Consensus document for the kangaroo mother care method.

Autor: Fernández-Medina IM; Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, Spain., Jiménez-Fernández L; Servicio de Neonatología, Hospital 12 de Octubre, Madrid, Spain. Electronic address: ljfernandez@salud.madrid.org., Solaz-García ÁJ; Grupo Investigación Perinatología, Instituto de Investigación Sanitaria La Fe, Hospital Universitario y Politécnico La Fe, Valencia, Spain., Llorca-Porcar A; Departamento de enfermería de la Facultad de Enfermería y Podología de la Universidad de Valencia y Sala de Neonatos y Cuidados Intermedios Pediátricos del Consorcio Hospital General Universitario de Valencia, Valencia, Spain., Martínez-Miguel E; Departamento de Salud, Facultad de Ciencias de la Vida y de la Naturaleza, Universidad Nebrija, Madrid, Spain., Collados-Gómez L; Servicio de Neonatología, Hospital Universitario 12 de Octubre, Madrid, Grupo de Investigación en Cuidados (Invecuid), Instituto de Investigación 12 de Octubre (imas12), Departamento de Enfermería y Nutrición Humana y Dietética, Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Madrid, Madrid, Spain.
Jazyk: angličtina
Zdroj: Anales de pediatria [An Pediatr (Engl Ed)] 2024 Sep; Vol. 101 (3), pp. 208-216. Date of Electronic Publication: 2024 Sep 06.
DOI: 10.1016/j.anpede.2024.08.005
Abstrakt: Introduction: Currently, kangaroo mother care (KMC) is an intervention whose implementation in clinical practice varies widely. The aim of this document is to gather the latest evidence-based recommendations in an attempt to reduce interprofessional variation and increase the quality of neonatal care.
Methods: The document was developed following the guidelines provided in the Methodological Manual for the Development of Clinical Practice Guidelines of the National Health System: formulation and prioritization of clinical questions, literature search, critical reading, development of the document and external review. The target population was preterm (PT) and/or low birth weight (LBW) newborn infants admitted to a neonatal unit.
Recommendations: Based on the current evidence, recommendations have been issued to address 18 clinical questions regarding the impact of KMC (morbidity and mortality, physiological stability, neurodevelopment, feeding, pain, families), including infants with vascular access or respiratory support devices. It also describes the KMC procedure (transfer, positioning), the facilitators and barriers related to the implementation of KMC and how to implement KMC in extremely preterm newborns (less than 28 weeks of postmenstrual age in the first days of life).
Conclusions: Kangaroo mother care is a beneficial practice for PT infants, LBW infants and their families. The implementation of these recommendations may be useful in everyday clinical practice and may improve KMC outcomes and the quality of care provided to neonatal patients.
(Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE