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Kangaroo mother care

D R Kommers, Mac Broeren, P Andriessen, S G Oei, L Feijs, S Bambang Oetomo
AIM: This study assessed the feasibility and obtrusiveness of measuring salivary oxytocin in preterm infants receiving Kangaroo care, because this is a period of maximal bonding or co-regulation. We also analysed possible influential determinants, including maternal oxytocin. METHODS: The saliva of preterm infants and their mothers was collected prior to, and during, Kangaroo care using cotton swabs and pooled into vials until sufficient volumes were obtained to measure oxytocin levels using a radioimmunoassay...
September 26, 2016: Acta Paediatrica
Jennifer A Callaghan-Koru, Abiy Seifu Estifanos, Ephrem Daniel Sheferaw, Joseph de Graft-Johnson, Carina Rosado, Rachel Patton-Molitors, Bogale Worku, Barbara Rawlins, Abdullah Baqui
AIM: To assess the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact (SSC) and exclusive breastfeeding-the therapeutic aspects of kangaroo mother care. METHODS: A multilevel community and facility intervention in Ethiopia trained health workers in 10 health centers and the surrounding communities to promote early SSC and exclusive breastfeeding for all babies born at home or the facility. Changes in SSC and exclusive breastfeeding were assessed by comparing baseline and endline household surveys...
September 19, 2016: Acta Paediatrica
Maria Lorella Giannì, Patrizio Sannino, Elena Bezze, Carmela Comito, Laura Plevani, Paola Roggero, Massimo Agosti, Fabio Mosca
BACKGROUND: Feeding difficulties frequently occur in preterm infants, thus contributing to delayed growth and hospital discharge. AIMS: To evaluate the effect of Kangaroo mother care implementation and parental involvement in infants' feeding on the timing of achievement of full oral feeding in preterm infants. STUDY DESIGN: Prospective, observational, single-centre study. SUBJECTS: A total of 81 infants born at a gestational age ≤32weeks, consecutively admitted to a tertiary neonatal unit between June 2014 and May 2015...
August 31, 2016: Early Human Development
Chigozie Jesse Uneke, Issiaka Sombie, Namoudou Keita, Virgil Lokossou, Ermel Johnson, Pierre Ongolo-Zogo
BACKGROUND: The introduction of implementation science into maternal, newborn and child health (MNCH) research has facilitated better methods to improve uptake of research findings into practices. With increase in implementation research related to MNCH world-wide, stronger scientific evidence are now available and have improved MNCH policies in many countries including Nigeria. The purpose of this study was to review MNCH implementation studies undertaken in Nigeria in order to understand the extent the evidence generated informed better policy...
2016: Health Promotion Perspectives
Deepak Sharma, Srinivas Murki, Oleti Tejo Pratap
UNLABELLED: Kangaroo mother care (KMC) reduces neonatal mortality, neonatal sepsis and improves growth outcome in preterm infants. In this study, we compared the efficacy of "baby care in kangaroo ward (KWC)" with "baby care in intermediate intensive care (IIC)" in stable preterm infants (birth weight <1100 g) for improving the growth velocity till term corrected age. One hundred and forty-one infants were randomized to KWC (n = 71) or IIC (n = 70) once the infant reached a weight of 1150 g...
October 2016: European Journal of Pediatrics
Agustin Conde-Agudelo, José L Díaz-Rossello
BACKGROUND: Kangaroo mother care (KMC), originally defined as skin-to-skin contact between a mother and her newborn, frequent and exclusive or nearly exclusive breastfeeding, and early discharge from hospital, has been proposed as an alternative to conventional neonatal care for low birthweight (LBW) infants. OBJECTIVES: To determine whether evidence is available to support the use of KMC in LBW infants as an alternative to conventional neonatal care before or after the initial period of stabilization with conventional care, and to assess beneficial and adverse effects...
2016: Cochrane Database of Systematic Reviews
Veronique Pierrat, Anaëlle Coquelin, Marina Cuttini, Babak Khoshnood, Isabelle Glorieux, Olivier Claris, Mélanie Durox, Monique Kaminski, Pierre-Yves Ancel, Catherine Arnaud
OBJECTIVES: To describe the implementation of neurodevelopmental care for newborn preterm infants in neonatal ICUs in France in 2011, analyze changes since 2004, and investigate factors associated with practice. DESIGN: Prospective national cohort study of all births before 32 weeks of gestation. SETTING: Twenty-five French regions. PARTICIPANTS: All neonatal ICUs (n = 66); neonates surviving at discharge (n = 3,005)...
