Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil

Filho, Fernando Lamy; Augusto, Antonio; Silva, Antônio Augusto Moura da; Lamy, Zeni Carvalho; Auxiliadora, María; Gomes, Sousa Mendes; Moreira, Maria Elizabeth Lopes

doi:10.2223/jped.1821

Cited by 33 publications

(19 citation statements)

References 22 publications

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“…The factors that determine the growth of preterm infants are still poorly understood, but there is data showing that it remains considerably insufficient ( 23 ) . Despite being one of the mains pillars of the KM, the frequency of exclusive breastfeeding at hospital discharge in the present study was below that found by other authors who analyzed PTNBs assisted with the KM ( 9 , 21 , 27 ) . Perhaps the low frequency of this practice has contributed to the rate of preterm infants classified as small for corrected age at hospital discharge.…”

Section: Discussioncontrasting

confidence: 93%

“…The most prevalent maternal diseases were those that induced premature birth ( 20 ) . The mean gestational age of the sample was similar to that described by other authors ( 21 ) in a study that assessed the results of the KM in Brazil, while the length of stay in the NICU was much lower in the present study, and the length of stay at the Kangaroo Ward was similar.…”

Section: Discussionsupporting

confidence: 90%

“…A study comparing the evolution of newborns hospitalized in conventional intermediate care units and those admitted to Kangaroo units ( 21 ) showed greater weight, height, and head circumference with 36 weeks of corrected age in conventional units, attributing this difference to the nutritional support at the NICU. The factors that determine the growth of preterm infants are still poorly understood, but there is data showing that it remains considerably insufficient ( 23 ) .…”

Section: Discussionmentioning

confidence: 99%

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Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

Menezes¹,

Garcia²,

Melo³

et al. 2014

Rev. paul. pediatr.

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OBJECTIVE:To evaluate clinical outcomes, growth and exclusive breastfeeding rates in premature infants assisted by Kangaroo Mother Care at birth, at discharge and at six months of life. METHODS: Prospective study of a premature infants cohort assisted by Kangaroo Mother Care in a tertiary public maternity in Northeast Brazil with birth weight ≤1750g and with clinical conditions for Kangaroo care. RESULTS: The sample was composed by 137 premature infants, being 62.8% female, with average birth weight of 1365±283g, average gestational age of 32±3 weeks and 26.2% were adequate for gestational age. They have been admitted in the Kangaroo Ward with a median of 13 days of life, weighing 1430±167g and, at this time, 57.7% were classified as small for corrected gestational age. They were discharged with 36.8±21.8 days of chronological age, weighing 1780±165g and 67.9% were small for corrected gestational age. At six months of life (n=76), they had an average weight of 5954±971g, and 68.4% presented corrected weight for gestational age between percentiles 15 and 85 of the World Health Organization (WHO) weight curve. Exclusive breastfeeding rate at discharge was 56.2% and, at six months of life, 14.4%. CONCLUSIONS: In the studied sample, almost two thirds of the children assisted by Kangaroo Mother Care were, at six months of life, between percentiles 15 and 85 of the WHO weight curves. The frequency of exclusive breastfeeding at six months was low.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

Menezes¹,

Garcia²,

Melo³

et al. 2014

Rev. paul. pediatr.

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“…Our findings indicated that the mothers who performed KMC in NICU for their preterm infants had more exclusive breastfeeding at the time of hospital discharge (62.5% vs. 37.5%).%) than those who did not perform KMC. This result is similar with Suman (13), and Bicalho (15) study. Suman reported that mothers who had more KMC had more exclusive breastfeeding (98% versus 79%) (16), and Bicalho reported that the kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%).…”

Section: Discussionsupporting

confidence: 92%

The Effect of Kangaroo Mother Care (KMC) on Breast Feeding at the Time of NICU Discharge

