Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.899
Effects of Kangaroo Mother Care Combined with Breastfeeding on Short-Term Clinical Outcomes of Premature Infants with Very/Extremely Low Birth Weight
Abstract
Objective: To assess the effects of kangaroo mother care (KMC) combined with breastfeeding on the short-term clinical outcomes of premature infants with very/extremely low birth weight (VLBW/ELBW).
Methods: Atotalof80VLBW/ELBWprematureinfantsinourhospitalfromJanuary2017 to December 2019 were enrolled, and divided into control group (n=40) and observation group(n=40) using a random number table. All infants were fed with breast milk. Control group was given routine nursing, while observation group was given KMC. The exclusive breastfeeding rate, sleep quality indices, physical development indices and neuro behavioral scores were compared between the two groups. The psychological state scores and nursing satisfaction rates were also compared.
Results: At 1, 2 and 3 months after birth, the exclusive breastfeeding rate was higher in observation group than that in control group (P<0.05). After nursing, the sleep time was earlierandthesleepdurationwaslongerinobservationgroupthanthoseincontrolgroup (P<0.05). After nursing, the body weight, length and head circumference were all larger andneurobehavioralscoreswerehigherinobservationgroupthanthoseincontrolgroup (P<0.05), Meanwhile, both self-rating anxiety scale and self-rating depression scale scores were lower in observation group than those in control group (P<0.05). The total nursing satisfaction rate in observation group (95.00%) was higher than that in control group (P<0.05).
Conclusion: KMC can effectively increase the exclusive breastfeeding rate, improve the sleep quality, and promote the physical and neurobehavioral development during breastfeeding for VLBW/ELBW premature infants. It can ameliorate the psychological state and raise the nursing satisfaction rate of newborns' parents
Keywords
newborn; kangaroo mother care; breast feeding; premature in fant; low birth weight