Regular and prolonged skin-to-skin contact improves short-term outcomes for very preterm infants: A dose-dependent intervention

et al. 2020

Preprint

Background: Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).Methods: A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC.Results: 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.Conclusions: After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.

Section: Study Design and Populationmentioning

confidence: 99%

Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

et al. 2020

Preprint

“…KMC was practiced using a standard protocol and flow chart (Fig. 1) developed for this KMC project, mostly adapted from international KMC practice guidance [14]. Each pilot hospital took part in the development and training of the protocol and KMC flow chart.…”

Section: Materials and Methods Study Design And Populationmentioning

confidence: 99%

“…Before China's Premature Birth and Preterm Infants Intervention Program started to actively promote KMC in 2014, the policy of most neonatal intensive care units (NICUs) in China was not to allow parents into the NICUs and those that permitted parental access tended to prohibit physical contact between parent and the child [11], a practice largely in place to prevent newborn infections. A few hospitals implemented KMC to varying degrees [12][13][14], however it was not established as part of routine care in China and there was no standardized guideline or training. Chinese doctors and nurses had few opportunities to witness or experience the provision of KMC which hindered uptake and the development of KMC implementation strategies.…”

Section: Introductionmentioning

confidence: 99%

Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

et al. 2020

Preprint

Background To describe the utilization of kangaroo mother care (KMC) in eight self-selected neonatal intensive care units (NICUs) participating in premature birth and infant’s intervention program. Methods A cross-sectional study of preterm infants discharged from eight NICUs in April 2018. For infants was collected this included postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. Results 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. Conclusion After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by medical staff and parents.

“…KMC was practiced using a standard protocol and flow chart ( Figure 2) developed for this KMC project, mostly adapted from international KMC practice guidance [14]. Each pilot hospital took part in the development and training of the protocol and KMC flow chart.…”

Section: Study Design and Populationmentioning

confidence: 99%

Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

et al. 2020

Preprint

Background To understand the feasibility and method of adoption of KMC in the context of China's NICUs. Describe the utilization of kangaroo mother care (KMC) in eight self-selected neonatal intensive care units (NICUs) participating in premature birth and infant’s intervention program. Methods A cross-sectional study of preterm infants discharged from eight NICUs in April 2018 . For infants was collected this included postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC. Results 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. Conclusion After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest to continue to promote parents KMC education enhancing preterm infant health.