Relationship between positioning of premature infants in Kangaroo Mother Care and early neuromotor development

Purpose: To determine the safety and efficacy of allowing kangaroo mother care (KMC) one hour per day during the course of phototherapy using a fiberoptic phototherapy panel.Sample: Thirty premature infants, 30–35 weeks gestation, <2,500 gm, who required phototherapy. Infants were randomized into three groups: (1) infants who received traditional bank or spotlight phototherapy 24 hours per day, (2) infants who received traditional phototherapy 23 hours per day and for the 24th hour lay prone on a fiberoptic phototherapy panel, and (3) infants who received traditional phototherapy 23 hours per day and for the 24th hour were given KMC with a fiberoptic phototherapy panel held against their back.Outcome Variables: Nonparametric statistics were used for between-group comparisons on number of days of phototherapy, daily bilirubin decrement, and bilirubin profiles over the course of phototherapy.Results: Groups did not differ in the number of days of phototherapy or in daily mean bilirubin decrement. The bilirubin profile for the KMC group showed a more shallow descent than did the profiles for the other groups, but a significant difference in decline was present only on day 4 of treatment (p = .05).Conclusion: This pilot work suggests that KMC using a fiberoptic panel during phototherapy may be safe, but further study is needed.

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Knowledge of Mothers and some Relative Factors about Kangaroo Method Take Care Premature Infants

VNU Journal of Science Medical and Pharmaceutical Sciences ◽

10.25073/2588-1132/vnumps.4310 ◽

2021 ◽

Vol 37 (2) ◽

Author(s):

Ha Thi Kim Loan ◽

Pham Van Dem ◽

Nguyen Thanh Nam ◽

Nguyen Tien Dung

Keyword(s):

Premature Infants ◽

Health Workers ◽

Neonatal Morbidity ◽

Kangaroo Mother Care ◽

Related Factors ◽

Cross Sectional ◽

Descriptive Research ◽

Premature Babies ◽

Internet Media ◽

Skin To Skin

Aim: The consequences of neonatal morbidity and mortality are severe, but interventions are available within maternal-children health care programs can save the lives of most babies. In particular, Kangaroo mother care for infants is a simple, easy-to-implement intervention that contributes to improving health and reducing infant mortality, especially among premature babies. Subjects and method of study: In this study, we used cross-sectional descriptive research to interview knowledge of 60 mothers with premature babies on Kangaroo mother care method and some related factors at Bach Mai Hospital from October 2019 to March 2020. Results: Research results show that 94.8% of mothers knew about Kangaroo mother care method, of which only 91.78% of mothers had knowledge about this method through their relatives and friends. friends accounted for 58.2%, via internet media 45.5% and 18.2% through health workers. The mother's education was related to the mother's knowledge about Kangaroo mother care method with p <0.05. Conclusion: Education enhancing about role and effection of skin-to-skin in premature infants. Keywords: skin-to-skin, Kangaroo mother care, KMC, preterm delivery.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010583 ◽

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.

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Kangaroo Mother Care (KMC): A Method of Protecting High-Risk Premature Infants against Developmental Delay † 1347

Pediatric Research ◽

10.1203/00006450-199804001-01368 ◽

1998 ◽

Vol 43 ◽

pp. 230-230

Author(s):

Réjean Tessier ◽

Marta Cristo ◽

Stella Velez ◽

Zita Figueroa De C ◽

Yves Charpak ◽

...

Keyword(s):

High Risk ◽

Developmental Delay ◽

Premature Infants ◽

Kangaroo Mother Care

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Meta Analysis: Kangaroo Mother Care to Elevate Infant Weight in Premature Infants

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.127 ◽

2020 ◽

Author(s):

Ines Ratni Pravitasari ◽

◽

Vitri Widyaningsih ◽

Bhisma Murti ◽

◽

...

Keyword(s):

Premature Infants ◽

English Language ◽

Meta Analysis ◽

Kangaroo Mother Care ◽

Health Issues ◽

Central Java ◽

Skin Contact ◽

Study Population ◽

Randomized Control ◽

Skin To Skin

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

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Continuing Education Module—Kangaroo Mother Care 2: Potential Beneficial Impacts on Brain Development in Premature Infants

The Journal of Perinatal Education ◽

10.1891/1058-1243.26.4.177 ◽

2017 ◽

Vol 26 (4) ◽

pp. 177-184 ◽

Cited By ~ 2

Author(s):

Rebecca J. Bear ◽

David J. Mellor

Keyword(s):

Brain Development ◽

Premature Infants ◽

Early Discharge ◽

Kangaroo Mother Care ◽

Economic Implications ◽

Therapeutic Environment ◽

Skin Contact ◽

Barriers To Implementation ◽

Skin To Skin

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.

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The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan City, Iran

Pan African Medical Journal ◽

10.11604/pamj.2018.30.89.14428 ◽

2018 ◽

Vol 30 ◽

Cited By ~ 2

Author(s):

Parisa Parsa ◽

Simin Karimi ◽

Behnaz Basiri ◽

Godratalah Roshanaei

Keyword(s):

Premature Infants ◽

Kangaroo Mother Care ◽

Physiological Parameters

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Body composition and neuromotor development in the year after NICU discharge in premature infants

Pediatric Research ◽

10.1038/s41390-020-0756-2 ◽

2020 ◽

Vol 88 (3) ◽

pp. 459-465

Author(s):

Dan M. Cooper ◽

Gay L. Girolami ◽

Brenda Kepes ◽

Annamarie Stehli ◽

Candice Taylor Lucas ◽

...

Keyword(s):

Body Composition ◽

Premature Infants ◽

Neuromotor Development

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Evaluation of neuromotor development by means of the Harris Infant Neuromotor Test

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000400003 ◽

2014 ◽

Vol 48 (4) ◽

pp. 586-593

Author(s):

Márcia Maria Coelho Oliveira Lopes ◽

Maria Vera Lúcia Moreira Leitão Cardoso

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Longitudinal Study ◽

Neonatal Intensive Care Unit ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Infant Development ◽

At Risk Children ◽

Brazilian Version ◽

Neuromotor Development

Objective: To investigate the neuromotor development of at-risk children between three and 12 months of life, administering the Brazilian version of the Harris Infant Neuromotor Test (HINT).Method: A longitudinal study, with 78 children and 76 parents/guardians discharged from a neonatal intensive care unit in Fortaleza-CE/Brazil. Two instruments were administered: HINT and a socioeconomic questionnaire, between July/2009 to August/2010. Data from 55 preterm and 23 term children were analyzed. Results: The final mean scores ranged from 14.6 to 25.2 and from 11.2 to 24.7, for preterm and term, respectively, showing that 91% of children demonstrated good neuromotor performance; seven premature infants showed alterations which led to the referral of three children to a specialized clinic for examination and diagnostics.Conclusion: The test allowed nurses to assess infant development, identify deviations early, and plan interventions.

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