Impacto da segunda e terceira etapas do mǸtodo canguru: do nascimento ao sexto mǦs

Alves, Fernanda Nascimento; Wolkers, Paula Carolina Bejo; Araújo, Lúcio Flávio Magalhães Nóbrega de; Marques, Daniela; Azevedo, Vívian Mara Gonçalves de Oliveira

doi:10.19175/recom.v11i0.4200

Cited by 3 publications

(7 citation statements)

References 4 publications

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“…Infants participating in the second stage of the KMC showed satisfactory EBF rates at hospital discharge and in the third stage of the KMC, with a slight increase in the first follow-up visit and a slight decrease in the last follow-up visit, when compared to the rates found in other studies ( 11 , 16 ) . In very low birth weight premature newborns cared for at the KNIMCU of another university hospital, the EBF rate was 16.7% at hospital discharge ( 11 ) . When considering infants hospitalized in NICU, CoNIMCU, and KNIMCU, EBF rates at discharge are even lower, reaching 2.14% in some hospitals ( 16 ) .…”

Section: Discussionmentioning

confidence: 41%

“…In the first follow-up visit of the third stage of KMC, 74.0% of infants were on EBF, a higher rate than another study that found 21.7% of preterm infants on EBF in the first KMC outpatient follow-up visit ( 11 ) . The rate of EBF at the first follow-up visit was similar to the percentage at hospital discharge, probably due to the small time interval between these two moments, with a median of two days, meeting the recommendation of the national KMC policy, which recommends the first consultation within 48 hours after discharge ( 2 ) .…”

Section: Discussionmentioning

confidence: 67%

“…Furthermore, KMC also promotes immediate and long-term benefits for BF among preterm and low birth weight infants and their mothers, being considered a facilitating practice for breastfeeding ( 10 ) and one of the intervention proposals to encourage BF in this vulnerable population ( 11 ) . This method improves affection and bonding behaviors between the binomial and, consequently, stimulates breastfeeding, allowing greater frequency, precocity, and duration of BF, improving the effectiveness of the first feeding and reducing the time to obtain effective sucking ( 4 , 10 , 12 ) , with effective results in the maintenance of BF ( 11 ) .…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding at discharge and in the third stage of the Kangaroo Mother Care among hospitalized preterm infants

dos Santos,

Carmona,

Sanfelice

et al. 2024

Rev. esc. enferm. USP

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Objective: To identify the type of feeding and analyze the sociodemographic and clinical factors associated with exclusive breastfeeding at hospital discharge, in the first and in the last follow-up visit of the third stage of the Kangaroo Mother Care among infants admitted to the kangaroo unit. Method: Longitudinal and retrospective study. A total of 186 infants of gestational age <37 weeks admitted to the kangaroo unit in 2018 and 2019 was included. Data collected from medical records and subjected to inferential analysis and the Poisson regression model (P < 0.05). Results: Exclusive breastfeeding rate was 73.1% at discharge, with a drop at the last follow-up visit (68.1%). At discharge, there was a greater probability of exclusive breastfeeding in younger mothers, with higher education, infants born with higher birth weight and who received exclusive human milk during hospitalization; in the first follow-up visit, in a younger mother and infant who received only human milk during hospitalization; and in the last follow-up visit, a young mother, infant who received only human milk and suckled at the breast for the first time in the kangaroo unit. Conclusion: Most infants hospitalized in the second stage of the Kangaroo Mother Care were exclusively breastfed and presented maternal and clinical factors related to breastfeeding. This fact can help manage the challenges of the method and promote breastfeeding.

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Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Breastfeeding at discharge and in the third stage of the Kangaroo Mother Care among hospitalized preterm infants

dos Santos,

Carmona,

Sanfelice

et al. 2024

Rev. esc. enferm. USP

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“…Agregado a isso o MC é introduzido neste meio estimulando por meio do contato pele a pele, estando a prole aquecida, confortável e perto da mama, isso causa ao RN e a mãe estímulo para a amamentação, momento único para díade (mãe/filho), além disso, a interação da mãe e filho através do contato pele a promove uma melhora no estado do humor da mãe, fator importante para esse novo processo (REICHERT APS, et al, 2020). Um estudo faz um comparativo que após o acompanhamento e aplicação do MC no RNPBP em domicílio, teve-se um aumento na taxa de aleitamento materno quando comparados aos RN´s que não continuaram o MC em casa (ALVES FN, et al, 2021).…”

