Effect Of Kangaroo Mother Care Research Articles

Investigating the Effect of Kangaroo Mother Care on Maternal-Infant Attachment: A Systematic Review and Meta-Analysis Study

Background: Maternal-infant attachment is the first social relationship between mother and baby that keeps the baby close to the mother. The conflicting results of the studies regarding the effect of kangaroo mother care (KMC) on maternal-infant attachment show the necessity of conducting a meta-analysis study. Objective: The study aimed to investigate the effects of KMC on mother-infant attachment through a systematic review and meta-analysis of randomized controlled trials. Methods: Web of Science, PubMed, Scopus, Cochrane Library, EMBASE, ProQuest, SID, and Iranmedex databases were searched to find clinical trial studies in English and Persian without a time limit. The Cochrane checklist was used to check the bias of the articles. Data analysis was performed using STATA. I2 index was used in order to assess the heterogeneity, and the funnel plot and the Egger test were used in order to examine the publication bias. Standardized mean difference (SMD) and random effects models were used to combine the studies and perform a meta-analysis. Results: In this study, 10 articles were selected for the systematic review and meta-analysis. The results of the present meta-analysis based on the random model showed SMD as -1.33 (95% CI: (-2.12, - 0.54), P = 0.001), and there was observed a statistically significant relationship between the control and intervention groups. So, the mother-infant attachment in the intervention group was higher than in the control group. Conclusion: This study showed that KMC improves mother-infant attachment. The results of this study can be applied to evidence-based decision-making by healthcare providers, and can also be suggested as a method to develop mother-infant attachment.

Study on the value of KMC combined with blue light irradiation in improving the therapeutic effect of neonatal jaundice

ABSTRACT Neonatal jaundice is a common problem that affects newborns. We aim to investigate the effect of Kangaroo Mother Care (KMC) combined with blue-light irradiation on enhancing the therapeutic effect in the treatment of neonatal jaundice. From May 2020 to August 2022, 89 neonates with pathological jaundice and their mothers were selected as participants. All neonates received blue-light irradiation. The participants were divided into two groups: 46 neonates cared for by KMC as the research group (RG) and 43 neonates receiving routine nursing as the control group (CG). The first lactation time, first breastfeeding duration, and scores of Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) before and after nursing were recorded and compared between the groups. Pre- and post-interventional total bilirubin (TBIL), direct bilirubin (DBIL), and indirect bilirubin (IBIL) levels of both groups of newborns were measured, and the time of jaundice resolution, first defecation, and meconium yellowing were recorded. Neonatal adverse reactions (ARs) during treatment were counted, and a nursing satisfaction survey was conducted at discharge. KMC group mothers had earlier lactation and longer first breastfeeding durations (P < 0.05). Both groups’ SAS and SDS scores decreased post-nursing, with greater improvement in the KMC group (P < 0.05). KMC group newborns had lower bilirubin levels and faster resolution of jaundice and meconium yellowing, with fewer adverse reactions and higher nursing satisfaction (P < 0.05). KMC can effectively improve the efficacy of blue light irradiation in the treatment of neonatal jaundice, and promote the healthy development of newborns and the efficiency of maternal breastfeeding.

The effectiveness of Kangaroo Mother Care (KMC) on depression, anxiety, and stress of mothers with premature infants

ObjectiveThe stress and anxiety of mothers with preterm infants affect mother-infant interactions. Skin-to-skin contact demonstrates benefits in the relationship between a mother and a preterm infant. This study aimed to evaluate the effectiveness of Kangaroo Mother Care (KMC) on depression, anxiety, and stress of mothers with premature infants. MethodsThis quasi-experimental study was performed on 100 mothers of premature infants who were admitted to two Bu Ali Sina and Imam hospitals of Sari in 2020. A questionnaire containing demographic information and the Depression, Anxiety, Stress Scale (DASS) were used as data collection tools. All data analysis was performed using SPSS software version 25. Significant level is considered P < 0.05. ResultsThe mean age of mothers with premature infants was 28.7 ± 5.4 years. The neonatal birth weight was 1614 ± 342 g and their discharge weight was 2052 ± 418 g. After the intervention, the levels of depression (P = 0.004), anxiety (P = 0.000), and stress (P = 0.003) of mothers in the intervention group were significantly lower than the control group. ConclusionThe results of the present study showed that Kangaroo Mother Care can be used to improve the mental health of mothers with premature infants by reducing the level and severity of depression, anxiety, and stress.

