Bejegyzés

Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil

Fernando Lamy Filho; Antônio Augusto Moura da Silva; Zeni Carvalho Lamy; Maria Auxiliadora Sousa Mendes Gomes; Maria Elizabeth Lopes Moreira; Grupo de Avaliação do Método Canguru; Rede Brasileira de Pesquisas Neonatais

J Pediatr (Rio J). 2008;84(5):428-435

Abstract

Objective: To evaluate the results of the kangaroo mother method in Brazil.

Methods: A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled.
-> Olvasd el a teljes cikket. <-

Early skin-to-skin contact for mothers and their healthy newborn infants

Moore ER, Anderson GC, Bergman N.
Cochrane Database of Systematic Reviews 2007, Issue 3.

Abstract

BACKGROUND: Mother-infant separation postbirth is common in Western culture. Early skin-to-skin contact (SSC) begins ideally at birth and involves placing the naked baby, covered across the back with a warm blanket, prone on the mother’s bare chest. According to mammalian neuroscience, the intimate contact inherent in this place (habitat) evokes neurobehaviors ensuring fulfillment of basic biological needs. This time may represent a psychophysiologically ‘sensitive period’ for programming future behavior.

OBJECTIVES: To assess the effects of early SSC on breastfeeding, behavior, and physiological adaptation in healthy mother-newborn dyads.
-> Olvasd el a teljes cikket. <-

Skin-to-Skin Care with the Father after Cesarean Birth and Its Effect on Newborn Crying and Prefeeding Behavior

Erlandsson K, Dsilna A, Fagerberg I, Christensson K.
Birth. 2007 Jun;34(2):105-14.

Abstract

BACKGROUND: Previous reports have shown that skin-to-skin care immediately after vaginal birth is the optimal form of care for full-term, healthy infants. Even in cases when the mother is awake and using spinal analgesia, early skin-to-skin contact between her and her newborn directly after cesarean birth might be limited for practical and medical safety reasons. The aim of the present study was to compare the effects of skin-to-skin contact on crying and prefeeding behavior in healthy, full-term infants born by elective cesarean birth and cared for skin-to-skin with their fathers versus conventional care in a cot during the first 2 hours after birth.
-> Olvasd el a teljes cikket. <-

Skin-to-Skin Care with the Father after Cesarean Birth and Its Effect on Newborn Crying and Prefeeding Behavior

Kerstin Erlandsson, RNM, MNursSci, Ann Dsilna, RN, BSc, Ingegerd Fagerberg, RNT, PhD and Kyllike Christensson, RNM, PhD

Birth 34 (2), 105–114.

Abstract

Background: Previous reports have shown that skin-to-skin care immediately after vaginal birth is the optimal form of care for full-term, healthy infants. Even in cases when the mother is awake and using spinal analgesia, early skin-to-skin contact between her and her newborn directly after cesarean birth might be limited for practical and medical safety reasons. The aim of the present study was to compare the effects of skin-to-skin contact on crying and prefeeding behavior in healthy, full-term infants born by elective cesarean birth and cared for skin-to-skin with their fathers versus conventional care in a cot during the first 2 hours after birth.
-> Olvasd el a teljes cikket. <-

Early lactation performance in primiparous and multiparous women in relation to different maternity home practices. A randomised trial in St. Petersburg

Bystrova K et al.
Int Breastfeed J. 2007 May 8;2:9.

Abstract

BACKGROUND: There are not many studies exploring parity differences in early lactation performance and the results obtained are fairly often contradictory. The present study investigated the effect of different maternity home practices in St. Petersburg, Russia, as well as of physiological breast engorgement and maternal mood, on milk production in primi- and multiparous women on day four. The amount of milk was studied in relation to the duration of “nearly exclusive” breastfeeding.

METHODS: 176 mother-infant pairs were randomised into four groups according to an experimental two-factor design taking into account infant location and apparel.
-> Olvasd el a teljes cikket. <-

A Randomized, Controlled Trial of Kangaroo Mother Care: Results of Follow-Up at 1 Year of Corrected Age

Nathalie Charpak, Juan G. Ruiz-Peláez, Zita Figueroa de C. and Yves Charpak

Pediatrics 2001;108;1072-1079

ABSTRACT.

