'Kangaroo mother care' to prevent neonatal deaths due to preterm birth complications

Lawn, Joy E; Mwansa-Kambafwile, Judith; Horta, Bernardo Lessa; Barros, Fernando C.; Cousens, Simon

doi:10.1093/ije/dyq031

Cited by 404 publications

(323 citation statements)

References 22 publications

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“…Emphasizing the benefits of breastfeeding for mother and child, as well as the correct grasp, identifying difficulties and problems in the breasts, pain or cracking, giving advice on supplying milk in a cup and not offering a bottle or other artificial nipples were suggested. The importance of the maternity's Human Milk Bank support services and the participation of mothers in the MC in the promotion of breastfeeding, as corroborated the literature was highlighted (19 Despite the municipality studied having a public maternity, reference to the MC, there is not yes an interface with AB to perform step three of MC. The Precious Baby Program needs to be strengthen strategies to materialize MC in AB, despite its positive results in relation to the risk babies' follow-up.…”

Section: You Know It' S a Methods That Favors The Development Of The Bmentioning

confidence: 71%

“…A meta-analysis performed, contemplating the period from 1970 to 2009, included 15 randomized trials with 524 smaller preterm infants of 2000g, showing that the MC is highly effective in reducing severe morbidity, particularly from infections, and significantly reduces neonatal mortality in this range (19). The systematic review involved 2,751 newborns weighing less than 2300g, and also included 18 clinical trials.…”

Section: You Know It' S a Methods That Favors The Development Of The Bmentioning

confidence: 99%

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Seguimento do bebê na atenção básica: interface com a terceira etapa do método canguru

Aires¹,

Santos

Costa

et al. 2015

Rev. Gaúcha Enferm.

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Section: You Know It' S a Methods That Favors The Development Of The Bmentioning

confidence: 71%

Section: You Know It' S a Methods That Favors The Development Of The Bmentioning

confidence: 99%

Seguimento do bebê na atenção básica: interface com a terceira etapa do método canguru

Aires¹,

Santos

Costa

et al. 2015

Rev. Gaúcha Enferm.

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“…A recent meta-analysis showed that SSC in conjunction with breastfeeding and recognition of danger signs substantially reduced neonatal mortality in hospital-born preterm babies (birth weight <2000 g) in hospital, and was highly effective in reducing severe morbidity, particularly from infection. 59 A study from Western India, in which 36.9% of hospitalized newborns were hypothermic, reported a decrease in this rate to 3.9% with kangaroo mother care. 60 However, in many countries there is resistance from health professionals, mothers and families related to local cultural practices.…”

Section: Diagnosismentioning

confidence: 99%

Thermal protection of the newborn in resource-limited environments

2012

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Appropriate thermal protection of the newborn prevents hypothermia and its associated burden of morbidity and mortality. Yet, current global birth practices tend to not adequately address this challenge. Here, we discuss the pathophysiology of hypothermia in the newborn, its prevention and therapeutic options with particular attention to resource-limited environments. Newborns are equipped with sophisticated mechanisms of body temperature regulation. Neonatal thermoregulation is a critical function for newborn survival, regulated in the hypothalamus and mediated by endocrine pathways. Hypothermia activates cellular metabolism through shivering and nonshivering thermogenesis. In newborns, optimal temperature ranges are narrow and thermoregulatory mechanisms easily overwhelmed, particularly in premature and low-birth weight infants. Hyperthermia most commonly is associated with dehydration and potentially sepsis. The lack of thermal protection promptly leads to hypothermia, which is associated with detrimental metabolic and other pathophysiological processes. Simple thermal protection strategies are feasible at community and institutional levels in resource-limited environments. Appropriate interventions include skin-to-skin care, breastfeeding and protective clothing or devices. Due to poor provider training and limited awareness of the problem, appropriate thermal care of the newborn is often neglected in many settings. Education and appropriate devices might foster improved hypothermia management through mothers, birth attendants and health care workers. Integration of relatively simple thermal protection interventions into existing mother and child health programs can effectively prevent newborn hypothermia even in resource-limited environments.

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“…A metaanalysis of 988 infants enrolled in 3 randomized controlled trials of continuous KMC begun in the first postnatal week in low-or middleincome countries found a 51% reduction in mortality among infants with a birth weight ,2000 g (relative risk: 0.49 [95% confidence interval: 0.29-0.82]). 1 Although the methods of this review have come under question, 2 a Cochrane meta-analysis of 18 trials of continuous KMC begun before postnatal day 10 in infants with a birth weight ,2500 g also showed significantly reduced mortality and morbidity at discharge or 40…”

Section: Introductionmentioning

confidence: 98%

Skin-to-Skin Care for Term and Preterm Infants in the Neonatal ICU

Baley¹,

Newborn²

2015

Pediatrics

146

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“Kangaroo mother care” was first described as an alternative method of caring for low birth weight infants in resource-limited countries, where neonatal mortality and infection rates are high because of overcrowded nurseries, inadequate staffing, and lack of equipment. Intermittent skin-to-skin care (SSC), a modified version of kangaroo mother care, is now being offered in resource-rich countries to infants needing neonatal intensive care, including those who require ventilator support or are extremely premature. SSC significantly improves milk production by the mother and is associated with a longer duration of breastfeeding. Increased parent satisfaction, better sleep organization, a longer duration of quiet sleep, and decreased pain perception during procedures have also been reported in association with SSC. Despite apparent physiologic stability during SSC, it is prudent that infants in the NICU have continuous cardiovascular monitoring and that care be taken to verify correct head positioning for airway patency as well as the stability of the endotracheal tube, arterial and venous access devices, and other life support equipment.

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'Kangaroo mother care' to prevent neonatal deaths due to preterm birth complications

Cited by 404 publications

References 22 publications

Seguimento do bebê na atenção básica: interface com a terceira etapa do método canguru

Seguimento do bebê na atenção básica: interface com a terceira etapa do método canguru

Thermal protection of the newborn in resource-limited environments

Skin-to-Skin Care for Term and Preterm Infants in the Neonatal ICU

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