Effect of Kangaroo Mother Care on Successful Breastfeeding: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Abstract

Background & Aims: Evaluating the effect of Kangaroo Mother Care (KMC) on breastfeeding success shows conflicting results. Regarding the importance of breastfeeding and uncertainties about its effect, this study intended to conduct a systematic review and meta-analysis of randomised controlled trials on the effect of KMC on success of breastfeeding. </P><P> Methods: In this systematic review and meta-analysis study, required data were collected by searching the following keywords: breastfeeding, Breast-Feeding, “skin-to-skin”, “Kangaroo Mother Care”, randomized clinical trial. The following databases were searched: Google Scholar, PubMed, EMBASE, Scopus, and Cochrane Central Register of Controlled Trials. Two authors independently extracted the data. To estimate the Breast-Feeding outcome variables, CMA2 software was used. The risk of bias of studies was assessed with the criteria developed in the Cochrane Handbook. Results: Twenty articles were included. In the KMC and CNC groups, 1,432 and 1,410 neonates were examined. Breastfeeding success rate was higher in the KMC group within different time slots, however this difference was not statistically significant (RR=1.11(95CI, 0.93-1.34) and RR=1.13(95%CI, 0.92-1.34) based on the time slot and birth weight, respectively). The inter-groups differences in the mean scores of Infant Breast-Feeding Assessment Tool (IBFAT) were statistically significant (P<0.05). Breastfeeding was initiated very sooner in the KMC group, suggesting a statistically significant inter-groups difference -0.72(95%CI, from -0.92 to -0.53) (P<0.05). Majority of the studies had a high risk of bias. Conclusion: Findings indicated a superiority of KMC over CNC in terms of breastfeeding success. Assessment of the complications and costs of KMC implementation is recommended.

Quality of Life of People with HIV/AIDS in Iran: A Systematic Review and Meta-Analysis

“…This was a systematic review and meta-analysis performed in 2019 according to the book named "A systematic review to support evidence-based medicine" (17)(18)(19).…”

Effectiveness of Kangaroo Mother Care by Role-Playing Method on Mother’s Resilience and Breastfeeding Self-Efficacy in Neonatal Intensive Care Unit, a Randomized Controlled Trial

“…Meanwhile, preterm infants show less ability to adapt to the world around them [1,2]. Consequently, many preterm infants may admit to the neonatal intensive care unit because of respiratory problems, temperature instability, blood pressure, heart rate, respiratory and heart problems, and neurological diseases at the very beginning days of their life [3]. Epidemiological studies reveal that annually 9.6 to 12.9 million preterm babies are born, which accounts for 5 to 15% of live births in the world [4].…”

“…Epidemiological studies reveal that annually 9.6 to 12.9 million preterm babies are born, which accounts for 5 to 15% of live births in the world [4]. In this regard, one million and six hundred thousand births occur annually in Iran, of which 160,000 newborns are born 8 to 12 percent preterm, who require specialized care in neonatal intensive care units [3,4]. Moreover, preterm babies' mothers face a premature and disabled baby who needs special equipment and care to survive.…”

Knowledge, Attitude and Practice Towards Kangaroo Mother Care Among Postnatal Women in Ethiopia: Systematic Review and Meta-Analysis Author

“…Several systematic review studies indicated that kangaroo mother care increased the success, initiation, and duration of breast milk (24)(25)(26)(27)(28)(29), and improved maternal anxiety and stress ( 30), enhanced cognitive and motor development ( 31), diminished hospital readmission (32,33) and lowered premature infant pro le (34). Another study reported that Kangaroo mother care improves the growth of low birth weight and preterm infants (35)(36)(37)(38)(39)(40)(41).…”