Impact of Kangaroo Care on Premature Infants’ Oxygenation: Systematic Review

Solaz-García, Álvaro; Lara-Cantón, Inmaculada; Pinilla-González, Alejandro; Montejano-Lozoya, Raimunda; Gimeno-Navarro, Ana; Sánchez-Illana, Ángel; Marco-Piñol, Andrea; Vento, Máximo; Sáenz-González, Pilar

doi:10.1159/000525014

Cited by 10 publications

(5 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The parameters studied included heart rate, SpO 2 , regional cerebral oxygen saturation and fractional oxygen extraction. This analysis of 25 studies on preterm infants noted no significant differences in the above parameters 27. However, studies that included regional cerebral oxygen saturation and fractional oxygen extraction showed a significant increase in the former but statistically non-significant differences in the latter 13 34 Online supplemental table 1.…”

Section: Discussionmentioning

confidence: 88%

“…Most of the published data were non-continuous (a manual count of events) rather than a continuous recording and focused on more mature (>32 weeks GA), self-ventilating infants. A recent systematic review noted that in stable preterm infants whether or not on respiratory support, no significant differences in heart rate, SpO 2 or fractional oxygen extraction were noted while regional cerebral oxygen saturation remained stable during KMC with a slight upward trend 27. A subsequent single centre study noted higher cerebral oxygenation and lower tissue oxygen extraction during KMC 28.…”

Section: Introductionmentioning

confidence: 99%

“…A recent systematic review noted that in stable preterm infants whether or not on respiratory support, no significant differences in heart rate, SpO 2 or fractional oxygen extraction were noted while regional cerebral oxygen saturation remained stable during KMC with a slight upward trend 27. A subsequent single centre study noted higher cerebral oxygenation and lower tissue oxygen extraction during KMC 28. From the cardiovascular performance and cerebral blood flow perspective, significant benefits with KMC have been demonstrated recently in very preterm infants 29.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Kangaroo mother care improves cardiorespiratory physiology in preterm infants: an observational study

Sehgal,

Yeomans,

Nixon

2024

Arch Dis Child Fetal Neonatal Ed

View full text Add to dashboard Cite

ObjectivesTo evaluate whether kangaroo mother care (KMC) in preterm infants on non-invasive respiratory support improves indices of cardiorespiratory wellbeing.Study designProspective quasi-experimental observational study.SettingTertiary perinatal neonatal unit.Patients50 very preterm infants being managed with nasal continuous positive airway pressure.InterventionsContinuous high-resolution preductal pulse-oximetry recordings using Masimo Radical-7 oximeter for 1 hour (incubator care) followed by 1 hour during KMC performed on the same day.Main outcome measuresMeasures of cardiorespiratory stability (dips in oxygen saturations (SpO2)) of ≥5% less than baseline, % time spent with oxygen saturations <90%, SpO2variability and heart rate fluctuation and incidence of bradycardias.ResultsThe gestational age and birth weight of the cohort were 28.4±2.1 weeks and 1137±301 g, respectively. Dips in SpO2of ≥5% less than baseline were significantly fewer with KMC, median (IQR) 24 (12 to 42) vs 13 (3 to 25), p=0.001. SpO2variability (Delta 12 s and 2 s), (1.24±0.6 vs 0.9±0.4, p=0.005 and 4.1±1.7 vs 2.8±1.2, p<0.0001) and rapid resaturation and desaturation indices were significantly lower during KMC, compared with incubator care. Percentage time spent in oxygen saturations <90% was less with KMC (7.5% vs 2.7%, p=0.04). Mean heart rate was comparable although fluctuations in heart rate (rise by >8 bpm) were lower with KMC (43±22 vs 33±20, p=0.03). Seven (14%) infants had bradycardias during incubator care and none during KMC, p=0.012.ConclusionsKMC improves cardiorespiratory stability in ventilated preterm infants. Regular KMC has the potential to improve clinical outcomes in this vulnerable cohort.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Kangaroo mother care improves cardiorespiratory physiology in preterm infants: an observational study

Sehgal,

Yeomans,

Nixon

2024

Arch Dis Child Fetal Neonatal Ed

View full text Add to dashboard Cite

show abstract

“…This increase continued even after receiving KC compared to before. Other researches also showed that the SpO 2 was significantly higher and more stable in newborns under KC than the newborns put in the incubator [ 8 , 26 ]. The results reported by Bera et al showed that the SpO 2 levels increased during and after KC, so the newborns’ need for oxygen supplementation decreased 15 min after the start of KC [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

