جستجوی مقالات مرتبط با کلیدواژه "kangaroo mother care" در نشریات گروه "پزشکی"

The premature infant imposes significant tension and stress on mothers and may affect quality of mothers' sleep. Therefore, this study was performed to assess the effect of kangaroo mother care using the role-playing method on the mother-infant attachment and sleep quality of mothers of premature infants.

 This randomized clinical trial was conducted on 78 mothers of premature infants in the neonatal intensive care unit (NICU) of the hospital affiliated to the Hamadan University of Medical Sciences from July 2010 to September 2011. The samples were selected by convenience method, then divided into two experimental and control groups by simple random allocation method. Mothers in the experimental group learned kangaroo mother care in two 30-minute sessions using modeling and unique clothing (role-playing). Then,  mothers performed 20-minute kangaroo mother care three times a day. Mothers in the control group performed kangaroo mother care through pamphlets and educational videos. Subjects completed mother-infant attachment and and sleep quality questionnaires before, after, and one week after the intervention. Data analysed by SPSS (version 22).

There was statistically significant difference between the two groups in the mother-infant attachment one day (P<0.011) and one week (P<0.012) after the intervention. Also, a statistically significant difference was ssen between the two groups in the mothers' sleep quality one day (P<0.001) and one week (P<0.002) after the intervention.

Training of kangaroo mother care by role-playing method could be used as a therapeutic technique in the NICU to improve mother-infant attachment and mamtenal sleep quality.

Kangaroo mother care is essential improves outcomes of premature and low birth weight infants. Even though kangaroo mother care is now recognized by global experts as an integral part of essential newborn care, the adoption and implementation of the kangaroo mother care is still challenging. Aim of this study to explore perceived enablers and barriers of kangaroo mother care among mothers and nurses in neonatal intensive care unit. Descriptive Phenomenological study design was conducted in Tikur Anbessa Specialized referral Hospital at Addis Ababa with 13 mothers and 7 nurses from 10th May -15th July, 2020. In-depth interview used with semi-structured questionnaire and data was collected till saturation of information. Thematic analysis was done with ATLAS.Ti software version 7.5.16 . Major enablers and barriers of practicing kangaroo mother care among mothers and nurses reported that lack of understanding of KMC, family responsibility and workload, lack of awareness of KMC by community, social practice and traditional adaptation were the barriers to practice of KMC. Poor supervision and follow-up, limited resource especially sanitation resource are the major barriers related to health staff and setting. Nurses reported that scale- up of kangaroo mother care was influenced by absence of training, poor attention given by managers and administrative, shortage of rooms and facilities, workload and time shortage. A complex array of barriers and enablers determine a mother’s and nurses ability to provide KMC. Improve the mothers' to practice KMC and to promote the health of preterm infants, supports such as family, community and health professional support needed. Nurses needed in-service education, proper administration and less workload to promote KMC practice.

One of the best and most effective ways to care and prevent adverse effects in premature infants is to actively engage mothers in caring for an infant. The present study aims at investigating the relationship between Kangaroo Mother Care (KMC) and neonatal outcomes.

This descriptive study was 600 infants and mothers. This study used the convenience sampling method. All mothers were taught the importance of KMC referred to the ward on the first day. The data collection tool was a researcher-made self-made questionnaire including demographic information of neonate, mother, and neonatal outcomes. Finally, the data were given to the software SPSS16, mothers were divided for Presence into two groups (more than twice (330 people) and at most once into two (270 people)).

There was no difference between the demographic variables in the two groups. Concerning the neonatal outcomes such as the frequency of KMC, neonate weight gain, neonate hospitalization period, re-hospitalization, neonate’s need for oxygen therapy, sepsis, neonate’s oxygen dependency, and hypoglycemia decreased in group 1 significantly compared to group 2. There was no significant difference between the two groups of neonates regarding the incidence of IVH and jaundice neonatal.

