Abstract:Objective: To compare the efficacy of Kangaroo care (skin-to-skin contact with mother) with standard care (next to the mother in a cot) for premature, low birth weight and babies of diabetic mothers in a transitional care ward setting. Method: This was a cohort study undertaken in a transitional care/postnatal ward of a UK district general hospital. The study involved 214 babies (107 in the study group, 107 in the control group) with a gestation 34-36+6 weeks, small for gestational age and babies of diabetic m… Show more
“…Further, one should note that we identified other barriers that, taken together with the "Pain / fatigue" barrier, indicate that mothers may struggle with the practice. These barriers include "Positioning issues," including difficulty sleeping with the infant on the chest [ 40 ], "Breastmilk expression and other breastfeeding-related issues,"[ 8 ] discomfort related to temperature [ 50 ], and "Issues with clothing / infants' medical devices"[ 30 , 51 ]. Of course, mothers' medical issues also pose a major barrier to practice.…”
Kangaroo mother care (KMC) is an evidence-based approach to reducing mortality and morbidity in preterm infants. Although KMC is a key intervention package in newborn health initiatives, there is limited systematic information available on the barriers to KMC practice that mothers and other stakeholders face while practicing KMC. This systematic review sought to identify the most frequently reported barriers to KMC practice for mothers, fathers, and health practitioners, as well as the most frequently reported enablers to practice for mothers. We searched nine electronic databases and relevant reference lists for publications reporting barriers or enablers to KMC practice. We identified 1,264 unique publications, of which 103 were included based on pre-specified criteria. Publications were scanned for all barriers / enablers. Each publication was also categorized based on its approach to identification of barriers / enablers, and more weight was assigned to publications which had systematically sought to understand factors influencing KMC practice. Four of the top five ranked barriers to KMC practice for mothers were resource-related: “Issues with the facility environment / resources,” “negative impressions of staff attitudes or interactions with staff,” “lack of help with KMC practice or other obligations,” and “low awareness of KMC / infant health.” Considering only publications from low- and middle-income countries, “pain / fatigue” was ranked higher than when considering all publications. Top enablers to practice were included “mother-infant attachment” and “support from family, friends, and other mentors.” Our findings suggest that mother can understand and enjoy KMC, and it has benefits for mothers, infants, and families. However, continuous KMC may be physically and emotionally difficult, and often requires support from family members, health practitioners, or other mothers. These findings can serve as a starting point for researchers and program implementers looking to improve KMC programs.
“…Further, one should note that we identified other barriers that, taken together with the "Pain / fatigue" barrier, indicate that mothers may struggle with the practice. These barriers include "Positioning issues," including difficulty sleeping with the infant on the chest [ 40 ], "Breastmilk expression and other breastfeeding-related issues,"[ 8 ] discomfort related to temperature [ 50 ], and "Issues with clothing / infants' medical devices"[ 30 , 51 ]. Of course, mothers' medical issues also pose a major barrier to practice.…”
Kangaroo mother care (KMC) is an evidence-based approach to reducing mortality and morbidity in preterm infants. Although KMC is a key intervention package in newborn health initiatives, there is limited systematic information available on the barriers to KMC practice that mothers and other stakeholders face while practicing KMC. This systematic review sought to identify the most frequently reported barriers to KMC practice for mothers, fathers, and health practitioners, as well as the most frequently reported enablers to practice for mothers. We searched nine electronic databases and relevant reference lists for publications reporting barriers or enablers to KMC practice. We identified 1,264 unique publications, of which 103 were included based on pre-specified criteria. Publications were scanned for all barriers / enablers. Each publication was also categorized based on its approach to identification of barriers / enablers, and more weight was assigned to publications which had systematically sought to understand factors influencing KMC practice. Four of the top five ranked barriers to KMC practice for mothers were resource-related: “Issues with the facility environment / resources,” “negative impressions of staff attitudes or interactions with staff,” “lack of help with KMC practice or other obligations,” and “low awareness of KMC / infant health.” Considering only publications from low- and middle-income countries, “pain / fatigue” was ranked higher than when considering all publications. Top enablers to practice were included “mother-infant attachment” and “support from family, friends, and other mentors.” Our findings suggest that mother can understand and enjoy KMC, and it has benefits for mothers, infants, and families. However, continuous KMC may be physically and emotionally difficult, and often requires support from family members, health practitioners, or other mothers. These findings can serve as a starting point for researchers and program implementers looking to improve KMC programs.
“…Late preterm infants are at a higher risk of mortality and morbidity than term infants (8) and have lower rates of breastfeeding (9). KMC could bring potential bene ts to late preterm newborns and their mothers including improved breastfeeding rates and better maternal recovery from birth-related fatigue (6,(10)(11)(12)(13)(14). The challenges of introducing, initiating and continuing kangaroo mother care on postnatal wards could differ from those faced on neonatal units with early preterm newborns.…”
Objective: To describe how mothers of late preterm infants experienced provision of intermittent kangaroo mother care (KMC) on four postnatal wards in different hospitals in China under a pilot KMC project.Methods: We used a concurrent mixed-methods approach incorporating quantitative and qualitative data. We collected quantitative data covering delivery and maternal experience of and attitude to KMC from 752 mothers who provided KMC to their late preterm newborns on the postnatal wards of four hospitals in different provinces of China. We gathered data from hospital records and maternal questionnaires. Qualitative data was collected from ten semi-structured interviews with nurses, obstetricians, and mothers from two of the participating postnatal wards. We used descriptive analysis for quantitative data and general inductive analysis for qualitative data.Results: Most mothers had not heard of KMC before being introduced to it on the postnatal ward. On average, mothers and newborns stayed on postnatal wards for 3.6 days: during their stay mothers provided an average of 3.5 KMC sessions, an average of 1.1 sessions a day. Each KMC session lasted an average of 68 minutes though there was much variation in length. Common reasons given for discontinuing a KMC session included restroom use, infant crying, and perceived time limitations. Some mothers would have preferred to provide KMC for longer periods of time and nurses encouraged this. Most mothers experienced no difficulty providing KMC, received support from family and medical staff and intended to continue KMC post discharge.Conclusion: In order to improve maternal experience of KMC it is recommended that awareness raising of KMC be included in antenatal care and after birth, longer periods of KMC provision be encouraged, greater privacy be provided for mothers providing KMC on postnatal wards and family members be encouraged to support KMC.
“…Studies indicate that parents prefer to have this experience with their newborns (Bergman, ; Gregson & Blacke, ). Dabrowski () reported on a community hospital that instituted skin‐to‐skin contact.…”
Section: Introductionmentioning
confidence: 99%
“…THERE ARE MANY BENEFITS associated with skin‐to‐skin contact between mothers and newborn infants immediately after birth (Dalbye, Calais, & Berg, ; Gregson & Blacke, ; Hung & Berg, ; Price & Johnson, ). Despite evidence of its benefit from the literature, clinical application of skin‐to‐skin contact after cesarean birth may not occur in the labor and delivery (L&D) room (Nolan & Lawrence, ).…”
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