A comparative study of the effects of Kangaroo care by mothers and maternal grandmothers on the vital signs of hospitalized preterm newborns: a randomized controlled clinical trial study

Dargahiyan

Ghasemi

Karami

et al. 2023

Trials

View full text Add to dashboard Cite

Background Kangaroo care (KC) is an effective technique to prevent injury in newborns due to prematurity and hospitalization. Mothers of preterm newborns experience their own set of physical and mental problems. Such circumstances call for another family member to take care of the newborn. This study compared the effect of KC by mothers and maternal grandmothers on the vital signs of preterm newborns. Methods This parallel randomized controlled trial was done at the neonatal and NICU departments of the hospital in Kuhdasht in Iran. Eighty preterm neonates were selected through convenience sampling according to the eligibility criteria, then by stratified block randomization allocated to two groups. The control group received KC from the mother, and the intervention group received KC from the maternal grandmothers on the vital signs of preterm newborns. Vital signs were assessed 15 min before, during, and after the KC as the primary outcome. The data collection tools included a demographic questionnaire and a form to record the vital signs. Vital signs were measured by a pulse oximeter, an electronic thermometer, and observation. Data were analyzed by the chi-square test, the independent t-test, and the repeated measures ANOVA. Results The vital signs of newborns in each group showed a significant difference before, during, and after receiving KC (P < 0.05). Nevertheless, the vital signs of the newborns did not differ significantly between the mother and the maternal grandmother KC groups (P > 0.05). Conclusion KC by maternal grandmother may stabilize the vital signs of preterm newborns as much as when this type of care is provided by the mother. We, therefore, recommend the provision of KC by the maternal grandmother, as a support and substitute for the mother whenever she is incapable of being at the hospital and to enable the mother to rest. Trial registration Iranian Registry of Clinical Trials IRCT20211225053516N1, March 31, 2022.

show abstract

“…However, other studies have shown an increase in the number of hypoxic and bradycardic events during KC [9, 15]. Recently, in a systematic review no evidence of clinically relevant effects on physiological monitoring parameters during KC was reported [16]. Furthermore, to the best of our knowledge, only five studies have analyzed fractional tissue oxygen extraction (FtOE) fraction during KC and in none of them significant differences in FtOE between KC and incubator care have been reported.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Fractional Cerebral Oxygen Extraction in Preterm Infants during the Kangaroo Care

et al. 2023

Self Cite

View full text Add to dashboard Cite

Introduction: We aimed to investigate the cerebral fractional tissue oxygen extraction (FtOE) during kangaroo care (KC) in premature infants and compare cardiorespiratory stability and hypoxic or bradycardic events between KC and incubator care. Methods: A single-center prospective observational study was carried out at the NICU of a level 3 perinatal center. Preterm infants <32 weeks gestational age were subjected to KC. Patients were subjected to continuous monitoring of regional cerebral oxygen saturation (rScO2), peripheral oxygen saturation (SpO2), and heart rate (HR) during KC, before KC (pre-KC), and after KC (post-KC). The monitoring data were stored and exported to MATLAB for synchronization and signal analysis including the calculation of the FtOE and events analysis (i.e., desaturations and bradycardias counts and anormal values). Furthermore, the event counts and the mean SpO2, HR, rScO2, and FtOE were compared between studied periods employing the Wilcoxon rank-sum test and the Friedman test, respectively. Results: A total of forty-three KC sessions with their corresponding pre-KC and post-KC segments were analyzed. The distributions of the SpO2, HR, rScO2, and FtOE showed different patterns according to the respiratory support, but not differences between the studied periods were detected. Accordingly, no significant differences in monitoring events were evidenced. However, cerebral metabolic demand (FtOE) was significantly lower during KC compared with post-KC (p = 0.019). Conclusion: Premature infants remain clinically stable during KC. Moreover, cerebral oxygenation is significantly higher and cerebral tissular oxygen extraction is significantly lower during KC compared with incubator care in post-KC. No differences in HR and SpO2 were shown. This novel data analysis methodology could be expanded to other clinical situations.

show abstract

Impact of Kangaroo Care on Premature Infants’ Oxygenation: Systematic Review

Cited by 10 publications

References 42 publications

Kangaroo mother care improves cardiorespiratory physiology in preterm infants: an observational study

Kangaroo mother care improves cardiorespiratory physiology in preterm infants: an observational study

A comparative study of the effects of Kangaroo care by mothers and maternal grandmothers on the vital signs of hospitalized preterm newborns: a randomized controlled clinical trial study

Analysis of Fractional Cerebral Oxygen Extraction in Preterm Infants during the Kangaroo Care

Contact Info

Product

Resources

About