A Clinical Guideline for Implementation of Kangaroo Care With Premature Infants of 30 or More Weeks' Postmenstrual Age

Ludington‐Hoe, Susan M.; Morgan, Kathy; Abouelfettoh, Amel

doi:10.1097/01.anc.0000324330.25734.b6

Cited by 97 publications

(118 citation statements)

References 104 publications

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“…De acordo com a recomendação para implementação do MMC em bebês pré-termo a partir de 30 semanas de idade gestacional, desenvolvido por Ludinton-Hoe et al 18 , o MMC pode ser utilizado como estratégia para o favorecimento do estado de sono 19 . Lioy e Manginello 20 observaram 10 RNPT submetidos à PP e descreveram que houve uma diminuição da FR em bebês com síndrome do desconforto respirató-rio.…”

Section: Discussionunclassified

Respostas fisiológicas de recém-nascidos pré-termo submetidos ao Metódo Mãe-Canguru e a posição prona

Olmedo¹,

Gabas²,

Merey

et al. 2012

Fisioter. Pesqui.

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O Ministério da Saúde recomenda e incentiva a Atenção Humanizada ao recém-nascido de baixo peso utilizando-se o Método Mãe-Canguru (MMC) nas unidades integrantes do Sistema Único de Saúde (SUS). O objetivo deste estudo foi avaliar e comparar as respostas fisiológicas entre o MMC e a posição prona (PP), em recém-nascidos pré-termo (RNPT). Foi feito um estudo de intervenção, realizado entre setembro e outubro de 2009, composto por 20 RNPT, de ambos os sexos, com idade gestacional entre 24 a 36 semanas, estáveis hemodinamicamente, sendo classificados como grupo I (MMC) e grupo II (PP). Foram consideradas as variáveis: frequência cardíaca (FC), frequência respiratória (FR), saturação periférica de oxigênio (SatO2) e temperatura corporal (T). As mensurações foram realizadas por três dias consecutivos, antes e 60 min após a aplicação das técnicas. No grupo PP, a FR aferida antes foi significativamente maior do que a aferida após a intervenção, nos 1º e 3º dias (p<0,0001; p<0,006); enquanto que, no MMC, a FR apresentou diferença significativa somente no 3º dia (p<0,006). A FC apresentou redução entre os momentos no 3º dia, nos grupos PP (p<0,02) e no MMC (p<0,04). No grupo PP, a variável SatO2 apresentou significativo aumento nos 1º (p<0,02) e 3º dias (p<0,02), entre os momentos de coleta, e no 3º dia do MMC (p<0,04). Não foram observadas alterações na FR, FC, T e SatO2 com a aplicação do MMC e PP, não havendo melhor desempenho em relação aos grupos. Observamos diminuição da FR após a aplicação do MMC e PP em momentos isolados e aumento da SatO2 no 3º dia após o MMC.

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Section: Discussionunclassified

Respostas fisiológicas de recém-nascidos pré-termo submetidos ao Metódo Mãe-Canguru e a posição prona

Olmedo¹,

Gabas²,

Merey

et al. 2012

Fisioter. Pesqui.

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“…It is well documented that early skin to skin contact is also known to promote and enhance breastfeeding in preterm infants (Ludington-Hoe 2008). A premature baby will need help to breastfeed and many premature babies will be stable in skin to skin contact after 90 minutes (Bergman 2015).…”

Section: What Makes Skin To Skin Contact the Basis For Breastfeeding?mentioning

confidence: 99%

“…What is evident from the research is that SSC is a vital intervention to help mothers successfully breastfeed (Ludington-Hoe 2008). Moreover, sustained periods of mother-infant SSC is considered an effective way to empower mothers to become familiar with their infants and reinforce their mothering at their own pace and is an easy way of enhancing maternal breastfeeding self-efficacy (Flacking et al 2012).…”

Section: What Makes Skin To Skin Contact the Basis For Breastfeeding?mentioning

confidence: 99%

Critical analyses of the implications of Kangaroo Mother Care on a preterm infant

Donald

2017

Journal of Neonatal Nursing

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“…[3][4][5][6][7] The KMC components include securing infants skin-to-skin to their mothers' chests in an upright position by means of a cloth or wrap, exclusive breastfeeding, early hospital discharge and adequate support of the mother-infant pair by health workers and family members.…”

mentioning

confidence: 99%

“…[2] It has proven advantages in terms of infant feeding and weight gain and reduced infection risks, as well as improved maternal physical and psychological health, with an accompanying reduction in health institution utilisation. [3][4][5][6][7] The KMC components include securing infants skin-to-skin to their mothers' chests in an upright position by means of a cloth or wrap, exclusive breastfeeding, early hospital discharge and adequate support of the mother-infant pair by health workers and family members. [8] The current global implementation and research agenda for improved newborn care includes accelerated KMC scale-up.…”

mentioning

confidence: 99%

Taking kangaroo mother care forward in South Africa: The role of district clinical specialist teams

Feucht

Rooyen

Skhosana³

et al. 2015

S Afr Med J

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The global agenda for improved neonatal care includes the scale-up of kangaroo mother care (KMC) services. The establishment of district clinical specialist teams (DCSTs) in South Africa (SA) provides an excellent opportunity to enhance neonatal care at district level and ensure translation of policies, including the requirement for KMC implementation, into everyday clinical practice. Tshwane District in Gauteng Province, SA, has been experiencing an increasing strain on obstetric and neonatal services at central, tertiary and regional hospitals in recent years as a result of growing population numbers and rapid up-referral of patients, with limited down-referral of low-risk patients to district-level services. We describe a successful multidisciplinary quality improvement initiative under the leadership of the Tshwane DCST, in conjunction with experienced local KMC implementers, aimed at expanding the district's KMC services. The project subsequently served as a platform for improvement of other areas of neonatal care by means of a systematic approach. Low birth weight (LBW) and prematurity are significant contributors to neonatal mortality and have become major barriers in reaching child mortality targets. [1] Kangaroo mother care (KMC) is a high-impact, lowtech, cost-effective intervention to reduce neonatal mortality and morbidity.[2] It has proven advantages in terms of infant feeding and weight gain and reduced infection risks, as well as improved maternal physical and psychological health, with an accompanying reduction in health institution utilisation. [3][4][5][6][7] The KMC components include securing infants skin-to-skin to their mothers' chests in an upright position by means of a cloth or wrap, exclusive breastfeeding, early hospital discharge and adequate support of the mother-infant pair by health workers and family members.[8]The current global implementation and research agenda for improved newborn care includes accelerated KMC scale-up. [2,9] KMC has also become part of South African (SA) health policy through initiatives such as the Tshwane Declaration [10] and the Campaign on Accelerated Reduction of Maternal and Child Mortality in Africa.[11] The primary healthcare re-engineering process currently under way in SA is an excellent opportunity to enhance neonatal care and ensure translation of these policies into practice.[12] The district clinical specialist teams (DCSTs), comprising senior medical and nursing personnel in the fields of primary, maternal, paediatric and emergency care, form one of the pillars of this health system improvement initiative. [13,14] Their roles include training, supportive supervision, clinical governance and helping to establish the necessary linkages between hospital-based neonatal units, primary healthcare facilities, district-based health programme staff and communitybased organisations, all of which can potentially greatly enhance the neonatal care continuum. DCSTs are not facility based and are therefore not constrained by systems boundaries between the dif...

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A Clinical Guideline for Implementation of Kangaroo Care With Premature Infants of 30 or More Weeks' Postmenstrual Age

Cited by 97 publications

References 104 publications

Respostas fisiológicas de recém-nascidos pré-termo submetidos ao Metódo Mãe-Canguru e a posição prona

Respostas fisiológicas de recém-nascidos pré-termo submetidos ao Metódo Mãe-Canguru e a posição prona

Critical analyses of the implications of Kangaroo Mother Care on a preterm infant

Taking kangaroo mother care forward in South Africa: The role of district clinical specialist teams

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