The Kangaroo Program at a Brazilian maternity hospital: the preterm/low-weight babies’ health-care under examination

Véras, Renata Meira; Traverso-Yépez, Martha

doi:10.1111/j.1440-1800.2011.00520.x

Cited by 7 publications

(13 citation statements)

References 12 publications

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“…[43][44][45] Different studies have established the safety of KMC in intubated neonates under 1500 g and in extremely preterm infants. [46][47][48] Advantages for the mother All mothers can provide KMC, irrespective of age, parity, education, culture and religion. 49 Studies have demonstrated the impact of KMC on the mother-infant relationship, as well as on the mother's psychological well-being.…”

Section: Kangaroo Mother Care: Inception and Componentsmentioning

confidence: 99%

Utility of kangaroo mother care in preterm and low birthweight infants

Shrivastava

Ramasamy

2013

South African Family Practice

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Preterm birth (< 37 completed weeks of gestation) is the largest direct cause of neonatal mortality, accounting for an estimated 27% of the 4-million neonatal deaths every year. Kangaroo mother care (KMC) is a type of care for preterm and premature infants whereby the infant is placed in an upright position against the parent's chest, with early skin-to-skin contact between the parent and infant. Mothers who practise KMC exhibit less maternal stress and fewer symptoms of depression, and have a better sense of the parenting role and more confidence in meeting their babies' needs than those who don't. Despite the apparent feasibility of KMC, currently, only a few preterm babies in low-income countries have access to this intervention. Knowledge of the effectiveness and safety of KMC in the community and home setting, and its effects on growth, is still incomplete. Only one study has examined KMC initiation at home. There is an immense need for the promotion of research to improve the delivery of existing cost-effective interventions in low-resource settings and to address key gaps in knowledge. KMC improves growth in low birthweight and preterm infants, and has a significant role to play in protecting them from hypothermia and sepsis, as well as promoting exclusive breastfeeding. KMC helps to reduce neonatal mortality, and inculcates confidence and a better sense of parenting in mothers with regard to their babies' needs. © Medpharm S Afr Fam Pract 2013;55(4):340-344

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Section: Kangaroo Mother Care: Inception and Componentsmentioning

confidence: 99%

Utility of kangaroo mother care in preterm and low birthweight infants

Shrivastava

Ramasamy

2013

South African Family Practice

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“…However, a study assessing 176 Brazilian maternity-hospitals, qualified between 2000 and 2003, shows that only 47.3% implemented the three stages of the method ( 11 ) . Véras and Traverso-Yépez ( 12 ) state that the implementation policy of the KM does not value the social, cultural, and environmental aspects involved in motherhood. Other authors suggest that the success of the implantation of the KM depends on the training of health professionals and the facilities the hospital offers to mothers for its permanence.…”

Section: Introductionmentioning

confidence: 99%

Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

Menezes¹,

Garcia²,

Melo³

et al. 2014

Rev. paul. pediatr.

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OBJECTIVE:To evaluate clinical outcomes, growth and exclusive breastfeeding rates in premature infants assisted by Kangaroo Mother Care at birth, at discharge and at six months of life. METHODS: Prospective study of a premature infants cohort assisted by Kangaroo Mother Care in a tertiary public maternity in Northeast Brazil with birth weight ≤1750g and with clinical conditions for Kangaroo care. RESULTS: The sample was composed by 137 premature infants, being 62.8% female, with average birth weight of 1365±283g, average gestational age of 32±3 weeks and 26.2% were adequate for gestational age. They have been admitted in the Kangaroo Ward with a median of 13 days of life, weighing 1430±167g and, at this time, 57.7% were classified as small for corrected gestational age. They were discharged with 36.8±21.8 days of chronological age, weighing 1780±165g and 67.9% were small for corrected gestational age. At six months of life (n=76), they had an average weight of 5954±971g, and 68.4% presented corrected weight for gestational age between percentiles 15 and 85 of the World Health Organization (WHO) weight curve. Exclusive breastfeeding rate at discharge was 56.2% and, at six months of life, 14.4%. CONCLUSIONS: In the studied sample, almost two thirds of the children assisted by Kangaroo Mother Care were, at six months of life, between percentiles 15 and 85 of the WHO weight curves. The frequency of exclusive breastfeeding at six months was low.

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“…1 Thus, it tends to be compulsory in maternity wards linked to the SUS, and optional in the private health system. 4 The association between the MC implementation and public hospitals reinforces this statement. In addition, this fact may indicate that public services are more concerned with the incorporation of humanization in the care practice.…”

Section: Discussionmentioning

confidence: 87%

“…The MC in Brazil serves more families with low income and education levels than otherwise. 4 This can be explained by the fact that the MC is implemented in greater numbers in public services, where the majority of users have more vulnerable socioeconomic status. However, the social conditions of the city where the maternity is This suggests the failure in the ministerial statement -of being a maternity for risky births -on the part of state health departments.…”

Section: Discussionmentioning

confidence: 99%

“…2 The Brazilian proposal presents issues related to humanized care to complement the classic technological advances, thereby promoting the increase of the mother-child bond, increased breastfeeding prevalence, and increased competence and confidence in parents to care for their newborns. 3,4 After the MC establishment as a perinatal care model, the MS initiated an extensive process to spread it among hospitals assisting high-risk pregnancies and belonging to the Unified Health System (SUS). 1 The strategy adopted was the training of professionals in this method, to act as disseminators of the proposal in their home institutions.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with the kangaroo method in Brazil

Gontijo¹,

Abreu²,

Proietti³

et al. 2015

Revista Médica De Minas Gerais

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Introduction: the kangaroo method was established as a health policy in Brazil; the Ministry of Health initiated an extensive process to disseminate it among Brazilian maternities assisting high-risk pregnancies since the year 2000. Objective: to analyze the factors that might have interfered with the implementation of the kangaroo method in Brazilian maternities. Method: this was a cross-sectional study that analyzed 176 (60.1%) out of the 293 maternities trained by the Ministry of Health. The instrument used was a posted questionnaire sent to managers of qualified maternities. The statistical analysis of multinomial logistic regression was conducted. Results: among the 176 analyzed maternities, 79 (47.3%) implemented the three stages of the kangaroo method as required by the Brazilian standards; 28 (15.9%) partially implemented it, and 68 (39.2%) did not implement it. Associations with public institutions (odds ratio: 2.6) and those that had a human milk bank (odds ratio: 5.7) were identified. The availability of hospital structures and services, annual number of births, percentage of C-sections, number of beds and professionals trained in the Kangaroo method, the Human Development Index, and incidence of poverty in the municipality where the maternity is located were not associated with the implementation of the Kangaroo method. Conclusions: little influence of the variables related to the maternities' characteristics were identified in the implementation of the kangaroo method. This suggests that other variables such as culture and institutional support, among others, can have a positive influence on the implementation of it.

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The Kangaroo Program at a Brazilian maternity hospital: the preterm/low-weight babies’ health-care under examination

Cited by 7 publications

References 12 publications

Utility of kangaroo mother care in preterm and low birthweight infants

Utility of kangaroo mother care in preterm and low birthweight infants

Preterm newborns at Kangaroo Mother Care: a cohort follow-up from birth to six months

Factors associated with the kangaroo method in Brazil

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