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Mother-newborn contact in a randomized trial of kangaroo (skin-to-skin) care.
J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct; 32(5):604-11.JO

Abstract

OBJECTIVE

To describe the type and percent time of contact 0-48 hours postbirth for mother-preterm newborn (infant) dyads given kangaroo care (skin-to-skin) or standard care (controls).

DESIGN

Randomized controlled trial with assignment by computerized minimization to kangaroo care (n = 48) or control (n = 43).

SETTING

Postpartum units and neonatal intensive-care units (NICU).

PARTICIPANTS

Preterm infants 32 to less than 37 weeks gestation and their mothers.

INTERVENTION

Kangaroo (skin-to-skin, SS) care (KC).

MAIN OUTCOME MEASURES

Type and percent time of mother-infant contact (SS versus holding wrapped in blankets).

RESULTS

Analyses were based on four groups: assignment for infants in each group to postpartum or NICU. For KC dyads, SS postpartum was 22.0%; SS NICU was 7.5%. KC wrapped holding postpartum was 11.6%; NICU was 1.8%. For control dyads, wrapped holding postpartum was 13.9%; NICU was 6.1%.

CONCLUSION

Amount of SS was much less than expected. Reasons include unavailability of infants or mothers and hospital staff interrupting contact. However, KC postpartum dyads were held wrapped almost as often as control postpartum dyads. Total contact time for KC dyads (SS plus wrapped) was more than double that of controls. These data suggest that hospital and social supports for families are needed to facilitate early initiation of SS, prolonged periods of mother-infant SS contact, and reduction of maternal stress.

Authors+Show Affiliations

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4909, USA. gca@po.cwru.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14565739

Citation

Anderson, Gene Cranston, et al. "Mother-newborn Contact in a Randomized Trial of Kangaroo (skin-to-skin) Care." Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, vol. 32, no. 5, 2003, pp. 604-11.
Anderson GC, Chiu SH, Dombrowski MA, et al. Mother-newborn contact in a randomized trial of kangaroo (skin-to-skin) care. J Obstet Gynecol Neonatal Nurs. 2003;32(5):604-11.
Anderson, G. C., Chiu, S. H., Dombrowski, M. A., Swinth, J. Y., Albert, J. M., & Wada, N. (2003). Mother-newborn contact in a randomized trial of kangaroo (skin-to-skin) care. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 32(5), 604-11.
Anderson GC, et al. Mother-newborn Contact in a Randomized Trial of Kangaroo (skin-to-skin) Care. J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct;32(5):604-11. PubMed PMID: 14565739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mother-newborn contact in a randomized trial of kangaroo (skin-to-skin) care. AU - Anderson,Gene Cranston, AU - Chiu,Sheau-Huey, AU - Dombrowski,Mary Alice, AU - Swinth,Joan Y, AU - Albert,Jeffrey M, AU - Wada,Nancy, PY - 2003/10/21/pubmed PY - 2003/12/5/medline PY - 2003/10/21/entrez SP - 604 EP - 11 JF - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JO - J Obstet Gynecol Neonatal Nurs VL - 32 IS - 5 N2 - OBJECTIVE: To describe the type and percent time of contact 0-48 hours postbirth for mother-preterm newborn (infant) dyads given kangaroo care (skin-to-skin) or standard care (controls). DESIGN: Randomized controlled trial with assignment by computerized minimization to kangaroo care (n = 48) or control (n = 43). SETTING: Postpartum units and neonatal intensive-care units (NICU). PARTICIPANTS: Preterm infants 32 to less than 37 weeks gestation and their mothers. INTERVENTION: Kangaroo (skin-to-skin, SS) care (KC). MAIN OUTCOME MEASURES: Type and percent time of mother-infant contact (SS versus holding wrapped in blankets). RESULTS: Analyses were based on four groups: assignment for infants in each group to postpartum or NICU. For KC dyads, SS postpartum was 22.0%; SS NICU was 7.5%. KC wrapped holding postpartum was 11.6%; NICU was 1.8%. For control dyads, wrapped holding postpartum was 13.9%; NICU was 6.1%. CONCLUSION: Amount of SS was much less than expected. Reasons include unavailability of infants or mothers and hospital staff interrupting contact. However, KC postpartum dyads were held wrapped almost as often as control postpartum dyads. Total contact time for KC dyads (SS plus wrapped) was more than double that of controls. These data suggest that hospital and social supports for families are needed to facilitate early initiation of SS, prolonged periods of mother-infant SS contact, and reduction of maternal stress. SN - 0884-2175 UR - https://www.unboundmedicine.com/medline/citation/14565739/Mother_newborn_contact_in_a_randomized_trial_of_kangaroo__skin_to_skin__care_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0884-2175(15)34106-X DB - PRIME DP - Unbound Medicine ER -