Descriptive study of the clinical and nutritional profile and follow-up of premature babies in a Kangaroo Mother Care Program

Penalva, Olga; Schwartzman, José Salomão

doi:10.2223/jped.1434

Cited by 19 publications

(31 citation statements)

References 13 publications

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“…Although studies demonstrated that birth weight and gestational age are causal factors for lower breastfeeding rates [4,18], the neonatal variables analyzed here showed that lower birth weight had greater impact on breastfeeding than lower gestational age. Moreover, in relation to ponderal assessment, an important aspect was the longer birth weight recovery period in the VLBW infants of the weaning group.…”

Section: Breastfeeding In Vlbw Infants 775contrasting

confidence: 62%

Length of stay in a neonatal intensive care unit and its association with low rates of exclusive breastfeeding in very low birth weight infants

Maia¹,

Brandão²,

Roncalli³

et al. 2011

The Journal of Maternal-Fetal & Neonatal Medicine

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Objective. To identify the inpatient maternal and neonatal factors associated to the weaning of very low birth weight (VLBW) infants. Methods. One hundred nineteen VLBW (51500 g) infants were monitored from July 2005 through August 2006, from birth to the first ambulatory visit after maternity discharge. This maternity unit uses the Kangaroo Method and the Baby Friendly Hospital Initiative. Out of 119 VLBW infants monitored until discharge, 88 (75%) returned to the facility, 22 (25%) were on exclusive breastfeeding (EB), and 66 (75%) were weaned (partial breastfeeding or formula feeding).Results. Univariate analysis found an association between weaning and lower birth weight, longer stays in the neonatal intensive care unit (NICU), and longer hospitalization times, in addition to more prolonged enteral feeding and birth weight recovery period. Logistic regression showed length of NICU stay as being the main determinant of weaning. Conclusion. The negative repercussion on EB of an extended stay in the NICU is a significant challenge for health professionals to provide more adequate nutrition to VLBW infants.

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Section: Breastfeeding In Vlbw Infants 775contrasting

confidence: 62%

Length of stay in a neonatal intensive care unit and its association with low rates of exclusive breastfeeding in very low birth weight infants

Maia¹,

Brandão²,

Roncalli³

et al. 2011

The Journal of Maternal-Fetal & Neonatal Medicine

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“…O método canguru (MC) mostrou ser efetivo no aumento das taxas de AM em recém-nascidos de baixo peso em diferentes estudos [7][8][9][10] . Entretanto, como existem poucos dados sobre a manutenção do aleitamento materno exclusivo (AME) após a alta hospitalar, a proposta deste estudo foi avaliar o impacto do MC sobre as taxas de aleitamento materno exclusivo nos primeiros 6 meses de vida em recém-nascidos de baixo peso ao nascer.…”

Section: Introductionunclassified

The impact of kangaroo care on exclusive breastfeeding in low birth weight newborns

et al. 2010

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Objective: To evaluate the impact of kangaroo care on exclusive breastfeeding in low birth weight newborns until 6 months of life. Methods:Prospective study carried out with 43 newborns (23 allocated in the kangaroo group and 23 in a control group) weighing < 2,000 g and staying in the neonatal unit for at least 7 days. Exclusive breastfeeding rates between the groups were compared until the age of 6 months. The chi-square test for categorical variables was used and the statistical significance level was 0.05.Results: Exclusive breastfeeding rates were higher in the kangaroo group at hospital discharge (82.6 vs. 0%; p = 0.00), at 40 weeks of gestational age (73.9 vs. 31.6%; p = 0.01), at 3 months (43.5 vs. 5.0%; p = 0.005), and at 6 months (22.7 vs. 5.9%; p = 0.20). Conclusion:Kangaroo care showed to be a facilitator of exclusive breastfeeding for low birth weight newborns until 6 months of life. ResumoObjetivo: Avaliar o impacto do método canguru sobre o aleitamento materno exclusivo nos 6 primeiros meses de vida em recém-nascidos de baixo peso. Métodos:Estudo prospectivo realizado com 43 bebês (23 do grupo canguru e 20 do grupo-controle) com peso < 2.000 g e permanência na unidade neonatal por pelo menos 7 dias. Os grupos foram comparados quanto à frequência da amamentação exclusiva até o sexto mês de vida, utilizando-se o teste do qui-quadrado, adotando-se nível de significância de 0,05. Resultados:A amamentação exclusiva foi superior no grupo canguru à alta (82,6 versus 0%; p = 0,00), às 40 semanas de idade gestacional (73,9 versus 31,6%; p = 0,01), aos 3 meses (43,5 versus 5,0%; p = 0,005) e aos 6 meses (22,7 versus 5,9%; p = 0,20) de vida. Conclusão:O método canguru foi facilitador da amamentação exclusiva para bebês de baixo peso até o sexto mês de vida.J Pediatr (Rio J). 2010;86(3):250-253: Método canguru, aleitamento materno exclusivo, baixo peso ao nascer.