Encouraging mothers to engage in the process of KMC leads to potentially positive and actual effects on premature infants admitted to NICU.

Premature birth is a crisis for mothers and affects resilience. Premature babies are atrisk for developmental disorders. The Kangaroo Mother Care (KMC) can reduce maternal stress andimprove the growth of the baby. This study aimed at assessing the effect of home visit based on thecontinued KMC on maternal resiliency and development of premature infant. This randomized controlled trial conducted on 50 pairs of mothers and premature babieswith gestational age of 26-32 weeks who were admitted to Neonatal Intensive Care Unit of Om-al-Banin Hospital, Mashhad, Iran in 2019. The KMC is practiced routinely for all eligible newborns in thishospital. The experimental group continued the KMC one month after discharge at home and receivedtwo home visits. Resiliency of the mothers was assessed in admission, discharge, and one monthafter discharge with the Connor and Davison questionnaire and the development of the newborns wasassessed in two months of adjusted age with Ages and Stages Questionnaire (ASQ). Data analysis wasperformed using SPSS software version 16 and t-test, Mann-Whitney, ANOVA, Friedman, Chi-square,Fishers exact. The significance level was set at p <0.05. The resiliency score of the mothers one month after discharge was112.50±5.50 and 76.40±5.60in the experimental and control groups, which was significantly different (p <0.001). The ASQdevelopment score of the newborns in two months of adjusted age was also significantly higher in theexperimental than the control group (280.40±15.60vs223.80±22.00) (p <0.001). The results showed that the home visit program based on the continued KMC was effectivein increasing maternal resilience and the development of premature infants.

Breastfeeding is a two-way interaction between mother and infant, the sustainability of which requires the presence of both parts given their complementary roles.

The present study was conducted to investigate the effect of breast milk expression during kangaroo mother care (KMC) on milkvolume in mothers with premature neonates.  

This quasi-experimental study was performed on 40 mothers with premature newborns admitted to a neonatal intensive care unit in a city in the west of Iran in 2019. The participants were randomly assigned into two groups of intervention and control. Breast milk in both groups was expressed 8 times a day from day 4 to day 6 after birth using a 20-cc syringe and recorded in a checklist. In the intervention group, two milking sessions were performed during the KMC. However, in the control group, milking was conducted according to the ward routine. Data were analyzed in SPSS software (version 23) using repeated-measures ANOVA.

The mean ages of the participants in the intervention and control groups were 29.05±4.09 and 27.85±3.58 years, respectively. There was a statistically significant difference between the milkvolume of the intervention and control groups on days 4 (P=0.04), 5 (P=0.02), and 6 (P=0.007) and between the total volume of milkduring the three days (P=0.01).Implications for Practice: Breast milk expression duringKMC could have a positive effect on increasing milkvolume. Therefore, can be recommended as an intervention to support mothers with insufficient milk.

Results of previous studies about the effect of Kangaroo Mother Care (KMC) on hospital management indicators (HMIs) (length of stay [LOS], readmission to hospital, parent satisfaction, and parent’s preference for same postdelivery care) had high confusions. The aim of this study was to conduct a systematic review and meta‑analysis of randomized controlled trials on the effect of KMC on HMI in comparison with the conventional neonatal care (CNC). In this systematic review and meta‑analysis study, required data were collected by searching the following keywords: “length of stay,” “readmission to hospital,” satisfaction,” same post‑delivery,” “hospital management,” indicators, “skin‑to‑skin,” “Kangaroo Mother Care,” randomized trial. The following databases were searched: Google Scholar, PubMed, EMBASE, Scopus, and Cochrane. To estimate the hospital management indicators, computer software Comprehensive Meta‑Analysis 2 was used. Finally, 18 articles were included to analysis. The overall LOS standard different between groups (KMC vs. CNC) was − 0.91 days (95% confidence interval [CI], −2.14–0.32, Q = 25.6, df = 10, P = 0.004, I2 = 60.98). The overall readmission to hospital standard different between groups was − 1.78% (95% CI, −1.21%–0.86%, Q = 0.024, df = 1, P = 0.87, I2 = 0.00). The overall parent satisfaction standard different between groups was 5.3% (95% CI, −32.4%–43%, Q = 0.052, df = 2, P = 0.97, I2 = 0.00). The overall standard different between groups was 16.2% (95% CI, −24.7%–57.1%, Q = 0.040, df = 1, P = 0.84, I2 = 0.00). KMC improves HMI but not significantly. According to the current study result and other studies that report positive effect of KMC on health status of the newborns and parents, implemented of KMC in low‑ and middle‑income countries recommended.

