Abstract
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.
Highlights
There is an estimated annual rate of around 15 million births of preterm infants in the world, representing one in every 10 births
In a recent systematic review published by Cochrane, the authors concluded that there is enough evidence to recommend the use of Kangaroo Method (KM) in stable low birth weight (LBW) infants[4]
Mothers who lived with the father of the child were 81.8%; 66% declared a monthly income lower than one minimum salary and one third declared some remunerated occupation; 60.5% were from the countryside of Sergipe or from other state; 44.5% attended four or less prenatal consultations; 41.6% were primiparous
Summary
There is an estimated annual rate of around 15 million births of preterm infants in the world, representing one in every 10 births. The Kangaroo Mother Care Program or Kangaroo Method (KM), originated in Colombia in 1978, includes the skinto-skin contact between mother and newborn (NB) started as early as possible, having emerged in that country as an alternative to stimulate early hospital discharge in clinically stable low birth weight (LBW) infants[2]. In Brazil, this program’s main goal is to encourage the formation of the bond between parents and babies, and it is a national health policy, launched by the Ministry of Health as Standards for Humanized Care to Low Weight Newborns – Kangaroo Method (SHCLWNB-KM), since 2000(3). In a recent systematic review published by Cochrane, the authors concluded that there is enough evidence to recommend the use of KM in stable LBW infants[4]
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