Twenty-year Follow-up of Kangaroo Mother Care Versus Traditional Care

Charpak, Nathalie; Tessier, R; Ruíz, Juan Gabriel; Hernández, José Tiberio; Uriza, Felipe; Villegas, Julieta; Nadeau, Lucie; Mercier, Catherine; Maheu, Françoise S.; Marín, Julián David Martínez; Cortés, Darwin; Gallego, Juan Miguel; Carrizosa, Darío Maldonado

doi:10.1542/peds.2016-2063

Cited by 187 publications

(180 citation statements)

References 29 publications

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“…For the smallest babies, humidity of 60–80% should be used initially and reduced as skin integrity improves. Kangaroo Mother Care (KMC) is an effective means of maintaining temperature and improving outcomes in lower income settings and is increasingly being used in NICU to maximise maternal-infant bonding even in ventilated babies with the potential for benefits beyond hospital discharge [156, 157]. …”

Section: Monitoring and Supportive Carementioning

confidence: 99%

European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update

et al. 2019

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As management of respiratory distress syndrome (RDS) advances, clinicians must continually revise their current practice. We report the fourth update of “European Guidelines for the Management of RDS” by a European panel of experienced neonatologists and an expert perinatal obstetrician based on available literature up to the end of 2018. Optimising outcome for babies with RDS includes prediction of risk of preterm delivery, need for appropriate maternal transfer to a perinatal centre and timely use of antenatal steroids. Delivery room management has become more evidence-based, and protocols for lung protection including initiation of CPAP and titration of oxygen should be implemented immediately after birth. Surfactant replacement therapy is a crucial part of management of RDS, and newer protocols for its use recommend early administration and avoidance of mechanical ventilation. Methods of maintaining babies on non-invasive respiratory support have been further developed and may cause less distress and reduce chronic lung disease. As technology for delivering mechanical ventilation improves, the risk of causing lung injury should decrease, although minimising time spent on mechanical ventilation using caffeine and, if necessary, postnatal steroids are also important considerations. Protocols for optimising 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 – 2019 Update

et al. 2019

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“…It can help premature infants regulate their heart rate, temperature and breathing and stabilize their organ function and improve self-regulation [18]. Kangaroo mother care has been shown to have significant, long-lasting social and behavioral protective effects 20 years after intervention [19]. Although this child is only three years old at this reporting, these benefits could have impacted his early development.…”

Section: Discussionmentioning

confidence: 99%

Neurodevelopmental outcomes of a 25 - week premature infant at three years of age

McGrath¹

2017

Pediatr Dimensions

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“…In an 18‐month follow‐up study of Lester's cohort, more maternal involvement in infant care during the neonatal period was associated with improved cognitive and language scores (Lester et al, ). KC has been studied extensively as an independent measure of maternal involvement in care of the premature infant and is widely known to be associated with improved neurodevelopmental outcomes (Charpak et al, ; Feldman & Eidelman, ; Feldman, Eidelman, Sirota, & Weller, ; Ludington‐Hoe et al, ; Scher et al, ).…”

Section: Developmentally Supportive Care For Infants With Cchdmentioning

confidence: 99%

“…Prolonged daily KC was also found to positively influence cerebral motor networks and synaptic efficacy up to 15 years of age (Schneider et al, ). Researchers have also documented improvements in behavior, social skills, and cognitive function as long as 20 years post‐KC experience in premature infants (Charpak et al, ). These robust findings about relationships between KC and neurodevelopment have particular significance for infants with CCHD who are at high risk for impaired neurodevelopment.…”

Section: Developmentally Supportive Care For Infants With Cchdmentioning

confidence: 99%

Improving neurodevelopment in infants with complex congenital heart disease

Harrison

2019

Birth Defects Research

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Worldwide, more than 400,000 infants are born each year with complex congenital heart disease (CCHD) requiring surgical intervention within the first months of life. Although improvements in perioperative care have resulted in increased rates of survival, more than half of infants with CCHD have neurodevelopmental impairments affecting subsequent educational achievements, job opportunities, and mental health. Brain maturity and impaired outcomes in infants with CCHD are similar to those of prematurely born infants. Developmentally supportive care, including foundational application of kangaroo care (KC), improves neurodevelopment in premature infants. Provision of developmentally supportive care with KC during the early hospitalization of infants with CCHD has the potential to similarly improve neurodevelopment. The purposes of the article are to describe common congenital heart defects, describe developmentally supportive care with an emphasis on KC, and to offer specific recommendations for KC and research in infants with CCHD.

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Twenty-year Follow-up of Kangaroo Mother Care Versus Traditional Care

Cited by 187 publications

References 29 publications

European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update

European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update

Neurodevelopmental outcomes of a 25 - week premature infant at three years of age

Improving neurodevelopment in infants with complex congenital heart disease

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