Pengaruh Kangaroo Mother Care terhadap Self Rfficacy pada Ibu Primipara MOTHER CARE TERHADAP SELF EFFICACY MENYUSUI PADA IBU PRIMIPARA

&lt;p&gt;&lt;em&gt;Failure to give exclusive breastfeeding to infants can be caused by factors in the mother's condition such as the mother's confidence or self-efficacy to provide breast milk to her baby. Most primipara mothers have low self-efficacy due to difficulties going through a role transition period and carrying out the demands of their new role as mothers. Kangaroo mother care is a method of skin-to-skin contact between mother and baby (skin-to-skin contact). In kangaroo method care, breast milk can always be available and very easy to obtain, because the baby is near the mother's breast so that the baby can suckle whenever the baby wants it and also increases the mother's bonding so that it can increase the mother's self-efficacy thereby increasing the success of the breastfeeding process. The purpose of this study was to determine the effect of kangaroo mother care on breastfeeding self-efficacy in primiparous mothers at RSU Royal Prima Medan in 2022. This type of research is a quasy experiment using a posttest only control group design. The results of the Independent T-Test test obtained a p-value of 0.000 which is less than 0.05 (0.000 &amp;lt;0.05), so that we can state that Ho is rejected and Ha is accepted. In conclusion, there is the effect of kangaroo mother care on breastfeeding self-efficacy in primiparous mothers at Royal Prima Medan General Hospital in 2022. It is hoped that this research can provide information that kangaroo mother care is very important and useful because it can increase breastfeeding self-efficacy.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Key words&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: &lt;/em&gt;&lt;em&gt;Kangaroo Mother Care, ASI, Self Efficacy, Breastfeeding&lt;/em&gt;&lt;strong&gt;&lt;em&gt;&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;

Effects of kangaroo mother care on feeding intolerance in preterm infants.

Feeding intolerance (FI) is a common condition in preterm infants because they have an immature gastrointestinal tract. There are studies on the effects of the position on gastric residual volume (GRV) in preterm infants. Kangaroo mother care (KMC) may be an instrument for reducing FI by providing an upright position to infants. Moreover, numerous studies conducted with this therapeutic position applied by putting an infant on the mother's chest have indicated its positive effects on the infant's weight gain, growth and development, and vital signs. Therefore, this study aimed to reveal the impact of KMC on FI in preterm infants. The population of the study, designed as a randomized trial, consisted of 168 preterm infants [KMC: 84, Standart Care (SC): 84] hospitalized in the neonatal intensive care unit of a university hospital between June and November 2020. Infants were randomly selected and divided into two groups. After the vital signs of the infants in both groups became stable, the infants were fed in the same position. KMC was applied to the infants in the intervention group for 1 h by preparing a suitable environment after feeding. Infants in the SC group were placed in the prone position after feeding. The GRVs of the infants in both groups were recorded on the Infant Follow-up Form before the next feeding. No statistically significant difference was detected between the groups upon comparing them in terms of demographic and clinical characteristics. The body temperatures and O2 saturations of the participants in the KMC group were statistically significantly higher, and their respiratory and heart rates were lower than the SC group. The transition time to full enteral feeding was statistically significantly shorter, and FI was experienced significantly less in the KMC group infants than in the SC group (p < 0.05). There was no statistically significant difference between the groups in terms of the infants' weight gain and length of hospital stay (p > 0.05). The present study demonstrated that KMC had a positive impact on FI in preterm infants. KMC is not only a safe care model providing the earliest contact between parents and infants but also a practice whose positive effect on the functioning of the digestive system in preterm infants we can use.

