to the Ministry of Health in Brazil. In the first category, generally, it is recom-mended that prenatal consultations should be continued, if necessary, by means of telemedi-cine; hospitalization of positive pregnant women in case symptoms are severe and consid-ering pregnant women’s clinical and emotional aspects. In the second, screening and testing on suspected cases, discouraging skin-to-skin contact and breastfeeding in the first hour of life. In the third, change the arrangement of beds in shared accommodations and have early discharge. In the fourth category, it is also recommended late clamping of the umbilical cord and observe differences in laboratorial testing of asymptomatic neonates. Conclusions: scientific evidence based on studies with methodological designs and more robust analyzes are necessary to guide perinatal care in the context of the harm-free COVID-19 pandemic.


2019 ◽  
Vol 111 (15) ◽  
pp. 1032-1043 ◽  
Author(s):  
Raouth R. Kostandy ◽  
Susan M. Ludington‐Hoe

2012 ◽  
Vol 2 ◽  
Author(s):  
Dion Alperstein ◽  
Jan Copeland

Background: While there is considerable evidence that brief motivational and skills-based interventions for substance use are effective, little is known regarding the transfer of knowledge from research to practice. This study aims to evaluate the effectiveness of two half-day didactic clinical training workshops for allied health workers, which did not incorporate feedback or supervision, via independent follow-up three months post training.Methods: In total, 1322 participants attended either or both of the evidence-based treatment workshops run by the National Cannabis Prevention and Information Centre. Of those participants, 495 (37%) completed an online follow-up evaluation three months later regarding their use of the newly learnt intervention(s).Results: At follow-up, 270 (54.5%) participants had an opportunity to use the skills and 144 (53.3%) of those participants reported having used the clinical skills taught in the workshop. Of those who used one of the interventions, 90 (62.5%) participants reported their clients had reduced or quit their cannabis use. Furthermore, 43 (30%) of these participants had attempted to train others in the workplace in the techniques learnt in the workshop.Conclusion: Even a half-day didactic clinical training workshop on evidence-based brief cognitive–behavioural techniques delivered to clinicians working in the field can improve knowledge and confidence among clinicians and outcomes among their clients with cannabis use related problems.


2013 ◽  
Vol 5 (1) ◽  
pp. 3504-3514
Author(s):  
Luciano Marques Dos Santos ◽  
Renata Andrade De Morais ◽  
Juliana de Oliveira Freitas Miranda ◽  
Rosana Castelo Branco De Santana ◽  
Verônica Mascarenhas Oliveira ◽  
...  

Objetivo: Analisar a vivência de puérperas durante a hospitalização do prematuro na primeira etapa do Método Canguru (MC) e conhecer como o primeiro contato pele a pele entre mãe e filho através da posição canguru colabora com esta vivência. Métodos: Trata-se de um estudo exploratório e qualitativo, respeitando a Resolução 196/96 do Conselho Nacional de Saúde, realizado através de entrevistas semiestruturadas com doze puérperas, em outubro de 2010. Resultados: A análise de conteúdo evidenciou que puérperas vivenciam um período de estresse no início da hospitalização do prematuro na primeira etapa do MC, representada pelo abandono das atividades diárias e da família. Conclusão: A realização da posição canguru proporcionou a expressão de sentimentos relacionados à felicidade da puérpera ao se perceber uma verdadeira mãe, já que pode participar de forma indireta do cuidado do filho e promover condições para o seu desenvolvimento. 


Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jesús Rodríguez López ◽  
Nadia Raquel García Lara ◽  
María López Maestro ◽  
Javier De la Cruz Bértolo ◽  
José Carlos Martínez Ávila ◽  
...  

2018 ◽  
Vol 58 (3) ◽  
pp. 349-353 ◽  
Author(s):  
Sean Kow ◽  
Jessica Groot ◽  
Jessica Puthenparampil ◽  
Jordana Faruqi ◽  
Fizza Naqvi ◽  
...  

Texas Tech Pediatrics at Northwest Texas Hospital System in Amarillo, Texas, currently practices giving “Mom/Dad of the Day” cards to all new parents, offering the opportunity for fathers to auscultate the newborn heart sound, and encouraging maternal and paternal skin-to-skin contact. New parents were asked to fill out 2 anonymous surveys regarding these practices. Survey results showed statistically significant positive responses by the parents for subjective improvement in fetal sleep and feeding as well as parental confidence and preparedness for taking care of their newborn. Additionally, these practices are desired by parents, with 96% fathers recommending that the hospital routinely offering opportunities for heart auscultation and 94% parents recommending “Mom/Dad of the Day” cards for all future parents in the hospital. Small, nonmedical initiatives such as these are well received and can be feasibly adopted in more hospitals to improve patient quality of care.


1995 ◽  
Vol 3 (1) ◽  
pp. 13-29
Author(s):  
Susan Ludington-Hoe ◽  
Christine E. Kasper

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.


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