Cent Eur J Nurs Midw 2011, 2(3):230-238

Benefits of kangaroo care method for premature newborns - evidence based practice

Lucie Sikorová1,*, Monika Suszková2
1 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava
2 Department of neonatology, University hospital Ostrava

Objective: To review benefits of kangaroo care method for premature babies, it means finding enough evidence to justify using the kangaroo care method in the Intensive care unit for newborns.

Methods: Searching for valid indicators of a positive influence method of kangaroo care through method evidence-based practice. To obtain relevant sources were used licensed databases and freely available databases - Medline, Bibliomedica, Nursing: Best Evidence for Nursing care, Google Scholar.

Results: Analysis of results showed a clearly positive impact of the kangaroo care methods on premature infants placed in intensive care, especially in the perception of pain in invasive procedures, effective breastfeeding, increased weight gain, longer and quieter sleep, more positive interactions of mother - child, maintaining or increasing body temperature, reduced hospitalization, growth in length, head circumference growth and activation of the CNS.

Conclusions: The research studies (n = 34) and one systematic review have shown a positive influence of the kangaroo care methods on premature newborns placed in intensive care in the areas of bio-psycho-social. In terms of the Czech healthcare system lacks established standards for the use of valid methods in practice.

Keywords: kangaroo care, intensive care unit for newborns, premature newborn, benefits

Published: September 30, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Sikorová L, Suszková M. Benefits of kangaroo care method for premature newborns - evidence based practice. Ošetřovatelství a porodní asistence. 2011;2(3):230-238.
Download citation

References

  1. AHN, H. Y., LEE, J., SHIN, H-J. 2010. Kangaroo Care on Premature Infant Growth and Maternal Attachment and Postpartum Depression in South Korea. Journal of Tropical Pediatrics. 2010, vol. 56, no. 5, p. 342-344. Go to original source... Go to PubMed...
  2. AKCAN, E., YIGIT, R., ATICI, A. 2009. The effect of kangaroo care on pain in premature infants during invasive procedures. The Turkish Journal of Pediatrics. 2009, vol. 5I, no. 1, p. 14-18.
  3. ALI, S. M., SHARMA, J.,SHARMA, R., ALAM, S. 2009. Kangaroo Mother Care as compared to conventional care for low birth weight babies. Dicle Medical Journal. 2009, vol. 36, no. 3, p. 155-160.
  4. ALMEIDA, C. M., ALMEIDA, A. F. N., FORTI, E. M.P. 2007. Efects of Kangaroo mother care on the vital signs of low-weight preterm newborns. Revista Brasileira de Fisioterapia. 2007, vol. 11, no. 1, p. 1-5. Go to original source...
  5. ALMEIDA, H., VENANCIO, S. I., SANCHES, M. T. C., ONUKI, D. 2010. The impact of kangaroo care on exclusive breastfeeding in low birth weight newborns. Jornal de Pediatria. 2010, vol. 86, no. 3, p. 250-253. Go to original source... Go to PubMed...
  6. ARNOLD, L. D. W. 2010. Human Milk in the NICU - Policy into practice. 1th ed. United Kingdom: Jones and Bartlett Publishers, 2010. 490 p.
  7. BEGUM, E. A., BONNO, M., OHTANI, N., et al. 2008. Cerebral oxygenation responses during kangaoo care in low birth weight infants. BMC Pediatrics. 2008, vol. 8, no. 5, p. 19. Go to original source... Go to PubMed...
  8. BOO, N.-Y., JAMLI, F. M. 2007. Short duration of skin-toskin contact: Effects on growth and breastfeeding. Journal of Paediatrics and Child Health. 2007, vol. 43, no. 12, p. 831836. Go to original source... Go to PubMed...
  9. CASTRAL, T. C., WARNOCK, F., HASS, V. J., SCOCHIC. G. S. 2008. The effects of skin-to-skin contact during acute pain in preterm newborns. European Journal of Pain. 2008, vol. 12, no. 4, p. 464-471. Go to original source... Go to PubMed...
  10. DOOD, V. L. 2005. Implications of Kangaroo Care for Growth and Development in Preterm Infants. Journal of Obstetric, Gynekologic, & Neonatal Nursing. 2005, vol. 34, no. 2, p. 218-232. Go to original source... Go to PubMed...
  11. FENDRYCHOVÁ, J., BOREK, I. 2007. Intenzivní péče o novorozence. 1. vyd. Brno: NCO NZO, 2007. 403 s.
  12. FERBER, S. G., MAKHOUL, I. R. 2008. Neurobehavioural assessment of skin-to-skin effects on reaction to pain in preterm infants: a randomized, controlled within-subject trial. Acta Paediatrica. 2008, vol. 97, no. 2, p. 171-176. Go to original source... Go to PubMed...
  13. FILHO, F. L., SILVA, A. A. M., LAMY, Z. C. et al. 2008. Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil. Jornal de Pediatria. 2008, vol. 84, no. 5, p. 428-435. Go to original source... Go to PubMed...
  14. GATHWAIA, G., SINGH, B., BALHARA, B. 2008. KMC Facilitates Mother Baby Attachment in Low Birth Weight Infants. Indian Journal of Pediatrics. 2008, vol. 75, no. 1, p. 43-47 Go to original source... Go to PubMed...
  15. GATHWALA, G., SINGH, B., SINGH, J. 2010. Effect of Kangaroo Mother Care on physical growth, breastfeeding and its acceptability. Tropical Doctor. 2010, vol. 40, no. 4, p. 199202. Go to original source... Go to PubMed...
  16. GOMELLA, T. L., CUNNIGHAM, M. D., EYAL, F. G. 2009. Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs. 6th ed. USA: The McGrawHill Companies, 2009. 894 p.
  17. GUPTA, M., JORA, R., BHATIA, R. 2007. Kangaroo Mother Care (KMC) in LBW Infants-A Western Rajasthan Experience. Indian Journal of Pediatrics. 2007, vol. 74, no. 8, p. 747-750. Go to original source... Go to PubMed...
  18. HAKE-BROOKS, S. J., ANDERSON, G. C. 2008. Kangaroo Care and Breastfeeding of Mother-Preterm Infant Dyads 0-I8 Months: A Randomized, Controlled Trial. Neonatal Network. 2008, vol. 27, no. 3, p. 151-159. Go to original source... Go to PubMed...
  19. CHARPARK, N., RUIZ, J. G., ZUPAN, J. et al. 2005. Kangaroo mother care: 25 years after. Acta Paediatrica. 2005, vol. 94, no. 5, p. 514-522. Go to original source... Go to PubMed...
  20. CHIU, S-H., ANDERSON, G. C. 2009. Effect of Early Skinto-Skin Contact on Mother-Preterm Infant Interaction Though 18 Months: Randomized Controlled Trial. Journal Nurses Studies. 2009, vol. 46, no. 9, p. 1168-1180. Go to original source... Go to PubMed...
  21. JOHNSTON, C. C., FILION, F., CAMBELL-YEO, M. et al. 2008a. Enhanced kangaroo mother care for heel lance in preterm neonates: a crossover trial. Journal of Perinatology. 2008, vol. 29, no. 1, p. 51-56. Go to original source... Go to PubMed...
  22. JOHNSTON, C., C., FILION, F., CAMBELL-YEO, M. et al. 2008b. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: A crossover trial. BMC Pediatrics. 2008, vol. 8, no. 13, p. 1-9. Go to original source... Go to PubMed...