Influence Of Giving Kangaroo Mother Care On Body Temperature and Oxygen Saturation On Low Birth Weight

Background: Treatment of Kangaroo Methods has begun to be recommended at this time for women with low birth weight (LBW) babies because the birth of low birth weight babies both premature and dismatur is one of the biggest causes of infant death. This study aimed to analyze the effect of the kangaroo treatment method on changes in body temperature and oxygen saturation in newborn babies.Methods: The research design is a pre-experimental one group pre-and post-test conducted in the perinatology room. The population of this research is the whole LBW in the Perinatology Room of the Soedomo Trenggalek Regional General Hospital. There are 15 newborn babies who meet the inclusion criteria selected as a sample by using Purposive Sampling technique. This research uses observation sheets as instruments. Results of statistical analysis using paired t test. Results: The results showed that there was a significant effect of kangaroo mother care on changes in body temperature and oxygen saturation in newborn babies ie pre temperature obtained mean 36.20C and post temperature obtained mean 370C this shows an increase of body temperature towards normal temperature (p value = 0.000) &lt; value of α of 0.01. While the pre-saturation mean is 90% and the post-95% saturation mean, this indicates an increase in oxygen saturation towards normal (p value=0.000) &lt; value of α of 0.01. Conclusion: The kangaroo treatment method is an effective, easy and inexpensive way to care for a baby with LBW while in hospital or for home treatment. Baby's and mother's skin contact directly on the treatment of kangaroo methods can maintain the stability of body temperature and oxygen saturation. The more often the mother performs kangaroo treatment on the baby then the satability of body temperature and oxygen saturation will be more awake and this will accelerate the process of improving the condition of LBW towards better which can also improve the relationship (bonding) between mother and baby.

The effect of kangaroo mother care on stabilization of vital signs heart rate, respiratory rate and arterial saturation in low-birth-weight preterm babies

Background: Kangaroo mother care (KMC) have positive effects on the preterm infant's health status in the form of stabilization of vital parameters. Therefore, this study was conducted to evaluate the effect of KMC on stabilization of vital signs in low-birth-weight premature babies. Methods: This is a quasi-experimental study. One hundred and seventy newborns who were admitted to in neonatal intensive care unit of Karnataka institute of medical sciences Hubli, India were selected by convenience sampling. They were randomly divided into experimental group, n=85 and control group, n=85. In the experimental group, newborns were taken daily KMC for four hours during 7 days. In the control group, routine care was performed. The data gathering tool was questionnaire of infants and mother characteristics, checklists of vital signs using SPSS 22 version software. Chi-square test was used as test of significance for qualitative data. Continuous data was represented as mean and SD. P&lt;0.05 was considered as statistically significant. Results: Before intervention, there was no significant difference between the vital signs of the infants in experimental and control groups. However, after intervention, there was a significant difference between the two groups in terms of vital parameters (p&lt;0.001). Conclusions: The findings of this study indicate the effect of KMC on stabilization of vital signs, it is recommended that KMC is taken as one of the routine cares of premature low birth weight babies.

Effectiveness of kangaroo mother care on physiological parameters of low-birth-weight infants in government hospital of Chittoor district - A Pre-Experimental study

Effectiveness of kangaroo mother care on physiological parameters of low-birth-weight infants in government hospital of Chittoor district - A Pre-Experimental study

Effect of kangaroo mother care initiated in community settings on financial risk protection of low-income households: a randomised controlled trial in Haryana, India

IntroductionMany families in low-income and middle-income countries have high out-of-pocket expenditures (OOPE) for healthcare, and some face impoverishment. We aimed to assess the effect of Kangaroo Mother Care initiated in...

Effect of Kangaroo Mother Care on Cerebral Hemodynamics in Preterm Neonates Assessed by Transcranial Doppler Sonography in Middle Cerebral Artery