  Kangaroo Mother Care (KMC) is an easy and emotional care that can reduce the mortality and morbidity in premature infants, but often the relationship between mother and her newborn is delayed due to some barriers. The aim of this study was to investigate perceived benefits and barriers of mothers in this regard. In this descriptive cross-sectional study, 121 mothers with premature infants admitted to the Neonatal Intensive Care Unit (NICU) of Yazd Shahid Sadoughi Hospital, Iran, studied using convenience sampling method in 2018. Data gathering accomplished by interviewing mothers using researcher-made questionnaire included baseline characteristics of parents and their infant and items measuring perceived benefits and barriers of mothers to KMC. The data were analyzed using SPSS software version 22.0 Strengthening of the emotional relationship between mother and infant and a greater sense of confidence were the main perceived benefits of mothers. Not being in good physical and mental condition, lack of relevant knowledge and fear of performing KMC were the most important perceived barriers of mothers to KMC. The perceived benefits differed only in mother's ethnicity and father's occupation (P<0.05). The perceived barriers did not differ by any of demographic variables of parents and infants (P>0.05). According to the results though the high perceived benefits of mothers in performing KMC, it seems that planning for improving mothers mental condition, providing mothers with necessary knowledge and reducing fear of caring can effectively promote doing KMC by mothers

Twin low-birth-weight (LBW) neonates are exposed to the increased risk of mortality and morbidity due to poor prognosis. The present study aimed to evaluate the effectiveness of kangaroo mother care (KMC) in the management of twin LBW neonates.
This prospective, observational study was conducted on 150 neonates with the birth weight of Neonates in the KMC groups were euthermic. Mean weight gain increased in KMC I (13.48±1.76 g/kg/day) and KMC II (13.15±1.66 g/kg/day) compared to the CMC group (11.99±1.20 g/kg/day) (P=0.0014). Length (43.55±1.90, 43.86±1.34, and 43.40 ± 1.94 cm, respectively) (P=0.567) and head circumference (31.13±0.77, 31.43±1.15, and 31.30±1.07 cm, respectively (P=0.498) were comparable in the CMC, KMC I, and KMC II groups. Early initiation of breastfeeding was observed in KMC I (2.68±1.55 days) and KMC II (2.97±2.88 days) compared to the CMC group (5.17±2.65 days) (P According to the results, KMC is a cost-effective, humane intervention, which could effectively alleviate the burden of managing twin and singleton LBW neonates in low-income countries.

The aim of this study was determine the effect of kangaroo mother care (KMC) immediately after delivery on mother-infant attachment 3-month after delivery.
In this RCT study, 72 mother-infant pairs were randomly divided in to kangaroo mother care and routine care groups.The intervention group received kangaroo mother care (KMC) in the first two hours post birth. The control group just received routine hospital care. Mothers in the intervention group were encouraged to keep the baby in KMC as much as possible during the day and night throughout the neonatal period. Participants were followed up for three months after birth. The Main outcome measure was mother-infant attachment at 3 months postpartum and maternal anxiety about the baby at the same time. The data was collected by questionnaire (demographic information of parents and neonates) and maternal attachment scale. Analysis was performed using SPSS software (version 14).
There was no significant difference between two groups regarding their baseline data. Mean maternal attachment score in the KMC group and in the routine care group at three months after delivery was 52.40±3.30 and 49.86±4.18 respectively, which was significantly higher in the KMC group (PKangaroo mother care improves mother-infant attachment and reduces the mother anxiety about the baby; it is simple, acceptable to mothers and can be continued at home.

