Kangaroo mother care and infant biopsychosocial outcomes in the first year: A meta-analysis

Akbari, Emis; Binnoon-Erez, Noam; Rodrigues, Michelle; Ricci, Alessandro; Schneider, J; Madigan, Sheri; Jenkins, Jennifer M.

doi:10.1016/j.earlhumdev.2018.05.004

Cited by 34 publications

(33 citation statements)

References 25 publications

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“…This is in line with the previous systematic review studies in which KMC group initiated breastfeeding 1.6 days earlier than conventional neonatal care [10]. It was observed that infants who exposed to KMC showed significantly better emotion regulation than infants who exposed to the usual standard care which again initiated early breastfeeding [24, 25]. Furthermore, KMC has a significant role in starting breastfeeding among preterm and LBW infants [26–28].…”

Section: Discussionsupporting

confidence: 87%

The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies

2019

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Background Kangaroo mother care is a comprehensive intervention given for all newborns especially for premature and low birthweight infants. It is the most feasible and preferred intervention for decreasing neonatal morbidity and mortality. Even though time to initiating breastfeeding has been examined by randomized controlled trials, varying findings have been reported. Therefore, the main objective of this meta-analysis was to estimate the pooled mean time to initiate breastfeeding among preterm and low birthweight infants. Methods The authors searched for randomized controlled trial studies conducted on the effects of kangaroo mother care on the time to breastfeeding initiation among preterm and low birthweight infants. Published articles were identified through a computerized search of electronic databases that includes MEDLINE via PubMed, EMBASE, CINAHL and CENTRAL. The search terms were kangaroo mother care or (skin to skin), or conventional care, newborns, preterm infants, low birthweight infants and randomized controlled trial. A total of 467 eligible titles were identified and eight studies met the inclusion criteria. The extracted data were entered and analyzed using Cochrane Review Manager-5-3 software. Heterogeneity across studies was evaluated by Chi 2 test and inconsistency index (I 2 ). Publication bias was assessed using a funnel plot. The random effect model was applied to estimate the pooled mean time to initiate breastfeeding with 95% confidence interval. Results In this meta-analysis, the overall pooled mean time to initiate breastfeeding was 2.6 days (95% CI 1.23, 3.96). Preterm and low birthweight infants receiving kangaroo mother care intervention initiated breastfeeding 2 days 14 h 24 min earlier than conventional care of radiant warmer/incubator method. Conclusions Kangaroo mother care promotes early initiation of breastfeeding as compared to conventional care method. Therefore, health facilities need to implement the kangaroo mother care for preterm and low birthweight infants. Electronic supplementary material The online version of this article (10.1186/s13006-019-0206-0) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 87%

The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies

2019

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“…KMC has been adapted around the world and has been shown to reduce the mortality of low birthweight infants, nosocomial infection/sepsis, hypothermia, and length of hospital stay (Conde‐Agudelo & Díaz‐Rossello, ). KMC was also found to increase infant growth (Bera et al, ; Lumbanraja, ), breast feeding (Conde‐Agudelo & Díaz‐Rossello, ; Luong, Nguyen, Thi, Carrara, & Bergman, ), mother–infant attachment (Boundy et al, ; Cho et al, ; Conde‐Agudelo & Díaz‐Rossello, ; Feldman, Rosenthal, & Eidelman, ), and infant neurodevelopment (Akbari et al, ; Charpak et al, ). Despite the strong evidence and establishment of KMC Centers of Excellence in many countries (Sarfo, ), significant barriers to implementation persist at all levels: organizations, clinical teams and families (Chan, Bergelson, Smith, Skotnes, & Wall, ).…”

Section: Models Of Nicu Carementioning

confidence: 99%

The evolution of family‐centered care: From supporting parent‐delivered interventions to a model of family integrated care

Franck

O’Brien

2019

Birth Defects Research

227

223

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There is increasing recognition that parents play a critical role in promoting the health outcomes of low birthweight and preterm infants. Despite a large body of literature on interventions and models to support family engagement in infant care, parent involvement in the delivery of care for such infants is still restricted in many neonatal intensive care units (NICUs). In this article, we propose a taxonomy for classifying parent‐focused NICU interventions and parent‐partnered care models to aid researchers, clinical teams, and health systems to evaluate existing and future approaches to care. The proposed framework has three levels: interventions to support parents, parent‐delivered interventions, and multidimensional models of NICU care that explicitly incorporate parents and partners in the care of their preterm or low birthweight infant. We briefly review the available evidence for interventions at each level and highlight the strong level of research evidence to support the parent‐delivered intervention of skin‐to‐skin contact (also known as the Kangaroo Care position) and for the Kangaroo mother care and family integrated care models of NICU care. We suggest directions for future research and model implementation to improve and scale‐up parent partnership in the care of NICU infants.

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“…80 KMC is also shown to increase oxytocin levels and decrease cortisol reactivity in term infants. 81 Studies elude to a lasting impact on self-regulation skills later in infancy 82 , improved executive functioning at 5 and 10 years of life 83 and significant, long-lasting social and behavioural protective effects even after 20 years of the intervention. 84 Further longer-term effect studies of KMC on cognitive and motor development, socioemotional skills, and temperament are needed.…”

Section: Non-medical Therapiesmentioning

confidence: 99%

“…84 Further longer-term effect studies of KMC on cognitive and motor development, socioemotional skills, and temperament are needed. 82 Exposure to neonatal pain has been linked to impaired brain development in preterm infants 85 , neonatal pain experience in animals may lead to physical damage or even death of young neurons in the brain. 86 87 The activation of the hypothalamic-pituitary-adrenal (HPA) axis, in response to stressors during the critical periods of brain development, has been associated with many acute and long-term adverse bio-behavioural outcomes.…”

Section: Non-medical Therapiesmentioning

confidence: 99%

Neuroscience meets nurture: challenges of prematurity and the critical role of family-centred and developmental care as a key part of the neuroprotection care bundle

Soni

Tscherning

Robertson

2021

Arch Dis Child Fetal Neonatal Ed

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Advances in neonatal–perinatal medicine have resulted in increased survival at lower gestations. Although the incidence of germinal matrix haemorrhage-intraventricular haemorrhage and cystic periventricular leucomalacia is reducing, a new phenotype of preterm brain injury has emerged consisting of a combination of destructive and dysmaturational effects. Consequently, severe neurological disability is reported at a lower rate than previously, but the overall morbidity associated with premature birth continues to present a large global burden and contributes significantly to increased financial costs to health systems and families. In this review, we examine the developmental milestones of fetal brain development and how preterm birth can disrupt this trajectory. We review common morbidities associated with premature birth today. Although drug-based and cell-based neuroprotective therapies for the preterm brain are under intense study, we outline basic, sustainable and effective non-medical, family-centred and developmental care strategies which have the potential to improve neurodevelopmental outcomes for this population and need to be considered part of the future neuroprotection care bundle.

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Kangaroo mother care and infant biopsychosocial outcomes in the first year: A meta-analysis

Cited by 34 publications

References 25 publications

The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies

The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies

The evolution of family‐centered care: From supporting parent‐delivered interventions to a model of family integrated care

Neuroscience meets nurture: challenges of prematurity and the critical role of family-centred and developmental care as a key part of the neuroprotection care bundle

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