To study the effect of KMC in premature newborns on cerebral hemodynamics in the middle cerebral artery (MCA) using transcranial doppler sonography. In this descriptive study, 40 clinically stable preterm neonates admitted to the neonatal intensive care unit of our institute and undergoing Kangaroo mother care (KMC) were enrolled. Physiological and cerebral blood flow parameters of MCA were obtained by using transcranial doppler sonography at baseline, at 60 minutes of KMC, and after 60 minutes of stopping KMC. Of the 40 enrolled neonates (24 males), the mean (SD) birth weight, gestation age, and postnatal age were 1698.25 (495.44) g, 33.00 (1.67) wk, and 6.80 (4.51) days, respectively. The mean (SD) cerebral blood flow velocities increased (peak systolic velocity (PSV), P=0.03; end diastolic velocity, P<0.001; mean velocity, P<0.001) and doppler indices decreased (resis-tive index, P=0.001; pulsatility index, P<0.001) significantly; whereas, heart rate (P<0.001) decreased but SpO2 (P=0.001) and mean blood pressure (P=0.003) increased significantly at 60 minutes of KMC as compared to baseline. Sixty minutes after stopping KMC, all parameters (except PSV) were higher than baseline, indicating post KMC effect. KMC improves cerebral hemodynamics in clinically stable preterm neonates.

Effectiveness of kangaroo mother care on maternal resilience and breastfeeding self-efficacy using the role-play method in a neonatal intensive care unit.

Kangaroo mother care (KMC) offers several benefits for neonates and mothers. Although many studies have evaluated the effectiveness of KMC on infants, only few studies have examined the effects on mothers. This study aimed to evaluate the effectiveness of KMC on maternal resilience and breastfeeding self-efficacy via the role-play method in a neonatal intensive care unit. We conducted a randomized controlled trial. Mothers were randomized into two groups. Mothers in the intervention group were trained using the role-play method. Questionnaires were administered before and after the intervention. Data were analyzed with SPSS version 22. The training demonstrated a statistically significant difference in resilience score and breastfeeding self-efficacy in each group after the intervention. In addition, a statistically significant difference was revealed between both groups in resilience scores and breastfeeding self-efficacy after the intervention. KMC training with the role-play method was most effective. Role-play and routine methods are recommended as methods of therapeutic care in clinical settings to improve maternal resilience and breastfeeding self-efficacy.

Effect of Kangaroo Mother Care and Prone Position on Feeding Intolerance, Physiological Parameters, and Comfort among Preterm Neonates

Effect of Kangaroo Mother Care and Prone Position on Feeding Intolerance, Physiological Parameters, and Comfort among Preterm Neonates

Effect of Kangaroo Mother Care on the Psychological Stress Response and Sleep Quality of Mothers With Premature Infants in the Neonatal Intensive Care Unit.

ObjectiveTo investigate the effect of kangaroo mother care on the psychological stress response and sleep quality of mothers with premature infants admitted to the neonatal intensive care unit (NICU).MethodsA randomized controlled design was used to recruit participants. The study recruited 126 mothers of premature infants in the NICU from January 2019 to January 2020. The participants were divided into the experimental and control groups according to the random number table method (63 mothers per group). The control group was managed with conventional premature infant treatment, nursing programme, and discharge education, whereas the experimental group was managed with a 4-week kangaroo mother care intervention. The psychological stress state and sleep status of mothers with preterm infants in both the groups were evaluated using the Symptom Check List 90 (SCL-90) and Assens Insomnia Scale (AIS).ResultsAfter the intervention, the total SCL-90 score and factor scores such as coercion, interpersonal relationships, depression, anxiety, hostility and additional factors, were lower in the experimental group than those in the control group (P < 0.05). The total AIS score and the items such as night waking, total sleep time, total sleep quality, daytime mood and daytime body function were lower in the experimental group than those in the control group (P < 0.05).ConclusionsThe Kangaroo mother care approach can relieve adverse psychological stress and improve the sleep status of mothers of NICU premature infants after mother-infant separation. It can be promoted and used in mothers of premature infants in the NICU to enhance physical and mental health.

Meta-analysis

This study aimed to o analyze the effect of kangaroo mother care on length gain in low birth weight (LBW) infants. This study is a systematic review and meta-analysis. The articles used in this study were obtained from three database, namely PubMed, Science Direct, and Google Scholar. The articles included are full-text article with a study design of randomized controlled trial from 2013 to 2022. Articles were analyzed using the Review Manager 5.3 application. Result: A total of 11 articles from Asia continent (India, Bangladesh, Philipina, and Nepal). The data collected showed that kangaroo mother care increased growth (length gain) of LBW infants 0.21 times and was statistically significant (SMD= 0.21; CI 95%= 0.19 hingga 0.22; p &lt; 0.001). Conclussion: Kangaroo mother care increases length gain in LBW babies.

Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care.

It is well documented that the stress of separation of mother and baby can lead to short-term physiological instability as well as neurological, sociological or psychological consequences that may last a lifetime. Objective: The goal was to estimate the effect of kangaroo mother care (KMC) on physiological and biochemical parameters of preterm infant stress and maternal stress in neonatal intensive care. Methods: The investigation involved 112 preterm infants. Two groups were compared according to the mean duration of KMC during 12 days of study: the KMC group (mean duration more than 90 min daily) and the control group (less than 90 min). Results: Kangaroo mother care for more than 90 min on average per day in preterm infants is associated 12 days after the intervention with lower mean cortisol levels (p = 0.02), greater weight gain and less need for parenteral nutrition in preterm infants, as well as less postpartum depression (p = 0.02) and lower cortisol levels (p = 0.002) in the mothers of preterm infants. Conclusions: This study suggests that KMC can be used to improve the stress of preterm infants and their mothers, and that the greater weight gain observed in these preterm infants could contribute to a shorter average hospital stay and lower healthcare expenditure.

Impact of Kangaroo Mother Care Intervention on Immunological and Pulmonary Functions of Preterm Infants during Breastfeeding.

Objective Preterm infants (PTIs) are prone to respiratory failure or other diseases due to immature organ development and poor immunological function. Herein, the effects of Kangaroo Mother Care (KMC) on the immunological and pulmonary functions of PTIs during breastfeeding were investigated in this study. Methods The study recruited 86 delivery women and their PTIs with preterm pregnancy outcomes, consisting of 46 cases receiving breastfeeding plus KMC intervention (KMC group) and 40 cases receiving breastfeeding plus routine care (control group). The time of first lactation, time of first breastfeeding, and duration of first breastfeeding were observed in both cohorts. The breastfeeding status was assessed using the LATCH system. Maternal psychological status was evaluated by the breastfeeding self-efficacy scale (BSES) and self-rating anxiety/depression scale (SAS/SDS). The growth and development of PTIs were recorded, and the levels of postalbumin (PA), transferrin (TRF), plasma albumin (ALB), immunoglobulin (Ig) A, IgG, IgM, and complement C3 and C4 were measured. The tidal volume (VT), tidal volume per kilogram (VT/kg), minute volume (MV), and minute volume per kilogram (MV/kg) were detected using a pulmonary function tester. Results The KMC group presented shorter time of first lactation and first breastfeeding than the control group, with longer duration of first breastfeeding (P < 0.05). After intervention, the BSES scores of delivery women were increased, while the SAS and SDS scores were decreased, with more notable improvements in the KMC group (P < 0.05). The levels of PA, TRF, ALB, IgA, IgG, VT, and MV were elevated in PTIs in both groups, with more evident increase in the KMC group than in the control group (P < 0.05). A better growth of PTIs was found in the KMC group than the control group (P < 0.05). Conclusions The study demonstrated that KMC intervention during breastfeeding could benefit PTIs specifically regarding their immunological and pulmonary functions.

The Effect of Kangaroo Mother Care After Duodenal Obstruction in Neonates.