Heidarzadeh

Hosseini²,

Ershadmanesh³

et al. 2013

Iran Red Crescent Med J

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BackgroundExclusive breastfeeding is one of the most important essential components of Kangaroo Mother Care.ObjectiveThis study was performed to evaluate the effects of KMC on exclusive breastfeeding just at the time of discharge.Patients and MethodsIn this cross sectional study, 251 consecutive premature newborns admitted to neonatal intensive care unit (NICU) between May 2008 and May 2009 in Alzahra University Hospital in Tabriz were evaluated. All of candidate mothers were educated for KMC method by scheduled program. Standard questionnaire was prepared by focus group discussion, and mothers filled it prior to infant hospital discharge.ResultsIn this study 157(62.5%) mothers performed kangaroo mother care (KMC group) versus 94 (37.5%) in conventional method care (CMC group). In KMC group exclusive breast feeding was 98 (62.5%) vs. 34 (37.5%), and P =.00 in CMC group, at the time of hospital discharge. Receiving KMC, and gestational age were the only effective factors predicting exclusive breastfeeding. Our result indicated that there was a 4.1 time increase in exclusive breastfeeding by KMC, and also weekly increase in gestational age increased it 1.2 times, but maternal age, birth weight, mode of delivery, and 5 minute Apgar score had no influence on it.ConclusionsKMC is more effective, and increases exclusive breast feeding successfully. It can be a good substitution for CMC (conventional methods of care). It is a safe, effective, and feasible method of care for LBWI even in the NICU settings.

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“…There is growing evidence that the KM brings benefits that are both physiological [2-7], such as improvement in the vital signs, oxygenation of the brain and reduction in the pain response, and behavioral [1,8,9], such as improved sleep and less crying in the preterm newborn, and also improves adherence to and duration of maternal breastfeeding [4,9,10] and mother-child bonding [1]. This method is also associated with a reduction in time spent in hospital and in mortality among preterm newborns [4,11].…”

Section: Introductionmentioning

confidence: 99%

Effect of the kangaroo position on the electromyographic activity of preterm children: a follow-up study

et al. 2013

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BackgroundOne of the components of the Kangaroo Method (KM) is the adoption of the Kangaroo Position. The skin-to-skin contact and the vertical position the child adopts when in this position may provide sensorial, vestibular and postural stimuli for the newborn. The Kangaroo Position may encourage vestibular stimuli and a flexed posture of the limbs, suggesting the hypothesis that the Kangaroo Position may have an impact on flexor muscle tone. The effect of these stimuli on the motor features of the newborn has not been the subject of much investigation. No study has yet been conducted to determine whether the Kangaroo Position may progressively increase electromyographic activity or whether this increase persists until term-equivalent age. The aim of this study was to evaluate the effect of the Kangaroo Position on the electromyographic activity of preterm children.MethodA follow-up study was carried out between July and November 2011 at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife-Brazil, using a sample of 30 preterm children. Surface Eletromyography (SEMG) was used to investigate the muscle activity of biceps brachii. The electromyographic readings were taken immediately before (0 h) and after 24 h, 48 h, 72 h, 96 h of application of the Kangaroo Position as well as at the term equivalent age in each baby. Electromyographic activity was analyzed using the Root Mean Square (RMS) and the mean values of the times were analyzed by way of analysis of variance for repeated measures and the Tukey test.ResultsElectromyographic activity of the biceps brachii varied and increased over the whole 96h period (RMS:0 h = 36.5 and 96 h = 52.9) (F(5.174) = 27.56; p < 0.001) and remained constant thereafter (RMS: term-equivalent age = 54.2). The correlations between the corrected age and the values for electromyographic activity did not show any statistical significance.ConclusionThe Kangaroo Position leads to a growing increase in the electromyographic activity of preterm children’s biceps brachii after up to 96 h of stimulation and this response persists until at least the 21st day after this period.

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Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil

Cited by 33 publications

References 22 publications

Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

The Effect of Kangaroo Mother Care (KMC) on Breast Feeding at the Time of NICU Discharge

Effect of the kangaroo position on the electromyographic activity of preterm children: a follow-up study

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