Abstract:Context: Kangaroo Mother Care (KMC) is a supportive technique that beings at the neonatal period and is one of the skin-to-skin contact methods of holding neonate by mother. This method has an important role in exclusive breastfeeding and thermal care of neonates. This study aimed to investigate the application of KMC and evaluate the effect of this technique in different neonatal outcomes, particularly in Iranian neonates. Moreover, this review can be a tool for formative evaluation for this newly introduced … Show more
“…In the United States, there are about 250,000 premature and low birth weight infants each year, accounting for 8.8% of births [ 4 ]. In Iran, 5000 neonates are born daily, about 12% of them are underweight [ 5 ]. Therefore, care for such infants is a burden on community health systems.…”
IntroductionBreast-feeding and being with mother have positive effects on the preterm infant's health status. Therefore, this study was conducted to evaluate the effect of Kangaroo Mother Care (KMC) on physiological parameters of premature infants in Fatemiyeh Hospital in Hamadan in 2016.MethodsThis was a quasi-experimental study. One hundred newborns who were admitted to in neonatal intensive care unit of Fatemiyeh Hospital in Hamadan city, Iran were selected by convenience sampling. They were randomly divided into two groups (experimental group, n = 50 and control group, n = 50). In the experimental group, newborns were taken daily KMC for an hour during 7 days. In the control group, routine care was performed in the incubator. The data gathering tool was questionnaire of infants and mother characteristics, checklists of vital signs and oxygen saturation. Data analysis was performed by SPSS 19 software using descriptive and inferential statistics (Independent t -test, Paired t-test, Chi-square, ANOVA).ResultsBefore intervention, there was no significant difference between the physiological parameters of the infants (heart rate, respiratory rate, arterial blood oxygen saturation and temperature) in experimental and control groups. However, after intervention, there was a significant difference between the two groups in terms of physiological indices (p < 0.001).ConclusionThe findings of this study indicate the effect of KMC on enhancement of physiological indices. Therefore, it is recommended that KMC is taken as one of the routine care of premature infants.
“…In the United States, there are about 250,000 premature and low birth weight infants each year, accounting for 8.8% of births [ 4 ]. In Iran, 5000 neonates are born daily, about 12% of them are underweight [ 5 ]. Therefore, care for such infants is a burden on community health systems.…”
IntroductionBreast-feeding and being with mother have positive effects on the preterm infant's health status. Therefore, this study was conducted to evaluate the effect of Kangaroo Mother Care (KMC) on physiological parameters of premature infants in Fatemiyeh Hospital in Hamadan in 2016.MethodsThis was a quasi-experimental study. One hundred newborns who were admitted to in neonatal intensive care unit of Fatemiyeh Hospital in Hamadan city, Iran were selected by convenience sampling. They were randomly divided into two groups (experimental group, n = 50 and control group, n = 50). In the experimental group, newborns were taken daily KMC for an hour during 7 days. In the control group, routine care was performed in the incubator. The data gathering tool was questionnaire of infants and mother characteristics, checklists of vital signs and oxygen saturation. Data analysis was performed by SPSS 19 software using descriptive and inferential statistics (Independent t -test, Paired t-test, Chi-square, ANOVA).ResultsBefore intervention, there was no significant difference between the physiological parameters of the infants (heart rate, respiratory rate, arterial blood oxygen saturation and temperature) in experimental and control groups. However, after intervention, there was a significant difference between the two groups in terms of physiological indices (p < 0.001).ConclusionThe findings of this study indicate the effect of KMC on enhancement of physiological indices. Therefore, it is recommended that KMC is taken as one of the routine care of premature infants.
“…However, the other aspects of co-occupation in this unit cannot be disregarded. In Kangaroo care, for example, there is the presence of shared emotionality, and among the many benefits of Kangaroo care, there are the strengthening of the mother-baby bond, the reduction of the psychological and physical stress of the baby and greater incentive and maintenance of breastfeeding (SARPARAST et al, 2015).…”
Section: The Construction Of Motherhood As a Co-occupation During Thementioning
confidence: 99%
“…Maternal demands and responsibilities in the care of their children with disabilities challenge the constant presence of mothers as well as their efforts to meet the medical, educational and recreational needs of their children, and it is necessary to give up the professional career plan to become a mother full-time (SMITH, 2004). When intervening with this group, occupational therapists offer opportunity for maternal engagement in co-occupations as one of the purposes to be achieved, even if the child has serious impairments (PRICE; MINER, 2009).…”
Introduction: The term co-occupation has been used by occupational therapists to define the implicit involvement of two or more individuals in an occupation. In this perspective, maternal care is considered a co-occupation, and occupational therapists seek to promote the insertion of the mother in the Neonatal Intensive Care Unit (NICU), maternal guaranteeing autonomy and independence in the care of the baby. Objective: To analyze how the construction of maternal co-occupation in the NICU takes place. Method: A qualitative, multiple-case study conducted at a philanthropic hospital in Belo Horizonte, Minas Gerais, Brazil, and attended by six mothers of infants admitted to the NICU. Semi-structured interviews and the participant's diary were used as instruments of data collection. The data were submitted to content analysis in thematic modality with the use of MAXQDA software. The themes were grouped giving rise to two categories with their respective subcategories. Results: It was verified that the mothers experience different feelings related to the baby's hospitalization in the NICU, and their involvement in co-occupations in this context happens gradually, intensifying from the clinical improvement of the baby. Conclusion: The way mothers construct co-occupation during the infant's hospitalization in the NICU is based on their understanding and previous experience about motherhood, as well as on aspects related to the context of the NICU. It is necessary that occupational therapists know the expectations of mothers in order to build with them possibilities of involvement in co-occupations that meets their expectations.Resumo: Introdução: O termo co-ocupação tem sido utilizado por terapeutas ocupacionais para definir o envolvimento implícito de dois ou mais indivíduos em uma ocupação. Nessa perspectiva, o cuidado materno é considerado uma co-ocupação, sendo que os terapeutas ocupacionais buscam promover a inserção da mãe na Unidade de Terapia Intensiva Neonatal (UTIN), garantindo a autonomia e independência materna nos cuidados do bebê. Objetivo: Analisar como se dá a construção da co-ocupação materna na UTIN. Método: Estudo de caso múltiplo, descritivo-exploratório de abordagem qualitativa, realizado em um Hospital filantrópico de Belo Horizonte, Minas Gerais e que teve como participantes seis mães de bebês internados na UTIN. Utilizou-se como instrumentos de coleta de dados a entrevista semiestruturada e o diário da participante. Os dados foram submetidos à análise de conteúdo na modalidade temática com a utilização do software MAXQDA. Resultados: Verificou-se que as mães vivenciam diferentes sentimentos relacionados à internação do bebê na UTIN, sendo que seu envolvimento em co-ocupações, nesse contexto, acontece de forma gradativa, se intensificando a partir da melhora clínica do bebê. Conclusão: O modo como as mães constroem a co-ocupação durante a internação do bebê na UTIN baseia-se no seu entendimento e na sua vivência prévia acerca da maternidade, bem como nos aspectos relacionados ao contexto da UTIN. ...
