Kangaroo Mother Care (KMC): A Method of Protecting High-Risk Premature Infants

Charpak, Nathalie; Ruíz, Juan Gabriel; Figueroa, Zita; Tessier, R; Cristo, Martha; Velez, Stella; Giron, M; Charpak, Yves

doi:10.1203/00006450-199904020-01428

Cited by 2 publications

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“…A fim de diminuir o risco de infecções e de mortalidade, as mães passaram a ser mais atuantes e a substituir a tecnologia que faltava para dar conta da demanda. O método passou a suprir a falta desta mãe e, simultaneamente, reduzia a mortalidade neonatal e o tempo de permanência da díade mãe-bebê na maternidade (Charpak, Figueroa & Hamel, 1999).…”

Section: Introductionunclassified

Intervenção Hospitalar Multiprofissional com Prematuros: uma Revisão Sistemática

2018

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ORCID: https://orcid.org/0000-0002-7600-8442 Faculdade Meridional, Rio Grande do Sul/BrasilResumo O presente estudo objetivou mapear e compreender os estudos empíricos sobre a intervenção hospitalar multiprofissional com prematuros a fim de analisar como ocorrem essas intervenções e identificar a associação entre as ações desenvolvidas e o impacto gerado ao pré-termo, bem como, verificar a existência de intervenções hospitalares voltadas à interação mãe-bebê no contexto da prematuridade com enfoque na área da psicologia. Para isso, realizou-se uma busca e análise dos artigos, incluindo pesquisas nas bases eletrônicas Medline, Lilacs, Scielo, PubMed, Pepsic e BVS no mês de setembro de 2017. Foram incluídas publicações compreendendo o período de 2013 a 2017 com o uso de termos padronizados e previstos pelo DECS e Mesh Terms: premature birth, hospitals e health services. Além disso, foram incluídos artigos sobre intervenção hospitalar multiprofissional com prematuros, de qualquer natureza, com ações associadas à sua qualidade de vida e voltadas diretamente ao pré-termos. Dos 2040 artigos localizados, três foram selecionados de acordo com os critérios de inclusão adotados. A análise sistemática permitiu identificar a associação entre as ações desenvolvidas e o impacto destas intervenções benéficas, não farmacológicas, econômicas e não invasivas ao neonato e a possível relação destes achados com a construção corporal do ego do recém-nascido. Discutem-se os achados dessa revisão com a literatura psicanalítica pertinente.Palavras-chaves: Nascimento prematuro; Hospital; Áreas da saúde. ResumenEl presente estudio objetivó mapear y comprender los estudios empíricos sobre intervención hospitalar multidisciplinaria con prematuros al cabo de analisar como ocurren esas intervenciones e identificar asociación entre las acciones desarolladas y el impacto generado al pretérmino, bien como, verificar la existencia de intervenciones hospitalares vueltas a la interacción madre-bebé en el contexto de la prematuridad con enfoque en la área de la psicología. Para eso, se realizó una búsqueda y análisis de los artículos incluyendo pesquisas en las bases electrónicas Medline, Lilacs, Scielo, PubMed, Pepsic y BVS en el mes de septiembre de 2017. Fueran incluídas publicaciones comprendiendo el período de 2013 hasta 2017 con el uso de términos padronizados y previstos por el DECS y Mesh Terms: premature birth, hospitals and health services. Artículos sobre intervención hospitalar multidisciplinaria con prematuros, de qualquier naturaleza, con acciones asociadas a su

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Section: Introductionunclassified

Intervenção Hospitalar Multiprofissional com Prematuros: uma Revisão Sistemática

2018

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“…Capacity development • Orientation, training, mentoring, coaching and supervisionoffsite and onsite• The focus should be not only on clinical training, but also on accompanying the health workforce and government functionaries on issues needed for the rollout of KMC implementation and scale-up plans • Fundación Canguru's approach to training the trainers: "See one, do one, teach one"[96,97] • Overwhelming amount of resources on the internetreliable internet resources:…”

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Programmatic implementation of kangaroo mother care: a systematic synthesis of grey literature

Bergh

Gupta

Rao

2023

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Background Evidence on the effectiveness of kangaroo mother care (KMC) is available and guidelines have been formulated. However, little is known about the programmatic implementation of KMC at national and subnational levels. Methods A structured search of grey literature was conducted to identify reports of national or subnational level implementation of KMC to understand the population-based coverage of KMC, availability of KMC services at national and subnational levels, programmatic approaches to scale, and health systems actions that may influence KMC scale-up. The search strategy included two rounds of screening using a variety of grey literature search engines, portals, repositories, and targeted websites, as well as snowball sampling. Data from 212 documents were extracted and transferred into a database with an extensive topic list. These documents were then classified as 'for in-depth analysis', 'possible nuggets', and 'not important'. Further analysis of 42 information-rich documents was conducted with NVivo software to identify recurring themes. Findings We found information on KMC implementation on a national or subnational scale for 18 countries. Estimates for national- or subnational-level population-based coverage of KMC were available from only six countries (Colombia 63%, the Philippines 53%, Malawi 22%, Bangladesh 22%, India 13%, Viet Nam 8%). Information on the availability of KMC services was scant and fragmented, with no information on their quality. Programmatic KMC implementation is characterised by leadership from a variety of implementation partners and by different implementation trajectories. Countries for which information on KMC implementation was available shared common health system actions such as the inclusion of KMC in national policy, recognition of KMC as a priority newborn health intervention and strong advocacy by champions at all levels, dedicated investment in KMC and in some cases insurance cover for KMC, capacity building and motivation among health workers, dedicated space for KMC with equipment and supplies, support for KMC practice, and data collection and use. Conclusion. Programmatic implementation of KMC requires action in multiple health system building blocks with a focus on monitoring and evaluation of availability and quality of services, along with coverage.

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Kangaroo Mother Care (KMC): A Method of Protecting High-Risk Premature Infants

Cited by 2 publications

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Intervenção Hospitalar Multiprofissional com Prematuros: uma Revisão Sistemática

Intervenção Hospitalar Multiprofissional com Prematuros: uma Revisão Sistemática

Programmatic implementation of kangaroo mother care: a systematic synthesis of grey literature

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