Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings

@article{Cattaneo1998KangarooMC,
  title={Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings},
  author={Adriano Cattaneo and Riccardo Davanzo and Bogale Worku and Achmad Surjono Achmad Surjono and M. Lecona Echeverria and Ashraf Bedri and Ekawaty Lutfia Haksari and Lorenzo Osorno and Berhanu Gudetta and Dwikisworo Setyowireni and S Quintero and Giorgio Tamburlini},
  journal={Acta P{\ae}diatrica},
  year={1998},
  volume={87}
}
A randomized controlled trial was carried out for 1 y in three tertiary and teaching hospitals, in Addis Ababa (Ethiopia), Yogyakarta (Indonesia) and Merida (Mexico), to study the effectiveness, feasibility, acceptability and cost of kangaroo mother care (KMC) when compared to conventional methods of care (CMC). [] Key Result About 29% of 649 low birthweight infants (LBWI; 1000-1999 g) died before eligibility.

Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia.

TLDR
Survival for the preterm low birthweight infants was remarkably better for the early kangaroo mother care group than the babies in the conventional method of care in the first 12 h and there after.

Feasibility, acceptability and cost of kangaroo mother care in Recife, Brazil

TLDR
It is confirmed that KMC for stabilized LBWIs in hospital is feasible, acceptable and cheap and in hospitals with limited resources is an appropriate alternative to conventional incubator care.

Effect of kangaroo mother care in the management of low birth weight babies one year randomized controlled trial at NRI hospital

TLDR
KMC is a cost effective, safe, most acceptable method of caring for LBW babies and the confidence level of mothers in caring for their LBW infants was significantly higher in KMC group p< 0.0001.

Impact of community-initiated Kangaroo Mother Care on survival of low birth weight infants: study protocol for a randomized controlled trial

TLDR
The formative research used for intervention development suggests that the necessary high level of KMC adoption can be reached in the community, addressing a problem that seriously constrained conclusions in the only other trial in which researchers examined the benefits of cKMC.

Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.

TLDR
Whether evidence is available to support the use of KMC in LBW infants as an alternative to conventional neonatal care before or after the initial period of stabilization with conventional care is investigated, and beneficial and adverse effects are assessed.

Kangaroo Mother Care for Low Birth Weight Babies: A Randomized Controlled Trial in a Tertiary Care Hospital of Bangladesh

TLDR
This study assesses the effect of KMC on LBW babies when compared with conventional method of care in Bangladesh and describes it as a safe and effective method of caring for low birth weight infants.

Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.

TLDR
The evidence from this updated review supports the use of KMC in LBW infants as an alternative to conventional neonatal care mainly in resource-limited settings.

Good short-term outcomes of kangaroo mother care in infants with a low birth weight in a rural South African hospital

TLDR
It is confirmed that infants with a low birth weight treated with kangaroo mother care can have a good growth pattern, and exclusive breast milk is sufficient to guarantee such growth.

Kangaroo mother care for low birth weight infants: a randomized controlled trial.

TLDR
KMC improves growth and reduces morbidities in low birth weight infants and is simple, acceptable to mothers and can be continued at home.

Feasibility of kangaroo mother care in Mumbai

TLDR
KMC is a simple and feasible intervention; acceptable to most mothers admitted in hospitals, and there may be benefits in terms of reducing the incidence of hypothermia with no adverse effects of KMC demonstrated in the study.
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References

SHOWING 1-10 OF 35 REFERENCES

Kangaroo Mother Versus Traditional Care for Newborn Infants ≤2000 Grams: A Randomized, Controlled Trial

TLDR
Early outcomes of a randomized, controlled trial comparing kangaroo mother care to traditional care show that KMC is a safe approach to the care of clinically stable LBW infants.

Rey-Martinez Kangaroo Mother Program: an alternative way of caring for low birth weight infants? One year mortality in a two cohort study.

TLDR
In spite of major baseline differences between studied cohorts, the survival of LBW infants in Bogotá is similar between the KMI and the "traditional care", and questions remain about quality of life, especially regarding weight gain and neurodevelopment.

Recommendations for the implementation of Kangaroo Mother Care for low birthweight infants

TLDR
The paper summarizes the recommendations of a group of health professionals with experience in KMC for the implementation of KMC in different settings: from first and second level maternity units in settings with very limited resources, to second and third level units in sets with limited resources.

A Retrospective, Comparative Study Using the Kangaroo Method as a Complement to the Standard Incubator Care

TLDR
The Kangaroo group was: younger when first taken out of incubator; had greater weight gain per week; needed less incubator care; had a shorter average length of hospital stay and was more frequently breastfed upon discharge.

The “kangaroo‐mother” method: Evaluation of an alternative model for the care of low birth weight newborns in developing countries

Kangaroo mother care in low-income countries. International Network in Kangaroo Mother Care.

TLDR
The protocol for implementation of kangaroo mother care in low-income countries is described, which entails early prolonged and continuous skin-to-skin contact between the mother and infant both in hospital and after discharge with exclusive breast feeding.

The ‘Kangaroo-Method’ for Treating Low Birth Weight Babies in a Developing Country

The results of introducing the ‘kangaroo method’ (constant nursing of the baby skin to skin on the mother's chest), as the exclusive means of treating low birth weight (LBW) babies is reported, in

Kangaroo care: research results, and practice implications and guidelines.

TLDR
Results of two studies of the effects of 2 to 3 hours of kangaroo care (KC) on premature infants in open-air cribs and a pilot of 6 premature infants who were at least 24 hours postextubation, who were cared for in incubators are reviewed.

Physiologic measures of kangaroo versus incubator care in a tertiary-level nursery.

TLDR
Kangaroo care is safe and feasible for selected mothers and infants in a tertiary-level nursery as defined by apnea, bradycardia, oxygen saturation, heart rate, and respiratory rate.