Objective. To assess the effectiveness and safety of Kangaroo Mother Care (KMC) for infants of low birth weight.

Methods. An open, randomized, controlled trial of a Colombian social security referral hospital was conducted. A total of 1084 consecutive infants who were born at < 2000 g were followed, and 746 newborns were randomized when eligible for minimal care, with 382 to KMC and 364 to “traditional” care. Information on vital status was available for 693 infants (93%) at 12 months of corrected age. KMC consisted of skin-to-skin contact on the mother’s chest 24 hours/day, nearly exclusive breastfeeding, and early discharge, with close ambulatory monitoring.
-> Olvasd el a teljes cikket. <-

Salivary Cortisol and Mood and Pain Profiles During Skin-to-Skin Care

Evalotte Mörelius, RN, MS, Elvar Theodorsson, MD, PhD and Nina Nelson, MD, PhD

PEDIATRICS Vol. 116 No. 5 November 2005, pp. 1105-1113

ABSTRACT

Objectives. Mother-infant separation after birth is a well-known source of stress. Parents and preterm infants in neonatal intensive care are separated immediately after birth. Skin-to-skin care is 1 possible method to reduce the separation-dependent stress. The aim of the present study was to investigate how skin-to-skin care influences stress for the mother and the infant in neonatal intensive care.

Methods. Seventeen mother-infant pairs were included at their first and fourth skin-to-skin care. The infants were 25 to 33 weeks’ gestational age, with birth weights ranging from 495 to 2590 g.
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Temperature variation in newborn babies: importance of physical contact with the mother

Archives of Disease in Childhood – Fetal and Neonatal Edition 2005;90:F500-F504;

A-L Fransson, H Karlsson and K Nilsson

Background: Hypothermia is a major cause of deterioration and death in the neonatal period. Temperature deviations are key signs of illness.

Objective: To determine normal patterns of temperature variation in newborn babies and the influence of external factors.

Methods: Abdominal and foot skin temperature were continuously recorded in 27 healthy full term babies during the first two days of life and related to the care situation—that is, whether the baby was with the mother or in its cot. The recordings were made using no wires to avoid interference with the care of the neonate.
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Skin-to-skin holding in the neonatal intensive care unit influences maternal milk volume

Hurst NM, Valentine CJ, Renfro L, Burns P, Ferlic L.

J Perinatol. 1997 May-Jun;17(3):213-7.

ABSTRACT

OBJECTIVES: To evaluate the effect of early initiation of skin-to-skin (STS) holding on lactation, we compared 24-hour milk volumes of mothers of ventilated low birth weight infants in an STS group to mothers in a non-STS control group.

STUDY DESIGN: Mean 24-hour milk volumes at 2, 3, and 4 weeks after delivery of mothers participating in STS holding were compared with those of a retrospective control group from the 12-month period immediately preceding the introduction of STS holding in the neonatal intensive care unit. A repeated-measures analysis of variance adjusting for baseline volumes (1 week after delivery) was used to evaluate the difference in milk volumes between STS and control groups.
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Incubators versus mothers’ arms: body temperature conservation in very-low-birth-weight premature infants

A. C. Mellien
J Obstet Gynecol Neonatal Nurs. 2001 Mar-Apr;30(2):157-64.

OBJECTIVE: To determine whether there is a significant difference between the temperatures of very-low-birth-weight (VLBW) premature infants in the incubator and in the mothers’ arms.

DESIGN: Repeated measures, with random assignment to treatment order and the infants serving as their own controls.

SETTING: A 40-bed tertiary-level nursery in a university teaching hospital.

PARTICIPANTS: A convenience sample of 20 preterm infants weighing 1,095 to 1,500 g and from 30 to 37 weeks postconceptional age. The infants were screened for factors that would interfere with temperature maintenance.

MAIN OUTCOME MEASURES: Axillary temperatures were measured with an electronic thermometer for equal periods of time in incubators and mothers’ arms.
-> Olvasd el a teljes cikket. <-