Kangaroo Research Articles

A sight to see 40,000 years ago: a hefty kangaroo up a tree

A sight to see 40,000 years ago: a hefty kangaroo up a tree

Em busca da humanização na UTI neonatal: método mãe canguru

Os avanços tecnológicos em neonatologia têm colaborado muito para a diminuição da mortalidade infantil, principalmente dos extremantes prematuros. Segundo dados da Organização Mundial da Saúde, todo ano nascem, no mundo, 20 milhões de prematuros e, destes, mais de um terço não sobrevive. Nas últimas décadas vários países têm adotado o Método Mãe Canguru como estratégia de atenção perinatal, com a intenção da humanização dentro das Unidades de Terapia Intensiva Neonatal. Este artigo objetiva realizar um estudo histórico das origens até a implantação no Brasil do Método Mãe Canguru e refletir sobre o uso desta terapia. Trata-se de um estudo descritivo, de abordagem qualitativa, na modalidade reflexiva. Apesar do método ter surgido ao final da década de 70, ainda hoje sua prática não está totalmente disseminada, mesmo havendo a comprovação de um baixo custo, alto benefício e resolutividade nos hospitais que implantaram esse tipo de assistência. Com isso, conclui-se ser de suma importância popularizar e trazer mais elementos para enriquecer o conhecimento dos profissionais da área para continuar garantindo o sucesso do método mãe canguru.

Fatores associados à prevalência do aleitamento materno exclusivo ao neonato de baixo peso: revisão integrativa

Objetivo: Relatar os fatores associados à prevalência do aleitamento materno exclusivo ao neonato de baixo peso. Método: Trata-se de uma revisão integrativa, utilizando periódicos nas bases de dados: BVS e Scielo. Primeiro elaborou-se a pergunta norteadora “Quais fatores estão associados à prevalência do aleitamento materno exclusivo ao neonato de baixo peso?”; seguido pela busca na literatura, coleta de dados, análise crítica dos estudos incluídos, discussão dos resultados e por fim apresentação da revisão integrativa. Foram estabelecidos como critérios de inclusão artigos originais e completos nos últimos cinco anos. Excluindo teses e dissertações, textos incompletos, artigos editoriais, resumos, ou publicações fora do período estabelecido. Resultados e discussão: Foi possível verificar que apesar das diversas estratégias de incentivo a amamentação exclusiva para recém-nascidos de baixo peso, como por exemplo, Banco de Leite Humano, Hospital Amigo da Criança e método canguru, muitos estudos mostram que ainda existe alto percentual de desmame precoce no Brasil, mesmo em neonatos de baixo peso. Alguns fatores associados a isso são a idade materna, volta ao mercado de trabalho pela mãe, parto cesariano, uso de chupetas e outros líquidos antes dos seis meses de idade. Conclusão: O Aleitamento materno exclusivo se mostra fundamental para melhoria das condições de saúde do recém-nascido. Fatores que vão desde o tipo de parto ao incentivo pela equipe de saúde podem contribuir para a manutenção desse aleitamento. Destaca-se a importância de maiores estudos acerca dos métodos efetivos de incentivo e principais motivos que levam ao desmame precoce.

Comparing the effect of kangaroo mother care and massage on preterm infant pain score, stress, anxiety, depression, and stress coping strategies of their mothers

Background:The need to care for premature infants causes a lot of anxiety and stress in their mothers. This study aimed to compare the effect of kangaroo mother care and Preterm infant massage on pain score, stress, anxiety, depression, and stress coping strategies of their mothers. Methods:This double-blind three-group clinical trial study was conducted in the Bahar Hospital in Shahroud, Iran, in 2019.90 Mothers with preterm infants were assigned randomly to one of the three groups.Each group consisted of 30 mothers. The massage group received three 5-min massages each day for five consecutive days, and the kangaroo mother care group, the baby, remained in this condition at least 15 minutes or more, five consecutive days. The control group received only routine care for the neonatal intensive care unit.Data in all three groups collected before and after the interventions using the Coping Responses Inventory for Adult (CRI-A), The Depression. Anxiety, Stress 21, and Neonatal Infant Pain Scale. Findings:The Paired Sample T-Test showed that the mean score of infant pain in both intervention groups before and after the intervention was statistically significant (P<0.001). The ANOVA test and The Paired Sample T-Test also showed that the mean score of depression, Emotion-focused coping, and problem solving-based coping in mothers in all three groups before and after the intervention was statistically significant (P<0.001). Conclusions:Kangaroo mother care and massage can reduce the pain in preterm infants, and the level of anxiety, depression, and stress of mothers and increasing the strategies to deal with stress in mothers.

