Maternal Kangaroo care education program in the neonatal intensive care unit improved mothers' perceptions, knowledge, perceived barriers and stress relates to premature infant

Samsudin, Sharmiza; Chui, Ping Lei; Kamar, Azanna Ahmad; Abdullah, Khatijah Lim

doi:10.1002/nop2.1311

Cited by 4 publications

(21 citation statements)

References 27 publications

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“…The KC was initiated at 28 weeks of a premature infant. 22 , 23 The researchers prospectively extracted data from the charts during clinical care in Level III NICUs, associated Level II units, and routine post-discharge care. Neonatal information includes Apgar score, sex, race, delivery type, birth weight, weekly weight, gestational age (weeks), respiratory supports (days), and KC performance at T1 while in the hospital.…”

Section: Methodsmentioning

confidence: 99%

“…22 A complete sleep cycle was defined as one hour per session (active, quiet and return to active sleep). 22 , 23 The mothers in the experimental group were advised to perform the KC for at least 1 hour per day which total practice would be 4 to 5 hours per week 23 beginning from NICU and continuing at home until the infant reached three months post-discharge. The suggested hours were based on a pilot study on 20 infant-mother pairs to confirm the proposed KC hours are applicable and feasible.…”

Section: Methodsmentioning

confidence: 99%

“…KC was performed in response to the mother’s request, convenience and willingness as long as they can devote at least one hour per day anytime. 23 The nurses checked the clinical conditions of the infants’ which included oxygen saturation, heart rate, bowel movements, urine output and feeding tolerance 10 minutes before the procedure to ensure the stability of infants to undergo KC.…”

Section: Methodsmentioning

confidence: 99%

“…The KC tube was secured, while the infant was placed in a prone, frog-leg position with the head turned sideways on the mother’s bare chest. 22 , 23 Mothers can safely walk and move around with their baby supported in the KC tube, and also maximize skin contact between the infant and mother’s bare chest. 22 , 23 Mothers were advised to wear a buttoned shirt ready to cover their arms and shoulders, followed by a light blanket over the infant.…”

Section: Methodsmentioning

confidence: 99%

“… 14 Nevertheless, some staffs and parents were resistant to integrating and sustaining KC into NICU practice despite knowing its benefits. 22 , 23 The approach has not been wholly adopted as a routine practice in Malaysia and is still relatively new. 23 , 24 The published data about the effects of conducting a KC education program on the outcomes of premature infants are lacking.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Structured Kangaroo Care Education on Premature Infants’ Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

Samsudin¹,

Chui²,

Kamar³

et al. 2023

JMDH

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Purpose Kangaroo care is a complementary humanistic intervention based on a family-centered care model. This study investigated the effects of a locally contextualized, structured kangaroo care education program on weight gain, breastfeeding rate and length of hospitalization for premature infants. Patients and Methods This longitudinal quasi-experimental study with pre- and post-intervention design involved 96 infants born between 28 and 37 weeks of gestation for three months, and was carried out at a neonatal intensive care unit in Malaysia. The experimental group received a structured education program and careful monitoring of their kangaroo care practices, while the control group received routine care without a structured education program. The institutional review board approved the study design and registered at ClinicalTrials.gov (NCT04926402). Results The kangaroo care hours performed by mothers at baseline in the experimental and control group was 4.12 and 0.55 hours per week, respectively. At three months post-discharge, the experimental group had significantly higher weight gain, higher breastfeeding rates and shorter lengths of hospitalization than the control group. Conclusion A locally contextualized and structured kangaroo care education program is effective in the performance of kangaroo care. One hour per day of kangaroo care is positively associated with an extended period of breastfeeding, improved weight gain and shorter hospitalization of premature infants.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Impact of Structured Kangaroo Care Education on Premature Infants’ Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

Samsudin¹,

Chui²,

Kamar³

et al. 2023

JMDH

Self Cite

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The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population

Freccero,

Scala,

McLeod

et al. 2023

Advances in Neonatal Care

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Background: Despite well-established benefits of skin-to-skin care (SSC) for preterm infants and parents, standardized guidelines for implementation do not exist. Furthermore, the literature offers little evidence-based information to guide best practice. Purpose: To discover whether SSC using a body wrap to hold preterm infants would increase the duration of SSC, decrease parental stress during SSC, and minimize adverse events to ensure that body wraps are safe and feasible. Methods: Twenty-nine dyads of parents and preterm infants younger than 34 weeks postmenstrual age were enrolled. The first 15 dyads to meet inclusion criteria were assigned to a standard of care group for SSC with no body wrap. The remaining 14 dyads were assigned to an experimental group for SSC with a body wrap. Each dyad performed 2 SSC holds. Parents completed the Parental Stressor Scale and Parent Feedback Form. Adverse events were also documented. Results: No statistically significant differences were found between the 2 groups in total SSC time (P = .33), the number of adverse events (P = .31 for major events; P = .38 for minor events), average parental stress (P = .22), and parental confidence performing SSC (P = .18). Implications for Practice and Research: This study found that SSC with a body wrap is safe for preterm infants in a neonatal intensive care unit (NICU). This is the first study to explore the use, safety, and effectiveness of body wraps during SSC with preterm infants in an NICU. Future research should be conducted with larger sample sizes to further evaluate the safety and efficacy.

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Essential components of an educational program for implementing skin-to-skin contact for preterm infants in intensive care units: an integrative literature review

Denge,

Bam,

Lubbe

et al. 2024

BMC Pregnancy Childbirth

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Background Globally, prematurity is the primary factor behind the mortality of children under the age of 5 years, resulting in approximately 1 million children dying annually. The World Health Organization (WHO) recommends Skin-to-Skin Contact (SSC) as part of routine care for preterm infants. Evidence shows that SSC reduces mortality, possibly by improving thermoregulation, facilitating the earlier initiation of breastfeeding and reducing the risk of nosocomial infection. An educational program for implementing SSC has been demonstrated to enhance the knowledge and practice of parents and nurses in intensive care units. This study, the first of its kind in the North West Province (NWP), aims to identify the essential components of an educational program for implementing SSC for premature infants in intensive care units. Objective This paper presents an integrative literature review that critically synthesizes research-based literature on essential components of an educational program for implementing SSC for preterm infants in intensive care units. Methods A comprehensive search of electronic databases, such as CINAHL, MEDLINE, PsycINFO, ProQuest and Health Source: Nursing/Academic Edition and Health Source-Consumer Edition, was conducted using different keywords and references lists from the bibliography. Results Twelve articles relevant to this review were identified, read and synthesized to answer the research question. Three essential components emerged from the findings of this review, namely (1) the necessity of policy and role players for implementing SSC, (2) the availability of education and training, and (3) counseling and support for parents of preterm infants. Conclusions The outcomes of this study have the potential to facilitate the implementation and expansion of SSC in intensive care units. This could aid program implementers, policymakers, and researchers to implement and scale up this important tool in intensive care units.

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Maternal Kangaroo care education program in the neonatal intensive care unit improved mothers' perceptions, knowledge, perceived barriers and stress relates to premature infant

Cited by 4 publications

References 27 publications

The Impact of Structured Kangaroo Care Education on Premature Infants’ Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

The Impact of Structured Kangaroo Care Education on Premature Infants’ Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population

Essential components of an educational program for implementing skin-to-skin contact for preterm infants in intensive care units: an integrative literature review

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