October 2016: Pediatric Critical Care Medicine
Barry M Lester, Amy L Salisbury, Katheleen Hawes, Lynne M Dansereau, Rosemarie Bigsby, Abbot Laptook, Marybeth Taub, Linda L Lagasse, Betty R Vohr, James F Padbury
OBJECTIVES: To determine whether the single-family room (SFR)-neonatal intensive care unit (NICU) is associated with improved 18-month neurodevelopmental outcome, especially in infants of mothers with high maternal involvement. STUDY DESIGN: An 18-month follow-up was undertaken that compared infants born <30 weeks gestational age; 123 from a SFR-NICU vs 93 from an open-bay NICU. Infants were divided into high vs low maternal involvement based on days/week of kangaroo care, breast/bottle feeding, and maternal care...
October 2016: Journal of Pediatrics
M S Castillo, M A Corsino, A P Calibo, W Zeck, D S Capili, L C Andrade, K A Reyes, R C Alfonso, M B Ponferrada, M A Silvestre
Background. On 8 November 2013, supertyphoon Haiyan made landfall in the Philippines, severely disrupting health service delivery. Reestablishment of essential services for birthing mothers and their newborns became high priority. Methodology. Following a baseline assessment, an Essential Intrapartum and Newborn Care (EINC) training package was implemented and posttraining assessments (1 and 3 months after training) were undertaken. Results. Baseline assessments (n = 56 facilities) revealed gaps in provider's skill and shortage of life-saving commodities...
2016: BioMed Research International
A Buil, I Carchon, G Apter, F X Laborne, M Granier, E Devouche
OBJECTIVE: Skin-to-skin contact shows benefits in the relationship developed between a mother and her premature infant. In the skin-to-skin session, face-to-face exchanges are impossible in vertical infant positioning. We therefore undertook an observational, prospective, single-center study using kangaroo "supported diagonal flexion" (SDF) positioning. The first aim was to evaluate the safety of kangaroo SDF positioning compared to the usual vertical positioning. The second aim was to evaluate SDF positioning on early communication between the mother and her infant and to improve their well-being...
September 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Razieh Fallah, Naeimah Naserzadeh, Farzad Ferdosian, Fariba Binesh
BACKGROUND/AIM: The purpose of this research was to compare the analgesic effect of kangaroo mother care (KMC), breastfeeding and swaddling in Bacillus Calmette-Guerin (BCG) vaccination in term neonates. METHODS: In a randomized 120 healthy term neonates who received routine BCG vaccination in the first day of their life are distributed into three groups. In group 1, neonates breastfed two minutes before, during and one minute after BCG vaccination. In group 2, neonates received KMC 10 minutes before, during and one minute after vaccination and in group 3, they were swaddled 10 minutes before, during and one minute after vaccination...
July 20, 2016: Journal of Maternal-fetal & Neonatal Medicine
Craig Mellis
No abstract text is available yet for this article.
May 2016: Journal of Paediatrics and Child Health
Shahin Dezhdar, Faezeh Jahanpour, Saeedeh Firouz Bakht, Afshin Ostovar
BACKGROUND: Hospitalized premature babies often undergo various painful procedures. Kangaroo mother care (KMC) and swaddling are two pain reduction methods. OBJECTIVES: This study was undertaken to compare the effects of swaddling and KMC on pain during venous sampling in premature neonates. PATIENTS AND METHODS: This study was performed as a randomized clinical trial on 90 premature neonates. The neonates were divided into three groups using a random allocation block...
April 2016: Iranian Red Crescent Medical Journal
Wit Wichaidit, Mahbub-Ul Alam, Amal K Halder, Leanne Unicomb, Davidson H Hamer, Pavani K Ram
Bangladesh's maternal mortality and neonatal mortality remain unacceptably high. We assessed the availability and quality of emergency obstetric care (EmOC) and emergency newborn care (EmNC) services at health facilities in Bangladesh. We randomly sampled 50 rural villages and 50 urban neighborhoods throughout Bangladesh and interviewed the director of eight and nine health facilities nearest to each sampled area. We categorized health facilities into different quality levels (high, moderate, low, and substandard) based on staffing, availability of a phone or ambulance, and signal functions (six categories for EmOC and four categories for EmNC)...