  23. KOSTANDY, R., CONG, X., ABOUELFETTOH, A. et al. 2008. Effect of Kangaroo Care (skin contact) on crying response to pain in preterm neonates. Pain Management Nursing. 2008, vol. 9, no. 2, p. 55-65. Go to original source... Go to PubMed...
  24. KUČOVÁ, J., CHOLEVOVÁ, J. 2008. Ošetřovatelská péče o nezralého novorozence. Sestra. 2008, roč. 19, č. 9, s. 42-43.
  25. LAI, H. L., CHEN, CH. J., PENG, T. CH. et al. 2005. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants' responses. Journal of Nursing Studies. 2005, vol. 43, no. 2, p. 139-146. Go to original source... Go to PubMed...
  26. LIYANAGE, G. 2005. Kangaroo mother care. Sri Lanka Journal of Child Health. 2005, vol. 34, no. 1, p. 13-5. Go to original source...
  27. LUDINGTON-HOE, S. M., HOSSEINI, R. B. 2005. Skin-toskin Contact Analgesia for Preterm Infant Heel Stick. AACN Clinical Issues. 2005, vol. 16, no. 3, p. 373-387. Go to original source... Go to PubMed...
  28. LUDINGTON-HOE, S. M. 2006. Neurophysiologic Assessment of Neonatal Sleep Organization: Preliminary Results of a Randomized, Controlled Trial of Skin Contact With Preterm Infants. Pediatrics. 2006, vol. 117, no. 5, p. 909-923. Go to original source... Go to PubMed...
  29. MAASTRUP, R., GREISEN, G. 2010. Extremely preterm infants tolerate skin-to-skin contact during the first weeks of life. Acta Paediatrica. 2010, vol. 99, no. 8, p. 1145-1149. Go to original source... Go to PubMed...
  30. MILES, R., COWAN, F., GLOVER, V. et al. 2006. A controlled trial of skin-to-skin contact in extremely preterm infants. Early Human Development. 2006, vol. 82, no. 7, p. 447-455. Go to original source... Go to PubMed...
  31. MÖRELIUS, E., THEODORSSON, E., NELSON, N. 2005. Salivary Cortisol and Mood and Pain Profiles During Skin-toSkin Care for an Unselected Group of Mothers and Infants in Neonatal Intensive Care. Pediatrics. 2005, vol. 116, no. 5, p. 1105-1113. Go to original source...
  32. NURIAN, M., MASHDBERD, Y., YAGHMAEI, F. et al. 2009. Effects of kangaroo and routine care on physiologic parameters of low-birth-weight infants. Journal of nursing and midwifery. 2009, vol. 19, no. 65, p. 323-325.
  33. NYQVIST, K. H., ANDERSON, G. C., BERGMAN, N. et al. 2010. Kangaroo mother care: application in a high-tech environment. Acta Paediatrica. 2010, vol. 99, no. 6, p. 812819. Go to original source... Go to PubMed...
  34. PARMAR, V. R. et al. 2009. Experience with Kangaroo Mother Care in a Neonatal Intensive Care Unit (NICU) in Chandigarh, India. Indian Journal of Pediatrics. 2009, vol. 76, no. 1, p. 25-28. Go to original source... Go to PubMed...
  35. PENALVA, O., SCHWARTZMAN, J. S. 2006. Descriptive study of the clinical and nutritional profile and follow-up of premature babies in a Kangaroo Mother Care Program. Jornal dePediatria. 2006, vol. 82, no. 1, p. 33-39. Go to original source... Go to PubMed...
  36. RAO, P. N. S., UDANI, R., NANAVATI, R. 2008. Kangaroo Mother Care for Low Birth Weight Infants: A Randomized Controlled Trial. Indian Pediatrics. 2008, vol. 45, no. 1, p. 17-23. Go to PubMed...
  37. ROLLER, C. G. 2006. Getting to Know You: Mothers' Experiences of Kangaroo Care. Journal of Obstetric, Gynekologic & Neonatal Nursing. 2006, vol. 34, no. 2, p. 210-217. Go to original source...
  38. SCHER, M. S., LUDINGTON-HOE, S., KAFFASHI, F. et al. 2009. Neurophysiologic assessment of brain maturation after an 8-week trial of skin-to-skin contact on preterm infants. Clinical Neurophysiology. 2009, vol. 120, no. 10, p. 18121818. Go to original source... Go to PubMed...
  39. SUBEDI, K., ARYAL, D. R., GURUBACHARYA, S. M. 2009. Kangaroo Mother Care for Low Birth Weight Babies: A prospective Observational Study. Journal of Nepal Paediatric Society. 2009, vol. 29, no. 1, p. 6-9. Go to original source...
  40. TALLANDINI, M. A., SCALEMBRA, CH. 2006. Kangaroo mother care and mother-premature infant dyadic interaction. Infant Mental Health Journal. 2006, vol. 27, no. 3, p. 251275. Go to original source... Go to PubMed...
  41. VERGER, J. T., LEBET, R. M. 2008. AACN Procedure Manual for Pediatric Acute and Critical Care. 5th ed. Missouri: Saunders Elsevier, 2008. 1485 s.
  42. WARNOCK, F. F., CASTRAL, T. C., BRANT, R. et al. 2009. Brief Report: Maternal Kangaroo Care for Neonatal Pain Relief: A systematic Narrative Review. Journal of Pediatric Psychology. 2009, vol. 35, no. 9, p. 975-984. Go to original source... Go to PubMed...
  43. WORLD HEALTH ORGANIZATION. 2003. Kangaroo mother care: a practical guide. 1th ed. Geneva, Switzerland: Department of Reproductive Health and Research. WHO, 2003. 46 s.
  44. ZHI, H. L. Z., HUANG, Y. Y., HUANG, C. Y. et al. 2006. Effect of very early kangaroo care on extrauterine temperature adaptation in newborn infants with hypothermia problems. The Journal of Nursing. 2006, vol. 53, no. 4, p. 41-48.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.