Section: Dificuldades Enfrentadas Pelas Famílias Na Aplicação Do Méto...unclassified

A arte de cuidar da família em domicílio: estudo baseado em evidências sobre o método canguru

Silva¹,

Sabino

Souza

et al. 2022

Acervo Saúde

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Objetivo: Sintetizar evidências científicas sobre cuidados de enfermagem à família para continuidade do Método Canguru (MC) no domicílio. Métodos: Trata-se de uma revisão integrativa de literatura. Para guiar a busca fez-se uso dos descritores: método canguru, enfermagem, recém-nascido prematuro. Foram incluídos artigos no idioma português e espanhol entre 2015 e 2020. A coleta de dados foi realizada entre setembro e outubro de 2021. Foram excluídos artigos com duplicidade. Resultados: Obteve-se uma amostra de cinco artigos. Da síntese emergiram três categorias: preparo da família para a continuidade do Método Canguru em domicílio; dificuldades enfrentadas pelas famílias na aplicação do Método Canguru; a enfermagem na terceira etapa do método canguru em domicílio. Considerações Finais: O papel educativo do profissional de enfermagem com orientações no momento da alta é crucial, e se aplicado irá desencadear fatores positivos a favor da continuidade do MC e maior segurança aos pais no cuidado com o Recém-Nascido Prematuro de Baixo Peso (RNPBP).

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“…Although previous studies indicate higher frequency of BF and EBF among LBW infants who participate in all stages of the KC program (8–11), the interruption of EBF, especially due to the introduction of complementary foods, has not yet been analyzed. Thus, the objective was to compare the feeding practices of preterm LBW infants according to the type of care received during and after hospital discharge [Kangaroo and Conventional Care (CC)].…”

mentioning

confidence: 99%

Feeding Practices of Preterm Low Birthweight Infants Up to 6 Months: A Comparison Between Kangaroo and Conventional Care

Romão

Souza

Medeiros

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Objective: The objective of this study is to compare feeding practices of low birthweight (LBW) infants, according to type of care received during and after hospital discharge: Kangaroo Care (KC) and Conventional Care (CC). Methods: Prospective cohort study was conducted at a university hospital (Brazil) between 2019 and 2021. The sample consisted of 65 LBW infants (weight ≤ 1800 g)—46 in KC and 19 in CC. KC includes breastfeeding (BF) guidance and support to parents at hospital and after discharge. Data collection was performed at hospital discharge, and at the 4th and 6th month of corrected gestational age (CGA). Consumption of 27 foods was analyzed in the last 2 periods of the follow-up and expressed in relative frequency. Three indicators were analyzed: exclusive breastfeeding (EBF), mixed BF, and introduction of liquid and solid foods. Results: Groups had similar health characteristics, except for the weight at hospital discharge and the Score for Neonatal Acute Physiology – Perinatal (SNAPPE II) score that were lower in KC group. We found higher frequency of EBF among KC at hospital discharge (CC = 5.3% vs KC = 47.8%; P = 0.001). The higher frequency of mixed BF was observed in KC at 4 months of CGA (CC = 5.6% vs KC = 35.0%; P = 0.023), and at 6 months of CGA (CC = 0.0% vs KC = 24.4%; P = 0.048). Consumption of solid foods (4th month of CGA = 25.9%, 6th month of CGA = 91.2%) and liquids (4th month of CGA = 77.6%, 6th month of CGA = 89.5%) were similar between groups. Conclusions: In KC, SNAPPE II scores were lower and frequency of EBF was higher at hospital discharge and frequency of mixed BF was higher over 6 months. Early supply of infant formula, liquid and solid foods were similar in both groups.

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Impacto da segunda e terceira etapas do mǸtodo canguru: do nascimento ao sexto mǦs

Cited by 3 publications

References 4 publications

Breastfeeding at discharge and in the third stage of the Kangaroo Mother Care among hospitalized preterm infants

Breastfeeding at discharge and in the third stage of the Kangaroo Mother Care among hospitalized preterm infants

A arte de cuidar da família em domicílio: estudo baseado em evidências sobre o método canguru

Feeding Practices of Preterm Low Birthweight Infants Up to 6 Months: A Comparison Between Kangaroo and Conventional Care

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