August 3, 2016: American Journal of Tropical Medicine and Hygiene
Grace J Chan, Bina Valsangkar, Sandhya Kajeepeta, Ellen O Boundy, Stephen Wall
BACKGROUND: Kangaroo mother care (KMC), often defined as skin-to-skin contact between a mother and her newborn, frequent or exclusive breastfeeding, and early discharge from the hospital has been effective in reducing the risk of mortality among preterm and low birth weight infants. Research studies and program implementation of KMC have used various definitions. OBJECTIVES: To describe the current definitions of KMC in various settings, analyze the presence or absence of KMC components in each definition, and present a core definition of KMC based on common components that are present in KMC literature...
June 2016: Journal of Global Health
Daniele Trevisanuto, Giovanni Putoto, Damiano Pizzol, Tiziana Serena, Fabio Manenti, Silvia Varano, Eleonora Urso, William Massavon, Ademe Tsegaye, Oliver Wingi, Emanuel Onapa, Giulia Segafredo, Francesco Cavallin
BACKGROUND: Neonatal hypothermia is an important challenge associated with morbidity and mortality. Preventing neonatal hypothermia is important in high-resource countries, but is of fundamental importance in low-resource settings where supportive care is limited. Kangaroo mother care (KMC) is a low-cost intervention that, whenever possible, is strongly recommended for temperature maintenance. During KMC, the World Health Organization (WHO) guidelines recommend the use of a cap/hat, but its effect on temperature control during KMC remains to be established...
2016: Trials
Sean M Mooney-Leber, Susanne Brummelte
Advances in neonatal intensive care units (NICUs) have drastically increased the survival chances of preterm infants. However, preterm infants are still exposed to a wide range of stressors during their stay in the NICU, which include painful procedures and reduced maternal contact. The activation of the hypothalamic-pituitary-adrenal (HPA) axis, in response to these stressors during this critical period of brain development, has been associated with many acute and long-term adverse biobehavioral outcomes. Recent research has shown that Kangaroo care, a non-pharmacological analgesic based on increased skin-to-skin contact between the neonate and the mother, negates the adverse outcomes associated with neonatal pain and reduced maternal care, however the biological mechanism remains widely unknown...
May 7, 2016: Neuroscience
Britney Benoit, Marsha Campbell-Yeo, Celeste Johnston, Margot Latimer, Kim Caddell, Talia Orr
BACKGROUND: Skin-to-skin contact between mother and infant, commonly referred to as Kangaroo Care (KC), has demonstrated efficacy as a pain-relieving strategy for infants, yet, it remains underutilized in clinical practice. PURPOSE: To evaluate changes in neonatal intensive care unit staff nurse beliefs, utilization, and challenges related to practice change in implementing KC as an intervention for management of procedural pain in preterm infants between 2 time points...
June 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Agnes Rwashana Semwanga, Sarah Nakubulwa, Taghreed Adam
BACKGROUND: The most recent reports on global trends in neonatal mortality continue to show alarmingly slow progress on improvements in neonatal mortality rates, with sub-Saharan Africa still lagging behind. This emphasised the urgent need to innovatively employ alternative solutions that take into account the intricate complexities of neonatal health and the health systems in which the various strategies operate. METHODS: In our first paper, we empirically explored the causes of the stagnating neonatal mortality in Uganda using a dynamic synthesis methodology (DSM) approach...
2016: Health Research Policy and Systems
Apurv Soni, Amee Amin, Dipen V Patel, Nisha Fahey, Nikhil Shah, Ajay G Phatak, Jeroan Allison, Somashekhar M Nimbalkar
AIM: This study determined the effect of physician champions on the two main components of Kangaroo Mother Care (KMC): skin-to-skin care and breastfeeding. METHODS: KMC practices among a retrospective cohort of 648 infants admitted to a rural Indian neonatal intensive care unit (NICU) between January 5, 2011 and October 7, 2014 were studied. KMC champions were identified based on their performance evaluation. We examined the effect of withdrawing physician champions on overall use, time to initiation and intensity of skin-to-skin care and breastfeeding, using separate models...
September 2016: Acta Paediatrica
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