Effect of Kangaroo Position on microcirculation of preterm newborns: a controlled randomized clinical trial

Miranda, Rafael Moura; Filho, José Eulálio Cabral; Diniz, Kaísa Trovão; Clough, Geraldine F.; Alves, Lucas Victor; Lima, Geisy Maria Souza; Figueredo, Natália Priscila dos Santos; França, Ariane Amarali de; Luna, Júlia Thalita Barbosa

doi:10.1016/j.jped.2021.05.012

Cited by 1 publication

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References 30 publications

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“…In addition, KMC was an effective and low-cost technique to prevent hypothermia in newborns (30). Since KMC could stabilize the heart and lungs through the autonomic nervous system (48) and promote the microcirculation, KMC could effectively increase the tissue temperature with increased blood flow among LBW and premature infants (49).…”

Section: Discussionmentioning

confidence: 99%

The efficacy of Kangaroo-Mother care to the clinical outcomes of LBW and premature infants in the first 28 days: A meta-analysis of randomized clinical trials

Zhu

Wang²,

Chen³

et al. 2023

Front. Pediatr.

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ObjectiveThe objective of this study was to systematically determine the benefits of Kangaroo-Mother Care (KMC) on the clinical outcomes of low birthweight (LBW) and preterm infants.MethodsFor this study, the following databases were retrieved for articles published until November 2021: PubMed, Web of Science, EBSCO, and the Cochrane library. The primary clinical outcome was mortality between enrollment and 28 days. The secondary clinical outcomes were the mean duration of hospital stay, hypothermia, sepsis, exclusive breastfeeding at the end of the neonatal period, and exclusive breastfeeding at discharge.ResultsWe conducted a meta-analysis, which included 17 RCTs, involving overall 17,668 participants. The results of this meta-analysis showed that KMC could reduce the primary clinical outcome of mortality between enrollment and 28 days (RR: 0.80, 95% Cl: 0.71–0.91, p < 0.01). For the secondary clinical outcomes, KMC had a varying degree of benefits on the mean duration of hospital stay (SMD: −0.96, 95% Cl: −1.02–0.90, p < 0.001), hypothermia (RR: 0.45, 95% Cl: 0.27–0.75, p < 0.01), and sepsis (RR: 0.79, 95% Cl: 0.70–0.89, p < 0.001). The exclusive breastfeeding at the end of the neonatal period and exclusive breastfeeding at discharge of KMC had benefits, which was not statistically different though (OR: 2.16, 95% Cl: 0.55–8.41, p = 0.27; OR: 1.16, 95% Cl: 0.82–1.64, p = 0.39, respectively).ConclusionsKMC was decreased mortality in LBW and premature infants between enrollment and 28 days. In addition, KMC also had a favorable effectiveness on the secondary clinical outcomes, such as mean duration of hospital stay, hypothermia, sepsis. Moreover, KMC also had a slight effectiveness on exclusive breastfeeding at the end of the neonatal period and exclusive breastfeeding at discharge.

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Section: Discussionmentioning

confidence: 99%