Maternal Satisfaction and Clinical Effect of Kangaroo Mother Care in Preterm Infants: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

YU Zhangbin ,  HAN Shuping , XU Yeqing , WENG Li

Department of Pediatrics, Nanjing Maternal and Child Health Hospital of Nanjing Medical University, Nanjing 210004, China;

Corresponding author：

HAN Shuping, Email: shupinghan@njmu.edu.cn

Keywords：

Kangaroo mother care; Preterm infant; Satisfaction; Meta-analysis

DOI：

10.7507/1672-2531.20080058

Video：

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Objective 　To evaluate the maternal satisfaction and the clinical effect of kangaroo mother care (KMC) in preterm infants.
Methods　 We searched PubMed, EMBASE, Ovid, Springer, CNKI, CBM and Taiwan Database of Journal Fulltext (from establishment to September 2007) and hand searched relevant conference proceedings to identify randomized controlled trials on kangaroo mother care. The quality of included trials was assessed. Meta-analyses were conducted using The Cochrane Collaboration’s RevMan 4.2 software.
Results　 A total of 5 eligible studies were included. No significant differences were observed in infant mortality, incidence of severe infections, and psychomotor development at 12 months (corrected for age) between the KMC group and the routine therapy group (P gt;0.05). Compared to the routine therapy group, the KMC group had lower incidences of nosocomial infection, upper respiratory tract disease at 6-month follow-up and not exclusively breastfeeding at discharge (P lt;0.05). KMC could improve mother’s sense of competence during her baby’s stay in hospital and NICU, increase infant weight at discharge, relieve mother’s feelings of worry and stress during her baby’s stay in hospital (P lt;0.05).
Conclusions　 The currently published evidence from randomised trials supports the use of KMC in preterm infants, which is a scientific, effective and humanistic nursing model. Further multicentre and large-scale randomized controlled trials of KMC are still needed to evaluate its potential influence on infant mortality and psychomotor development.

Citation： YU Zhangbin,HAN Shuping,XU Yeqing,WENG Li. Maternal Satisfaction and Clinical Effect of Kangaroo Mother Care in Preterm Infants: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2008, 08(4): 277-283. doi: 10.7507/1672-2531.20080058 Copy

1.	Dabrowski GA. Skin-to-Skin Contact: Giving Birth Back to Mothers and Babies. Nurs Womens Health, 2007,11(1): 64-71.
2.	Byaruhanga RN, Bergstrom A, Tibemanya J, et al. Perceptions among post-delivery mothers of skin-to-skin contact and newborn baby care in a periurban hospital in Uganda. Midwifery, 2007. [Epub ahead of print].
3.	Pattinson RC, Bergh AM, Malan AF, et al. Does kangaroo mother care save lives? J Trop Pediatr, 2006, 52(6): 438-441.
4.	Ferber SG, Makhoul IR. The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial. Pediatrics, 2004, 113(4): 858-865.
5.	Roller CG. Getting to know you: mothers’ experiences of kangaroo care. J Obstet Gynecol Neonatal Nurs, 2005, 34(2): 210-217.
6.	Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ, 2004, 329(7475): 1179-1181.
7.	Engler AJ, Ludington-Hoe SM, Cusson RM, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Matern Child Nurs, 2002, 27(3): 146-153.
8.	千巧云. 1例极低体重儿应用袋鼠式保暖法的临床观察. 中华护理杂志, 1997, 32(4): 231-232.
9.	Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.4 [updated March 2005]. In: The Cochrane Library, Issue 2, 2005．.
10.	Moher D, Pham B, Jones A, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet, 1998, 352(9128): 609-613.
11.	Sloan NL, Camacho LW, Rojas EP, et al. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team. Lancet, 1994, 344(8925): 782-785.
12.	Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. Kangaroo mother versus traditional care for newborn infants ≤2000 grams: a randomized, controlled trial. Pediatrics, 1997, 100(4): 682-688.
13.	Cattaneo A, Davanzo R, Worku B, et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr, 1998, 87(9): 976-985.
14.	尹引弟, 王如华, 李美璇, 等. 袋鼠式护理与常规护理对早产儿母亲满意度影响之探讨. 护理杂志 (台湾), 2003, 50(2): 37-47.
15.	Worku B, Kassie A. Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. J Trop Pediatr, 2005, 51(2): 93-97.
16.	Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 2001, 108(5): 1072-1079.
17.	Tessier R, Cristo M, Velez S, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics, 1998, 102(2): e17.
18.	廉德花, 王正运, 朱爱霞, 等. 早产儿发育支持护理模式的建立及应用. 中国实用护理杂志, 2005, 21(11): 27-28.
19.	de Macedo EC, Cruvinel F, Lukasova K, et al. The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care. J Trop Pediatr, 2007, 53(5): 344-346.
20.	Charpak N, Ruiz-Pelaez JG. Resistance to implementing Kangaroo Mother Care in developing countries, and proposed solutions. Acta Paediatr, 2006, 95(5): 529-534.
21.	Wallin L, Rudberg A, Gunningberg L. Staff experiences in implementing guidelines for Kangaroo Mother Care--a qualitative study. Int J Nurs Stud, 2005, 42(1): 61-73.
22.	Boo NY, Jamli FM. Short duration of skin-to-skin contact: Effects on growth and breastfeeding. J Paediatr Child Health, 2007, 43(12): 831-836.
23.	中华医学会儿科学分会新生儿学组. 中国城市早产儿流行病学初步调查报告. 中国当代儿科杂志, 2005, 7(1): 25-28.

