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Kangaroo (skin-to-skin) care with a preterm infant before, during, and after mechanical ventilation.
Neonatal Netw. 2003 Nov-Dec; 22(6):33-8.NN

Abstract

Using kangaroo care (KC) with unstable and/or ventilated infants remains controversial. In this article, potential advantages for ventilated infants and their mothers are discussed. The 33-week-gestation infant in this case study presented with mild respiratory distress at birth, requiring supplemental oxygen at hour 2. With no improvement by hour 18, KC was also begun, first for 1.25 hours and then, 2 hours later, for 3.5 hours. The infant was intubated at hour 45 for increasing respiratory distress, and KC resumed 24 hours later for 1 hour and 3 hours after that for an additional 3 hours. Extubation occurred at hour 90. Kangaroo care resumed 2 hours later for periods of 1.5, 1.5, and 1 hour over the next 8 hours, 2.5 hours more later that day (day 5, the last day of data collection). Thereafter, KC was done intermittently until discharge on day 9. Total KC times for pre-vent, vent, and immediate post-vent periods were 4.75, 4, and 6.5 hours, respectively. The data from this study suggest that KC may assist in, rather than retard, recovery from respiratory distress. KC may also foster maternal relaxation and minimize maternal stress.

Authors+Show Affiliations

Kadlec Medical Center, Richland, Washington, USA. jys921@aol.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14700180

Citation

Swinth, Joan Y., et al. "Kangaroo (skin-to-skin) Care With a Preterm Infant Before, During, and After Mechanical Ventilation." Neonatal Network : NN, vol. 22, no. 6, 2003, pp. 33-8.
Swinth JY, Anderson GC, Hadeed AJ. Kangaroo (skin-to-skin) care with a preterm infant before, during, and after mechanical ventilation. Neonatal Netw. 2003;22(6):33-8.
Swinth, J. Y., Anderson, G. C., & Hadeed, A. J. (2003). Kangaroo (skin-to-skin) care with a preterm infant before, during, and after mechanical ventilation. Neonatal Network : NN, 22(6), 33-8.
Swinth JY, Anderson GC, Hadeed AJ. Kangaroo (skin-to-skin) Care With a Preterm Infant Before, During, and After Mechanical Ventilation. Neonatal Netw. 2003 Nov-Dec;22(6):33-8. PubMed PMID: 14700180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Kangaroo (skin-to-skin) care with a preterm infant before, during, and after mechanical ventilation. AU - Swinth,Joan Y, AU - Anderson,Gene Cranston, AU - Hadeed,Anthony J, PY - 2004/1/1/pubmed PY - 2004/2/10/medline PY - 2004/1/1/entrez SP - 33 EP - 8 JF - Neonatal network : NN JO - Neonatal Netw VL - 22 IS - 6 N2 - Using kangaroo care (KC) with unstable and/or ventilated infants remains controversial. In this article, potential advantages for ventilated infants and their mothers are discussed. The 33-week-gestation infant in this case study presented with mild respiratory distress at birth, requiring supplemental oxygen at hour 2. With no improvement by hour 18, KC was also begun, first for 1.25 hours and then, 2 hours later, for 3.5 hours. The infant was intubated at hour 45 for increasing respiratory distress, and KC resumed 24 hours later for 1 hour and 3 hours after that for an additional 3 hours. Extubation occurred at hour 90. Kangaroo care resumed 2 hours later for periods of 1.5, 1.5, and 1 hour over the next 8 hours, 2.5 hours more later that day (day 5, the last day of data collection). Thereafter, KC was done intermittently until discharge on day 9. Total KC times for pre-vent, vent, and immediate post-vent periods were 4.75, 4, and 6.5 hours, respectively. The data from this study suggest that KC may assist in, rather than retard, recovery from respiratory distress. KC may also foster maternal relaxation and minimize maternal stress. SN - 0730-0832 UR - https://www.unboundmedicine.com/medline/citation/14700180/Kangaroo__skin_to_skin__care_with_a_preterm_infant_before_during_and_after_mechanical_ventilation_ L2 - https://doi.org/10.1891/0730-0832.22.6.33 DB - PRIME DP - Unbound Medicine ER -