“…Populasi terjangkau pada penelitian ini yaitu ibu dan bayi berat lahir rendah yang dirawat di rumah sakit di Jakarta, sedangkan sampel pada penelitian ibu dan bayi berat lahir rendah Manfaat PMK alam memfasilitasi bayi untuk menyusu pada ibu dapat meningkatkan angka menyusui (Sarparast & Farhadi, 2015). Selain itu fungsi gendongan PMK untuk mempertahankan bayi di dada ibu dan memastikan kulit bayi menempel pada kulit ibu sangat penting karena hal ini dapat menimbulkan terjadinya maternal neonatal thermal synchrony yaitu perubahan suhu pada payudara ibu untuk mempertahankan suhu tubuh bayi normal (Jain & Sarkar, 2000).…”
2. Fakultas Ilmu Keperawatan Universitas Indonesia, Depok, Jawa Barat, y_rustina@ui.ac.id 3. ABSTRAK Latar belakang: Pelaksanaan Perawatan Metode Kanguru (PMK) di Indonesia telah berkembang dengan baik. Hal ini dibuktikan dengan telah dimasukkannya PMK menjadi salah satu prosedur tetap dalam perawatan bayi berat lahir rendah (BBLR) pada banyak rumah sakit di Indonesia. Satu-satunya alat yang dibutuhkan dalam pelaksanaan PMK yaitu gendongan PMK. Model gendongan PMK yang banyak digunakan di Indonesia yaitu model Kantong, Thari dan Kain Panjang. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi persepsi ibu terhadap tiga model gendongan PMK dan mengidentifikasi hubungan kecemasan ibu dan tingkat ekonomi terhadap persepsi ibu tentang gendongan PMK. Metode : Penelitian ini merupakan uji klinis dengan menggunakan metode Randomized Crossover Trial yang melibatkan 20 responden ibu dan BBLR. Sampel dilakukan randomisasi alokasi untuk mendapatkan intervensi PMK dengan menggunakan gendongan kantong, gendongan thari dan kain panjang. Data persepsi dan kecemasan ibu dikumpulkan dengan menggunakan kuesioner persespsi ibu dan kuesioner Am I Blue. Tingkat ekonomi ibu juga dikaji dengan mengkaji penghasilan dalam keluarga. Hasil: Hasil analisis menggunakan Repeated Anova menunjukkan bahwa tidak ada perbedaan bermakna persepsi ibu terhadap tiga jenis model gendongan PMK (p=0,504, α=0,05). Selain itu juga terdapat hubungan yang bermakna skor kecemasan ibu dan tingkat ekonomi terhadap persepsi tentang tiga model gendongan PMK (p=0,021 dan p=0,003). Kesimpulan: Jenis model gendongan PMK tidak mempengaruhi persepsi ibu, sehingga pelaksanaan perawatan metode kanguru dapat menggunakan ketiga jenis model gendongan tersebut. Kata kunci: gendongan PMK; bayi berat lahir rendah; persepsi ibu; kecemasan ibu ABSTRACT Background: The implementation of the Kangaroo Care Method (KMC) in Indonesia has been well developed. This has been proven by the inclusion of KMC as one of the standard procedures in the care of low birth weight (LBW) babies in many hospitals in Indonesia. The only one tool needed in implementing KMC is KMC carriers. The most widely used KMC carriers models in Indonesia are the pouch (bag), Thari wrap and traditional wrap models. Objective: This study aims are to identify mothers' perceptions of three different types of KMC carrier models and to identify the relationship of maternal anxiety and economic level to the perception of mothers about KMC carriers Method: The study used Randomized Crossover Trial involving 20 mothers and LBW infants as responders and randomly allocated to the order of KMC using three kinds of KMC carriers. Data maternal perception were collected using a maternal perception questionnaire and maternal anxiety using Am I Blue questionnaire. Result: The results of a Repeated Anova showed that there was no significant difference in maternal perception when performing KMC with any of three KMC carriers (p = 0.504, α = 0.05). There is also a significant relationship between maternal anxiety scores and e...
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