1. Dabrowski GA. Skin-to-Skin Contact: Giving Birth Back to Mothers and Babies. Nurs Womens Health, 2007,11(1): 64-71.
2. Byaruhanga RN, Bergstrom A, Tibemanya J, et al. Perceptions among post-delivery mothers of skin-to-skin contact and newborn baby care in a periurban hospital in Uganda. Midwifery, 2007. [Epub ahead of print].
3. Pattinson RC, Bergh AM, Malan AF, et al. Does kangaroo mother care save lives? J Trop Pediatr, 2006, 52(6): 438-441.
4. Ferber SG, Makhoul IR. The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial. Pediatrics, 2004, 113(4): 858-865.
5. Roller CG. Getting to know you: mothers’ experiences of kangaroo care. J Obstet Gynecol Neonatal Nurs, 2005, 34(2): 210-217.
6. Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ, 2004, 329(7475): 1179-1181.
7. Engler AJ, Ludington-Hoe SM, Cusson RM, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Matern Child Nurs, 2002, 27(3): 146-153.
8. 千巧云. 1例极低体重儿应用袋鼠式保暖法的临床观察. 中华护理杂志, 1997, 32(4): 231-232.
9. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.4 [updated March 2005]. In: The Cochrane Library, Issue 2, 2005．.
10. Moher D, Pham B, Jones A, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet, 1998, 352(9128): 609-613.
11. Sloan NL, Camacho LW, Rojas EP, et al. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team. Lancet, 1994, 344(8925): 782-785.
12. Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. Kangaroo mother versus traditional care for newborn infants ≤2000 grams: a randomized, controlled trial. Pediatrics, 1997, 100(4): 682-688.
13. Cattaneo A, Davanzo R, Worku B, et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr, 1998, 87(9): 976-985.
14. 尹引弟, 王如华, 李美璇, 等. 袋鼠式护理与常规护理对早产儿母亲满意度影响之探讨. 护理杂志 (台湾), 2003, 50(2): 37-47.
15. Worku B, Kassie A. Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. J Trop Pediatr, 2005, 51(2): 93-97.
16. Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 2001, 108(5): 1072-1079.
17. Tessier R, Cristo M, Velez S, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics, 1998, 102(2): e17.
18. 廉德花, 王正运, 朱爱霞, 等. 早产儿发育支持护理模式的建立及应用. 中国实用护理杂志, 2005, 21(11): 27-28.
19. de Macedo EC, Cruvinel F, Lukasova K, et al. The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care. J Trop Pediatr, 2007, 53(5): 344-346.
20. Charpak N, Ruiz-Pelaez JG. Resistance to implementing Kangaroo Mother Care in developing countries, and proposed solutions. Acta Paediatr, 2006, 95(5): 529-534.
21. Wallin L, Rudberg A, Gunningberg L. Staff experiences in implementing guidelines for Kangaroo Mother Care--a qualitative study. Int J Nurs Stud, 2005, 42(1): 61-73.
22. Boo NY, Jamli FM. Short duration of skin-to-skin contact: Effects on growth and breastfeeding. J Paediatr Child Health, 2007, 43(12): 831-836.
23. 中华医学会儿科学分会新生儿学组. 中国城市早产儿流行病学初步调查报告. 中国当代儿科杂志, 2005, 7(1): 25-28.

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Maternal Satisfaction and Clinical Effect of Kangaroo Mother Care in Preterm Infants: A Meta-analysis

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