Improving the uptake of Kangaroo Mother Care in neonatal units: A narrative review and conceptual framework

Gill, Victoria R; Liley, Helen; Erdei, Carmina; Sen, Sarbattama; Davidge, Ruth; Wright, Amy; Bora, Samudragupta

doi:10.1111/apa.15705

Cited by 19 publications

(12 citation statements)

References 49 publications

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“…Despite its major benefits, KMC is not widely adopted in many LMICs. Inadequate facilities and/or space, limited hospital budgets, inadequate staffing, lack of KMC policies, and the reluctance of families to accept extended hospitalization are the main barriers to KMC uptake in Africa (16)(17)(18).…”

Section: Promoting Colonization With Normal Flora Kangaroo Mother Car...mentioning

confidence: 99%

Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings

Dramowski

Aucamp²,

Beales

et al. 2022

Front. Pediatr.

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Healthcare-associated infections (HAIs) and antimicrobial-resistant (AMR) infections are leading causes of neonatal morbidity and mortality, contributing to an extended hospital stay and increased healthcare costs. Although the burden and impact of HAI/AMR in resource-limited neonatal units are substantial, there are few HAI/AMR prevention studies in these settings. We reviewed the mechanism of action and evidence supporting HAI/AMR prevention interventions, including care bundles, for hospitalized neonates in low- and middle-income countries (LMIC).

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Section: Promoting Colonization With Normal Flora Kangaroo Mother Car...mentioning

confidence: 99%

Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings

Dramowski

Aucamp²,

Beales

et al. 2022

Front. Pediatr.

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“…182,183 Studies report some barriers to use, but overall, skin-to-skin care is judged to be acceptable by both parents and caregivers. [184][185][186] Skin-to-skin care is likely to be cost-effective, acceptable, and feasible in high-, middle-, and low-income countries.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Wyckoff¹,

Greif²,

Morley³

et al. 2022

Circulation

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This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed.

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“…Correspondingly, insufficient awareness of KMC and infant health among parents/family members was a barrier to the practice of KMC [ 22 ]. Despite the generally low awareness of KMC, the reviews reported that it was relatively easier to train mothers on KMC practices and that they were more adherent to KMC practices after understanding and accepting KMC [ 54 ]. Perceived, observed, and experienced effects of KMC could provide comfort and satisfaction to the parents of preterm infants, which promotes KMC use, whereas KMC is inhibited if parents and/or preterm infants experience KMC-related discomfort.…”

Section: Discussionmentioning

confidence: 99%

What influences the implementation of kangaroo mother care? An umbrella review

Cai

Chen

Wang

et al. 2022

BMC Pregnancy Childbirth

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Background Kangaroo mother care (KMC) is an evidence-based intervention that reduces morbidity and mortality in preterm infants. However, it has not yet been fully integrated into health systems around the world. The aim of this study is to provide a cogent summary of the evidence base of the key barriers and facilitators to implementing KMC. Methods An umbrella review of existing reviews on KMC was adopted to identify systematic and scoping reviews that analysed data from primary studies. Electronic English databases, including PubMed, Embase, CINAHL and Cochrane Library, and three Chinese databases were searched from inception to 1 July 2022. Studies were included if they performed a review of barriers and facilitators to KMC. Quality assessment of the retrieved reviews was performed by at least two reviewers independently using the Joanna Briggs Institute (JBI) critical appraisal checklist and risk of bias was assessed with the Risk of Bias Assessment Tool for Systematic Reviews (ROBIS) tool. This umbrella review protocol was documented in the PROSPERO registry (CRD42022327994). Results We generated 531 studies, and after the removal of duplicates and ineligible studies, six eligible reviews were included in the analysis. The five themes identified were environmental factors, professional factors, parent/family factors, access factors, and cultural factors, and the factors under each theme were divided into barriers or facilitators depending on the specific features of a given scenario. Conclusions Support from facility management and leadership and well-trained medical staff are of great significance to the successful integration of KMC into daily medical practice, while the parents of preterm infants and other family members should be educated and encouraged in KMC practice. Further research is needed to propose strategies and develop models for implementing KMC.

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Improving the uptake of Kangaroo Mother Care in neonatal units: A narrative review and conceptual framework

Cited by 19 publications

References 49 publications

Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings

Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings

What influences the implementation of kangaroo mother care? An umbrella review

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