Kangaroo mother care to reduce morbidity and mortality in low birthweight infants

Conde-Agudelo, Agustín; Díaz-Rossello, José Luis

doi:10.1002/14651858.cd002771.pub3

Cited by 257 publications

(273 citation statements)

References 68 publications

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“…For the smallest babies humidity of 60-80% should be used initially and reduced as skin integrity improves, as maintaining high humidity may promote bacterial or fungal growth. WHO guidelines promote the use of kangaroo mother care in stable low-birth-weight babies as a means of maintaining temperature and reducing mortality in lower income settings, and increasingly kangaroo mother care is being used to maintain temperature to maximize maternal-infant bonding, even in babies on MV [129,130]. …”

Section: Monitoring and Supportive Carementioning

confidence: 99%

European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update

et al. 2016

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Advances in the management of respiratory distress syndrome (RDS) ensure that clinicians must continue to revise current practice. We report the third update of the European Guidelines for the Management of RDS by a European panel of expert neonatologists including input from an expert perinatal obstetrician based on available literature up to the beginning of 2016. Optimizing the outcome for babies with RDS includes consideration of when to use antenatal steroids, and good obstetric practice includes methods of predicting the risk of preterm delivery and also consideration of whether transfer to a perinatal centre is necessary and safe. Methods for optimal delivery room management have become more evidence based, and protocols for lung protection, including initiation of continuous positive airway pressure and titration of oxygen, should be implemented from soon after birth. Surfactant replacement therapy is a crucial part of the management of RDS, and newer protocols for surfactant administration are aimed at avoiding exposure to mechanical ventilation, and there is more evidence of differences among various surfactants in clinical use. Newer methods of maintaining babies on non-invasive respiratory support have been developed and offer potential for greater comfort and less chronic lung disease. As technology for delivering mechanical ventilation improves, the risk of causing lung injury should decrease although minimizing the time spent on mechanical ventilation using caffeine and if necessary postnatal steroids are also important considerations. Protocols for optimizing the general care of infants with RDS are also essential with good temperature control, careful fluid and nutritional management, maintenance of perfusion and judicious use of antibiotics all being important determinants of best outcome.

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Section: Monitoring and Supportive Carementioning

confidence: 99%

European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update

et al. 2016

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“…It enhances breastfeeding success during the early postpartum period2 and increases the duration of breastfeeding after discharge 3. In very low birthweight (VLBW) infants, SSC has been associated with improved weight gain,4 a reduction in mortality, severe infection and length of hospital stay compared with standard care 5 6. Moreover, SSC in newborns immediately after birth stabilises cardiorespiratory adaptation7 and decreases duration of infant crying 8…”

Section: Introductionmentioning

confidence: 99%

Skin-to-skin care in preterm infants receiving respiratory support does not lead to physiological instability

Lorenz

Dawson

Jones

et al. 2017

Arch Dis Child Fetal Neonatal Ed

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“…Pain in the preterm infant can have long lasting consequences such as neurodevelopmental impairment, altered response to pain as adults and internalizing behaviours 1. Non pharmacologic measures to reduce pain such as skin-to-skin care reduce the incidence of apnea as well as many significant morbidities in the NICU 2. Conversely, untreated pain in the preterm or sick neonate may increases oxygen requirements, apnea and bradycardia and ultimately lead to a longer duration of treatments such as ventilation (invasive or non-invasive), supplemental oxygen, or caffeine administration 3.…”

Section: Introductionmentioning

confidence: 99%

Reducing CBC Clotting Rates in the Neonatal Patient Care Areas

McCoy

Tichon

Narvey

2016

BMJ Qual Improv Report

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Performing a complete blood count (CBC) is a common test performed in neonatal intensive care. Samples reported as “clotted” are not able to be analyzed and require redraw. A perceived “high” clotting rate elicits frustration among team members and has negative effects on patient flow and patient satisfaction. Process mapping and a root cause analysis determined that an educational intervention was required to optimize blood collection skills of front-line nurses. Through four rapid PDSA cycles over a three year period, the neonatal patient care areas were able to decrease their CBC clotting rates from 30% (monthly rate when the problem was identified) to 16% (yearly average at the end of the project). The CBC clotting rates continue to decease over time due to the integration of a multi-faceted educational plan into biannual education days designed for current staff nurses, as well as into the orientation plan for newly hired and student nurses.

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Kangaroo mother care to reduce morbidity and mortality in low birthweight infants

Cited by 257 publications

References 68 publications

European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update

European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update

Skin-to-skin care in preterm infants receiving respiratory support does not lead to physiological instability

Reducing CBC Clotting Rates in the Neonatal Patient Care Areas

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