Parental Engagement, Social Support, and Stress in the Neonatal Intensive Care Unit

Background: Parents of preterm infants hospitalized in the neonatal intensive care unit (NICU) often experience an alteration of their parental role due to the infant’s critical illness, need for life-saving therapies, and prolonged separation. Parental engagement in activities like kangaroo care can help establish the parental role and encourage more secure attachment. However, differences in social support and variation in parental response to stressors can affect their abilities to participate in these activities. Although prior studies have investigated the relationship between kangaroo care and postpartum depression, limited studies have …

Effects of kangaroo mother care on anxiety and parenting stress in premature mothers

Objective To investigate the application effect of kangaroo mother care on anxiety and parenting stress in premature mothers during hospitalization. Methods From January to December 2018, 230 premature mothers were admitted to the neonatal intensive care unit of Ningxia Medical University General Hospital.They were randomly divided into the intervention group(n=114) and the control group(n=116). The premature infants in control group only implemented routine developmental support care.The premature infants in the intervention group was on the basis of routine developmental support care, 2 hours per day of kangaroo mother care was performed from the 2nd day incharge to discharge.Parental Stress Scale: Neonatal Intensive Care Unit and Parenting Stress Index-Short Form was performed using the 2nd day and the 14th day of hospitalization, and the two groups of premature mothers were evaluated for anxiety and parenting stress. Results There were no significant differences in the scores of PSS: NICU((3.65±0.91) vs (3.63±0.91)) and PSI-SF((90.32±8.95) vs (90.12±7.17))(both P>0.05) between the two groups on the 2nd day of hospitalization (before intervention). On the 14th day of hospitalization (after intervention), the total scores ((2.57±0.80) vs (3.47±0.93))and each dimension scores of PSS: NICU in the intervention group were lower than those in the control group (first part (2.41±0.78) vs (3.81±0.73), second part (2.61±0.71) vs (3.14±0.83), third part (2.75±0.86) vs (3.57±1.06), fourth part(2.49±0.80) vs (3.35±0.94))(P<0.01). In addition, the total score of PSI-SF((79.09±8.02) vs (89.46±8.74)), parenting Distress((32.32±9.48) vs (37.15±9.67)), Parent-Child Dysfunctional Interaction((24.26±5.07) vs (27.34±5.26)), and Difficult Child scores((22.51±4.88) vs (24.97±5.05)) in the intervention group were lower than those in the control group(P<0.01). Conclusion Kangaroo mother care can reduce the anxiety of premature mothers during hospitalization and help relieve the parenting stress of premature mothers. Key words: Kangaroo mother care; Premature infant; Anxiety; Parenting stress

Six Poems from Choi Jeongrye's Kangaroo Is Kangaroo I Am I (2011)

Six Poems from Choi Jeongrye's Kangaroo Is Kangaroo I Am I (2011)