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“…A elevada proporção de HM sem disponibilidade de posto de coleta/banco de leite humano pode interferir diretamente no início e continuidade do aleitamento materno, uma vez que diversos estudos [15][16][17][18][19] evidenciaram que crianças assistidas no MC apresentam um aumento significativo na duração do aleitamento materno exclusivo. A presença do posto de coleta/banco de leite funciona como centro de orientação e suporte às mães com dificuldades para amamentar 20 .…”

Section: Análise De Resultadosunclassified

Evaluation of implementation of humanized care to low weight newborns – the Kangaroo Method

Gontijo

Meireles²,

Malta³

et al. 2010

J Pediatr (Rio J)

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Objective: To evaluate the implementation of the kangaroo mother method in hospitals trained by the Brazilian Ministry of Health.Method: Cross-sectional study, evaluating 176 (60.1%) out of 293 hospitals that were trained by the Ministry of Health from 2000 to 2003 in Brazil. This study was conducted in two phases. The first phase consisted of sending a questionnaire to 293 hospitals; in the second phase an in loco visit was made in a sample of 29 among those hospitals. The instrument for data collection was sent to all hospitals by mail, fax or e-mail through the Ministry of Health and they addressed the three dimensions of the normative assessment: structure, processes, and results. The second phase consisted of an evaluation of the process, using a structured guide of non-participant observation. To estimate the reliability of the variable "deployment of the steps of the method" between questionnaire and site visit, we used the kappa test. Results:The first stage of the kangaroo mother method was implemented in 84.9% of the hospitals, but only 47.3% of them implemented the three stages according to the Brazilian norm. The kappa test results indicated a moderate agreement for the first stage, and substantial for the second and third stages of the method. Conclusion:Hospital training was important for triggering the implementation process of the kangaroo mother method. However, they were not enough to promote the implementation of the three phases of the method.J Pediatr (Rio J). 2010;86(1):33-39: Kangaroo mother method, low birth weight infant, health services evaluation. ResumoObjetivo: Avaliar a implantação do método canguru em hospitais capacitados pelo Ministério da Saúde (MS).Método: Estudo transversal que avaliou 176 (60,1%) dos 293 hospitais maternidades (HM) capacitados entre 2000 e 2003 no Brasil. O estudo foi conduzido em duas fases. A primeira consistiu no envio de um questionário para os 293 HM, e a segunda fase realizou-se mediante visita in loco em uma amostra de 29 destes HM. O instrumento de coleta de dados da primeira fase foi enviado por correio, fax ou e-mail via Ministério da Saúde a todos os hospitais capacitados e abordava as dimensões da avaliação normativa: estrutura, processos e resultados. A segunda fase consistiu exclusivamente na avaliação de processo utilizando-se roteiro de observação não participante e estruturado. Para estimar a confiabilidade da variável "implantação das etapas do método", entre o questionário e a visita local utilizou-se o teste de kappa. Resultados:A primeira etapa do método canguru foi implantada em 84,9% dos hospitais, porém apenas 47,3% implantaram as três etapas conforme regulamenta a norma brasileira. Os resultados do teste de kappa indicam concordância moderada para a primeira etapa e substancial para a segunda e terceira etapas do método. Conclusão:A capacitação foi importante para o início do processo de implantação do método canguru, mas não suficiente para promover a implantação das três fases do método. J Pediatr (Rio J)

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Descriptive study of the clinical and nutritional profile and follow-up of premature babies in a Kangaroo Mother Care Program

Cited by 19 publications

References 13 publications

Length of stay in a neonatal intensive care unit and its association with low rates of exclusive breastfeeding in very low birth weight infants

Length of stay in a neonatal intensive care unit and its association with low rates of exclusive breastfeeding in very low birth weight infants

The impact of kangaroo care on exclusive breastfeeding in low birth weight newborns

Evaluation of implementation of humanized care to low weight newborns – the Kangaroo Method

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