Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis

Huang, Xiang; Chen, Mei‐Ling; Fu, Rongrong; He, Wei; He, Yujing; Shentu, Haojie; Zhu, Suping

doi:10.3389/fped.2023.1098143

Cited by 3 publications

(2 citation statements)

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“…We examined the heterogeneity of effect size using the Q statistic and the I 2 statistic ( 40 ). An I 2 value ≥ 50% was considered strong heterogeneity, and a random-effects model was used ( 41 , 42 ). The random-effect RELM method was mainly used.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and factors associated with maternal and neonatal sepsis in sub-Saharan Africa: a systematic review and meta-analysis

Traoré,

Sidibé,

Diallo

et al. 2024

Front. Public Health

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ObjectivesThis study aimed to determine the prevalence and factors associated with maternal and neonatal sepsis in sub-Saharan Africa.MethodsThis systematic review and meta-analysis used the PRISMA guideline on sepsis data in sub-Saharan Africa. The bibliographic search was carried out on the following databases: Medline/PubMed, Cochrane Library, African Index Medicus, and Google Scholar. Additionally, the reference lists of the included studies were screened for potentially relevant studies. The last search was conducted on 15 October 2022. The Joanna Briggs Institute quality assessment checklist was applied for critical appraisal. Estimates of the prevalence of maternal and neonatal sepsis were pooled using a random-effects meta-analysis model. Heterogeneity between studies was estimated using the Q statistic and the I2 statistic. The funnel plot and Egger’s regression test were used to assess the publication bias.ResultsA total of 39 studies were included in our review: 32 studies on neonatal sepsis and 7 studies on maternal sepsis. The overall pooled prevalence of maternal and neonatal sepsis in Sub-Saharan Africa was 19.21% (95% CI, 11.46–26.97) and 36.02% (CI: 26.68–45.36), respectively. The meta-analyses revealed that Apgar score < 7 (OR: 2.4, 95% CI: 1.6–3.5), meconium in the amniotic fluid (OR: 2.9, 95% CI: 1.8–4.5), prolonged rupture of membranes >12 h (OR: 2.8, 95% CI: 1.9–4.1), male sex (OR: 1.2, 95% CI: 1.1–1.4), intrapartum fever (OR: 2.4, 95% CI: 1.5–3.7), and history of urinary tract infection in the mother (OR: 2.7, 95% CI: 1.4–5.2) are factors associated with neonatal sepsis. Rural residence (OR: 2.3, 95% CI: 1.01–10.9), parity (OR: 0.5, 95% CI: 0.3–0.7), prolonged labor (OR: 3.4, 95% CI: 1.6–6.9), and multiple digital vaginal examinations (OR: 4.4, 95% CI: 1.3–14.3) were significantly associated with maternal sepsis.ConclusionThe prevalence of maternal and neonatal sepsis was high in sub-Saharan Africa. Multiple factors associated with neonatal and maternal sepsis were identified. These factors could help in the prevention and development of strategies to combat maternal and neonatal sepsis. Given the high risk of bias and high heterogeneity, further high-quality research is needed in the sub-Saharan African context, including a meta-analysis of individual data.Systematic review registration: PROSPERO (ID: CRD42022382050).

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Section: Methodsmentioning

confidence: 99%

Prevalence and factors associated with maternal and neonatal sepsis in sub-Saharan Africa: a systematic review and meta-analysis

Traoré,

Sidibé,

Diallo

et al. 2024

Front. Public Health

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“…In relation to clinical conditions such as jaundice, a SR describes that MC combined with phototherapy resulted in lower bilirubin values at 72 hours and a shorter duration of phototherapy in patients with nonpathological hyperbilirubinemia. However, the application of this treatment still varies considerably, from 30 minutes every 3 hours to 1 hour every 8 hours (Huang et al, 2023). Welldesigned studies are needed to provide greater certainty regarding these clinical conditions and their outcomes as well as their impact on public health.…”

Section: Hospital Staymentioning

confidence: 99%

Integrative Review: Benefits, Challenges, and Perspectives Of Kangaroo Care in Neonatal Care