Hospitalized premature babies often undergo various painful procedures. Kangaroo mother care (KMC) and swaddling are two pain reduction methods.
This study was undertaken to compare the effects of swaddling and KMC on pain during venous sampling in premature neonates.
Patients and This study was performed as a randomized clinical trial on 90 premature neonates. The neonates were divided into three groups using a random allocation block. The three groups were group A (swaddling), group B (KMC), and group C (control). In all three groups, the heart rate and arterial oxygen saturation were measured and recorded in time intervals of 30 seconds before, during, and 30, 60, 90, and 120 seconds after blood sampling. The neonate’s face was video recorded and assessed using the premature infant pain profile (PIPP) at time intervals of 30 seconds. The data was analyzed using the t-test, chi-square test, Repeated Measure analysis of variance (ANOVA), Kruskal-Wallis, Post-hoc, and Bonferroni test.
The findings revealed that pain was reduced to a great extent in the swaddling and KMC methods compared to the control group. However, there was no significant difference between KMC and swaddling (P ≥ 0.05).
The results of this study indicate that there is no meaningful difference between swaddling and KMC on physiological indexes and pain in neonates. Therefore, the swaddling method may be a good substitute for KMC.

Kangaroo mother care (KMC) is the most implementation intervention in caring of the infants, as in this method, both the mothers and infants are cared. The World Health Organization recommends implementation of KMC for all infants. However, there are some barriers in the way of its application. The purpose of this study was evaluation of the practical application of KMC and nurses’ perspective about its implantation barriers in the neonatal intensive care units (NICUs) in Iran.
The descriptive study was conducted on 96 infants and 80 nurses working in the NICUs of two university hospitals in Isfahan, Iran. Data were collected by a two-section questionnaire and analyzed by t-test through SPSS 14.
Study findings indicated that mean weight and age of the infants with KMC were 1510 g and 32 weeks, respectively. KMC was implantation for 32 min in a day. From nurses’ perspective, mother-related barriers were the main barriers in the implantation of KMC as mothers were not present by their infants. Another barrier was the mothers’ fear of touching their infants. In the domain of organizational barriers, physician’s order was found to be the most important barrier in application of KMC.
Identifying barriers in implantation of KMC is essential to support the mothers. Regarding mother-related barriers, organizational barriers, and the need for a physician’s order for implementation of KMC, policy makers must provide facilities and equipment for applying KMC practice for mothers and improve the protocol of KMC in the NICU.

The heel-lancing procedure is a common tissue damaging procedure routinely performed in premature neonates and causes pain. Therefore, efforts should be made to relieve this pain. This study aimed to assess the effect of kangaroo mother care (KMC) for a brief duration of 15 minutes on pain intensity of heel lance in preterm newborns admitted to neonatal intensive care units.Patients and In this clinical trial with crossover design, 64 vitally stable preterm neonates between 30-36 weeks of gestational age, who needed at least two heel lances, were randomly allocated to two groups. In group A, neonates received KMC 15 minutes before, during, and two minutes after the first heel lancing procedure. In group B, neonates were kept in prone position in incubator 15 minutes before lancing. For second heel lancing, the neonates in group A were put in incubator and group B received KMC. Premature Infant Pain Profile (PIPP) was scored during and within two minutes after finishing the procedure in both conditions. The mean score of pain intensity during the intervention was significantly lower in the KMC position (P < 0/000). Mean score of pain intensity at two minutes after intervention was also significantly lower in the KMC position (P < 0/000). KMC before and during heel lancing is a natural, easy to use, and cost-effective method to decrease pain in premature neonates. It is consistent with modern strategy of family-centered care in neonatal units.