Evaluation of improvement measures for premature infants with tube feeding

Objective To explore the effects of individualized feeding, intervention training, breast feeding education and kangaroo nursing on the improvement of feeding time, transition time and average hospital stay of premature infants. Methods A total of 586 hospitalized premature infants were selected as the control group who were admitted to the department before the adoption of tube feeding and feeding improvement measures for premature infants from July 2016 to December 2016.A total of 632 hospitalized premature infants admitted to this department after the implementation of improvement measures were selected as the observation group from January 2017 to July 2017.The control group was fed with traditional tube feeding method, namely gastric tube injector injection method.However, the observation group adopted the recommendations of extremely low birth-weight infant feeding proposed by McMaster university of Canada and formulated the improved measures of tube feeding and feeding of premature infants based on the long-term clinical experience of the department.The duration of tube feeding, transition time, average length of stay and nursing satisfaction of family members were compared between the two groups. Results Tube feeding time, transition time and average length of stay in the control group were compared with the observation group, and the differences were statistically significant (P<0.05). The nursing satisfaction of the observation group was compared with that of the control group, and the difference was statistically significant (P<0.05). Conclusions The improvement measures of tube feeding and feeding of premature infants have a significant effect on improving tube feeding and feeding of premature infants, which can not only shorten the transition time and average length of hospitalization of tube feeding and feeding of premature infants, but also improve the quality of nursing and nursing satisfaction. It is worth further popularizing and applying in clinic to improve nursing satisfaction. Key words: Premature infants; Tube feeding; Improvement measures

Effect of comprehensive feeding intervention on feeding intolerance of premature infants

Objective To investigate the effect of comprehensive feeding intervention on feeding quality and weight gain of premature infants. Methods Eighty-one premature infants admitted to the neonatal intensive care unit (NICU) of our hospital from September 2016 to December 2018 were selected and randomly divided into the intervention group (n=41) and the control group (n=40). Infants in the control group received routine nursing and infants in the intervention group were given comprehensive feeding intervention on the basis of routine nursing includingimproved Y type gastric tube, gravity tube feeding in prone position, oral movement intervention, colostrum oral immunotherapy and kangaroo nursing. The changes of feeding process were compared between the two groups and the occurrence of feeding intolerance in the two groups was observed. Results The duration of tube feeding and hospital stay were lower in the intervention group than in the control group (P 0.05), but the average daily weight growth rate [g/(kg·d) ] after 1 week and the milk volume [ml/(kg·d)] at 1 week were higher in the intervention group than in the control group(P<0.05). The incidence of gastric retention, abdominal distension and vomiting in the intervention group was lower than that in the control group, but only the difference in the incidence of gastric retention (24.4% vs 47.5%) was statistically significant (P<0.05). The incidence of feeding intolerance was significantly lower in the intervention group than in the control group (24.39% vs 47.50%, P<0.05). Conclusion Comprehensive nursing intervention can shorten the tube feeding time of premature infants, promote the weight growth of premature infants, improve the feeding quality, reduce the incidence of feeding intolerance, and reduce the hospital stay of premature infants, so as to reduce the hospitalization cost, improve the quality of life of premature infants, and increase the satisfaction of parents. Key words: Comprehensive nursing intervention; Premature infant; Feeding intolerance

Kangaroo Care Improves Survival in Low-Birth-Weight Infants

Although kangaroo care (skin-to-skin contact between a parent and infant) has been shown to be beneficial for neonates, it is not universally

Summary of best evidence on kangaroo mother care for premature infants

Objective To evaluate and summarize the best available evidence of kangaroo mother care for premature infants both in China and abroad, and to provide evidence-based support for clinical practice. Methods Evidence on kangaroo mother care including evidence-based guidelines, best practices, systematic evaluation and so on were systematically retrieved from databases such as UpToDate, Cochrane Library, Ontario Registered Nurses Association of Canada, National Institute for Health and Care Optimization of the United Kingdom and National Guidelines Network of the United States from the establishment of the database to December 15th, 2018. Four researchers were divided into two groups and evaluated the quality of literature and extracted data. Results Eight papers were included, including one guideline and seven systematic reviews. The best evidence included suitable population, support system, skin contact (timing, duration, operator) , breast feeding support, etc. After evidence extraction, evidence aggregationin combination with localized adjustment in clinical situation, this study has formed eight best evidences. Conclusions It is necessary to strengthen and support the education of relative knowledge about kangaroo mother care, improve the facilities and promote the development of clinical kangaroo mother care based on the evidence and consider the special humanistic attributes with clinical environment at the same time . Key words: Infant, premature; Guidelines; Kangaroo mother care; Skin-to-skin contact; Systematic review; Evidence-based nursing; Best evidence

Overcoming Barriers for the Successful Implementation of a Kangaroo Mother Care Program in a Low-Middle Income Country

Currently low birth weight (LBW) mortality is a global leading cause of neonatal mortality, contributing to 60-70% of neonatal deaths. Low-middle income countries contribute the major portion of LBW globally, accounting for 18 million newborns, bearing an even higher burden because more than 50% of these newborns do not survive. Among others, one of the causes of high neonatal mortality in these countries is the weakness of the health care systems. The WHO emphasizes employing strategies that will facilitate attaining a sustainable goal. Kangaroo Mother Care (KMC) is a cost …

When did kangaroos start to hop?

When did kangaroos start to hop?

Genetic and radiographic insights into the only known mounted specimen of Kangaroo Island Emu

The Natural History Museum of Geneva holds a mounted specimen of a dwarf emu, which is believed to be the only preserved skin of the extinct Kangaroo Island Emu, Dromaius baudinianus. We obtained new radiographs that show the absence of remaining bones in the preparation, confirming previous statements found in the museum's archives. Moreover, we sequenced the complete mitochondrial genome of this specimen and we compared it to all available emu sequences. The mitogenome of the specimen held in Geneva is very close to that of Common Emus Dromaius novaehollandiae. Overall, the genetic results on insular emus support a shallow divergence between the mainland population and the – now extinct – populations from King Island, Kangaroo Island and Tasmania. Based on these results, we agree with previous molecular studies that the insular emu taxa should be treated as three different subspecies of the Common Emu.

Effect of kangaroo mother care on breastfeeding andbehavior of full-term newborn

Objective To explore the effect of kangaroo mother care (KMC) on breastfeeding, behavior, body temperature and weight of full-term newborn. Methods A total of 80 full-term newborns from March to December of 2017 were selected by the convenience sampling method, and were randomly divided into control group and intervention group, with 40 cases each group. Routine obstetric nursing was provided for the newborns in the control group. In addition, one hour of KMC was provided for the newborns in the intervention group. The LATCH scores, neonatal behaviors, body temperature and weight were observed on daily basis. Meanwhile, an interview was conducted to investigate mothers′ attitudes towards KMC. Results The LATCH scores of the intervention group for the second and third days were respectively (6.52±0.81) and (7.75±1.08), which were higher than that in control group (5.95±0.95), (7.02±1.07). The differences were statistically significant (t=2.887, 3.010, P<0.05). The behavioral status of neonates in the intervention group for 3 days was (3.65±1.12), (3.42±0.87), (3.35±1.07), all of which were lower than that in control group (4.57±0.98), (4.50±1.24), (4.65±1.27), and the differences were statistically significant (t=-4.593, -8.285, -7.029, P<0.01). The interviews showed that 100.0% (40/40) of mothers were satisfied with KMC and were very happy in the process.95.0% (38/40) of mothers believe that KMC can increase mother-child relationships.82.5% (33/40) of mothers believe that KMC can keep children quiet.72.5% (29/40) of mothers feel that KMC can relieve pain in the abdomen or perineum. Conclusions In the hospital, 1h of KMC can make breastfeeding more effective and the newborn condition is more stable, which is worthy of clinical application. Key words: Newborn; Kangaroo mother care; Breastfeeding; Infant Behavior

The Effect of Kangaroo Mother Care on Mental Health of Mothers with Premature Infants

The Effect of Kangaroo Mother Care on Mental Health of Mothers with Premature Infants

A Comparison of the Effect of Short Abdominal Skin-To-Skin Contact and Kangaroo Skin Contact on Initiation of Successful Breastfeeding

A Comparison of the Effect of Short Abdominal Skin-To-Skin Contact and Kangaroo Skin Contact on Initiation of Successful Breastfeeding

Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates

Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates

D. H. Lawrence and Australia : Wilderness within the Self in Kangaroo (1923)

D. H. Lawrence and Australia : Wilderness within the Self in Kangaroo (1923)

Paediatrics: Advantages for kangaroo kids

Paediatrics: Advantages for kangaroo kids