ObjectiveThe present study aimed to explore the effectiveness of clinical application of kangaroo mother care (KMC) in neonates after surgery for duodenal obstruction in achieving total enteral nutrition (TEN) and shortening the length of hospital stay.MethodsA prospective study of 60 cases of surgery for duodenal obstruction in pediatric patients in the neonatal intensive care unit of Kunming Children's Hospital between January 2018 and December 2019 was conducted. The study subjects included 15 cases with intestinal malrotation, 18 cases with circular pancreas, 10 cases with a duodenal septum, and 17 cases with duodenal atresia or duodenal stenosis. According to the single and double numbers of the operation date, the subjects were randomly divided into the control group and observation group, with 30 cases in each group. The conventional care of enhanced recovery after surgery (ERAS) was carried out in the control group, and KMC based on ERAS conventional care was implemented in the observation group. The difference in the duration to achieve TEN and the length of hospital stay between the two groups of patients after care was compared and analyzed.ResultsThe average duration to achieve TEN for neonates with duodenal obstruction in the control group was 14.23 ± 3.17 days, while that in the observation group was 12.27 ± 1.15 days. The average length of hospital stay in the control group was 17.22 ± 4.71 days, while that in the observation group was 13.34 ± 2.70 days. There was a significant difference in the duration to achieve TEN and the average length of hospital stay between the two groups (P < 0.05). The duration to achieve TEN and the length of hospital stay in pediatric patients were significantly shorter in the observation group than in the control group.ConclusionKangaroo mother care has important clinical significance and application value in shortening the duration to achieve TEN and the length of hospital stay in neonates after surgery for duodenal obstruction.

KMC by surrogate can have an effect equal to KMC by mother in improving the nutritional behavior and arterial oxygen saturation of the preterm infant: results of a controlled randomized clinical trial

BackgroundThe aim of this study was to investigate the effect of kangaroo mother care (KMC) by mother and her surrogate on nutritional behavior and physiological function of preterm neonates.MethodThis study was a randomized, controlled clinical trial conducted on 70 preterm infants admitted to the NICU. For the neonates of the intervention group, KMC was performed (by mother and surrogate) 3 times a day and the neonates of the control group received KMC by the mother 3 times a day for up to 4 days and 60 minutes each time. The primary outcome was to compare the effect of KMC by mother and surrogate on the feeding behavior measured by preterm infant breastfeeding behavior scale (PIBBS), and the secondary outcome was to compare the effect of KMC by mother and surrogate on physiological outcomes.ResultThe score of the PIBBS in both groups increased significantly during 4 days, this difference was not significant between the groups. [Adjusted mean difference (95% Confidence interval), 0.66 (− 2.36 to 1.03), P = 0.438].Within the group, among the physiological functions, only O2 saturation had significantly increased during the study. This increase, however, was not statistically different between the two groups. [Adjusted mean difference (95% Confidence interval), 0.102 (− 0.68 to 0.88), P = 0.761].ConclusionWhen the mother is unable to provide this type of care, it can be provided by the surrogate that is as effective as the mother in improving arterial oxygen saturation and the feeding behavior of the preterm neonates.Trial registrationIRCT20150424021917N10. Registered 22/04/ 2020

Effect of Kangaroo Mother Care versus Hammock Positioning on Physiological Indices and Behavioral Organization among Preterm Neonates: A Humanized Nursing Approach

Effect of Kangaroo Mother Care versus Hammock Positioning on Physiological Indices and Behavioral Organization among Preterm Neonates: A Humanized Nursing Approach

The Effectiveness of Kangaroo Mother Care (KMC) on attachment of mothers with premature infants.

ObjectiveAttachment is a socio-emotional relationship between the mother and infant that increases the probability of a preterm infant's survival. This study aimed to evaluate the effectiveness of Kangaroo Mother Care (KMC) on maternal attachments of mothers with premature infants.Study designThis quasi-experimental study was performed on 100 mothers of premature infants who were admitted to neonatal intensive care units. A questionnaire comprising demographic information and the Maternal Attachment Scale were used as data collection tools. All data analysis was performed using SPSS software version 25. Significant level is considered P < 0.05.ResultsAfter the intervention, the levels of maternal attachment of mothers in the intervention group were significantly higher than in the control group (47.7 ± 2.9vs. 40.4 ± 5.4, P = 0.003). After the intervention, the infants in the intervention group has a significantly higher number of breastfeeding than the control group (10.6 ± 1.8 vs. 8.2 ± 1.6, P = 0.000). Moreover, the infant of the intervention group had a statistically significant higher weight at discharge time (2164.4 ± 481.1 vs. 1965.2 ± 372, P = 0.042).ConclusionThe results of the present study showed that Kangaroo Mother Care can be used to improve the maternal attachments in mothers with premature infants. It improves the breastfeeding and weight gain status in infants as well.