Kangaroo mother care can improve the short-term outcomes of very preterm infants

Autor:	N Makieieva, I. Sarapuk, H. Pavlyshyn, Charlotte Casper
Rok vydání:	2021
Předmět:	Male Pediatrics medicine.medical_specialty Neonatal intensive care unit Treatment duration Breastfeeding Infant Premature Diseases Weight Gain Enteral administration Body Temperature Intensive Care Units Neonatal Humans Infant Very Low Birth Weight Medicine Infection control business.industry Infant Newborn Length of Stay Kangaroo-Mother Care Mother-Child Relations Kangaroo-Mother Care Method Very preterm Parenteral nutrition Case-Control Studies Pediatrics Perinatology and Child Health Female business Infant Premature
Zdroj:	Journal of Neonatal-Perinatal Medicine. 14:21-28
ISSN:	1878-4429 1934-5798
Popis:	BACKGROUND: Kangaroo mother care (KMC) is a cornerstone of preterm infant management. The purpose of this study was to estimate the effectiveness of daily prolonged KMC in very preterm infants and its influence on neonatal morbidity and short-term outcomes, and breastfeeding optimization. METHODS: Research included 52 very preterm infants. According to the KMC duration newborns were divided into two groups; Group1 of 22 infants (42.3%) – KMC lasted more than 3 hours/day, Group 2 of 30 infants (57.7%) – KMC lasted less than 3 hours/day. RESULTS: Nosocomial sepsis occurred less frequently in Group 1 versus Group 2 (OR = 10.50; 95% CI 1.23–89.67, p = 0.012). Incidences of BPD, NEC, IVH I–II grades, the duration of parenteral nutrition, and growth parameters have not been different between groups (p > 0.05). Breastfeeding rates at discharge prevailed in Group 1 (OR = 3.70; 95% CI 1.16–11.86, p = 0.025). The most important factors for nosocomial sepsis: combination of parenteral nutrition duration and daily prolonged KMC, as a preventing factor (p = 0.002). Combination of the neonatal intensive care unit (NICU) treatment duration, type of enteral feeding, and mother’s age add as factors that have important influence on breastfeeding prolongation (p = 0.009). CONCLUSION: Nosocomial infection prevention and breastfeeding optimization are profitable outcomes of daily prolonged KMC in very preterm infants. No significant differences in the BPD, NEC, IVH I–II grades incidences, duration of parenteral nutrition, and growth parameters were found between studied groups. Combination of long-lasting KMC and short-term parenteral nutritionis a significant factor for nosocomial sepsis prophylaxis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f6102532d97fe992727a7f14afb8db97 https://doi.org/10.3233/npm-200455 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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