Vasco-Morales,

Quinde-Arce,

Males-Jácome

et al. 2024

RGSA

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Objective: Review the current scientific evidence on the physiological effects of kangaroo care, explore the barriers and facilitators to its implementation, and identify areas of knowledge that have not yet been explored. Theoretical Framework: The kangaroo care method, despite its benefits for premature and low birth weight babies, faces implementation challenges. Its acceptance and application vary due to various factors, including cultural and institutional ones, as well as the lack of support for mothers and families. Method: Integrative review of quantitative and qualitative studies. The critical appraisal of the studies was conducted using the Joanna Briggs Institute tool. Principio del formulario Results and Discussion: Evidence supports the effectiveness of kangaroo care in improving physiological parameters of the neonate such as heart rate, body temperature, and oxygen saturation. The main barriers to its implementation include: visiting hour restrictions, healthcare staff workload, negative cultural beliefs, lack of information and empowerment of mothers, and limited involvement of fathers. Research Implications: Provides information on how the implementation of kangaroo care benefits the care of premature newborns, as well as aspects that influence its implementation. Originality/Value: This study contributes to the literature by providing a comprehensive assessment of the effectiveness, safety, and applicability of kangaroo care in neonatal care. It allows for the visualization of barriers and facilitators to its implementation, providing identification of areas for improvement and gaps that may require future studies.

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Heliotherapy for neonates with severe-to-hazardous hyperbilirubinemia: a randomized controlled, non-inferiority trial

Olusanya,

Emokpae,

Aina

et al. 2024

Sci Rep

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Filtered-sunlight phototherapy (FSPT) that blocks ultraviolet light and reduces infrared radiation is safe and non-inferior to intensive electric phototherapy (IEPT) for treating mild-to-severe neonatal hyperbilirubinemia. In this randomized non-inferiority trial, the safety, efficacy, exchange transfusion (ET), and mortality rates of FSPT versus IEPT among Nigerian neonates with severe-to-hazardous hyperbilirubinemia were investigated. Safety was defined as the absence of hyperthermia, hypothermia, dehydration, or sunburn; efficacy by the proportion of assessable treatment days during which total serum or plasma bilirubin (TSB) increased by < 0.2 mg/dL/hr for newborns aged ≤ 72 h-old or decreased for newborns > 72 h-old. A treatment day was deemed assessable if a neonate received phototherapy for ≥ 4 h, and non-inferiority was inferred for differences within a 10% margin. We enrolled 192 newborns (admission TSB ≤ 62 mg/dL), assigned to FSPT (n = 98) or IEPT (n = 94). FSPT was effective on 94.2% of the assessable treatment days compared with 97.1% for IEPT. The mean difference in efficacy between FSPT and IEPT was -2.9%, 95% CI: -7.6, 1.9). 2.6% of newborns who received FSPT developed controlled hyperthermia, and no baby met the criteria for withdrawal for safety reasons. Overall, 50.6% (39/77) of newborns who received FSPT and 53.7% (51/95) of newborns who received IEPT had ET (p = 0.89) and 7 in each group (9.1% vs 7.4%; p = 0.86) died. In conclusion, FSPT is safe and non-inferior to IEPT for treating neonates with severe-to-hazardous hyperbilirubinemia, it is not associated with significantly higher rates of ET and mortality and should be considered where practicable when IEPT cannot be assured. Clinical Trials.gov Number: NCT02612727 (24/11/2015).

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Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis

Cited by 3 publications

References 75 publications

Prevalence and factors associated with maternal and neonatal sepsis in sub-Saharan Africa: a systematic review and meta-analysis

Prevalence and factors associated with maternal and neonatal sepsis in sub-Saharan Africa: a systematic review and meta-analysis

Integrative Review: Benefits, Challenges, and Perspectives Of Kangaroo Care in Neonatal Care

Heliotherapy for neonates with severe-to-hazardous hyperbilirubinemia: a randomized controlled, non-inferiority trial

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