Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial.
Pediatr Res
; 87(4): 683-688, 2020 03.
Article
in En
| MEDLINE
| ID: mdl-31493775
ABSTRACT
AIM:
To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants.METHODS:
One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min daily or conventional care (controls) for at least 7 days. Salivary cortisol was measured before and after the first KC session and then after 7 days. Temperature, respiration rate, heart rate, and oxygen saturation were recorded, before and after KC. Neonates were evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).RESULTS:
Both KC groups demonstrated higher scores for attention, arousal, regulation, nonoptimal reflexes, and quality of movements and lower scores for handling, excitability, and lethargy, compared to controls (p < 0.05). Both KC groups had higher infant breastfeeding assessment tool score and reached full enteral feeds faster than controls (p < 0.05). After the first KC session, improvement in O2 saturation and temperature was observed in KC 120-min group compared with the KC 60-min group (p < 0.05). Salivary cortisol decreased in both KC groups compared with controls after 7 days (p < 0.05).CONCLUSION:
Preterm neonates who receive KC for long durations reach full enteral feeds faster, have better breastfeeding success, neurobehavioral performance, thermal control, and tissue oxygenation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Breast Feeding
/
Infant, Premature
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Child Development
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Infant Behavior
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Feeding Behavior
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Kangaroo-Mother Care Method
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Nervous System
Type of study:
Clinical_trials
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Observational_studies
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Prognostic_studies
Limits:
Female
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Humans
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Male
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Newborn
Country/Region as subject:
Africa
Language:
En
Journal:
Pediatr Res
Year:
2020
Document type:
Article
Affiliation country:
Egypt
Publication country:
EEUU
/
ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
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EUA
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UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA