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Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents.
Scand J Caring Sci. 2013 Jun; 27(2):345-53.SJ

Abstract

BACKGROUND

Kangaroo Mother Care (KMC) supports parents' role at the neonatal intensive care unit (NICU). To enhance parents' provision of KMC, it is essential to obtain knowledge of what parents perceive as supportive factors and barriers regarding their opportunities to perform KMC.

AIM

To identify factors that parents of preterm infants perceived as supportive factors or barriers for their performance of KMC and to explore the timing of and reasons for parents' discontinuation of KMC.

METHODS

A descriptive study performed at two NICUs in Sweden with 76 mothers and 74 fathers of preterm infants born at gestational ages ranging from 28 to 33 weeks. Data on infant characteristics were obtained from the infants' medical records. A questionnaire, based on scientific literature and the researchers' clinical experience, was completed by the mothers and the fathers separately, shortly after the infant's discharge from the hospital. The data were analyzed with qualitative content analysis and descriptive statistic.

RESULTS

Four categories were identified in parents' responses regarding support and barriers for their performance of KMC: Parent related factors, Time, Infants related factors and The NICU and home environment. The hospital staff and environment were described by the parents as both supportive and barriers for their application of KMC. Some mothers described the infants' feeding process as an obstacle to KMC. Sleeping with the infant skin-to-skin in the same position throughout the night could be difficult, as an uncomfortable sleeping position caused insufficient sleep. A majority of both mothers and fathers continued providing their infant with KMC to some extent after discharge.

CONCLUSION

Interventions for enhancing parents' opportunities for performing KMC should address both hospital staff attitudes and practices and the NICU environment.

Authors+Show Affiliations

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. ylva.thernstrom.blomqvist@akademiska.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22816503

Citation

Blomqvist, Ylva Thernström, et al. "Provision of Kangaroo Mother Care: Supportive Factors and Barriers Perceived By Parents." Scandinavian Journal of Caring Sciences, vol. 27, no. 2, 2013, pp. 345-53.
Blomqvist YT, Frölund L, Rubertsson C, et al. Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents. Scand J Caring Sci. 2013;27(2):345-53.
Blomqvist, Y. T., Frölund, L., Rubertsson, C., & Nyqvist, K. H. (2013). Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents. Scandinavian Journal of Caring Sciences, 27(2), 345-53. https://doi.org/10.1111/j.1471-6712.2012.01040.x
Blomqvist YT, et al. Provision of Kangaroo Mother Care: Supportive Factors and Barriers Perceived By Parents. Scand J Caring Sci. 2013;27(2):345-53. PubMed PMID: 22816503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents. AU - Blomqvist,Ylva Thernström, AU - Frölund,Lovisa, AU - Rubertsson,Christine, AU - Nyqvist,Kerstin Hedberg, Y1 - 2012/07/22/ PY - 2012/7/24/entrez PY - 2012/7/24/pubmed PY - 2013/12/16/medline SP - 345 EP - 53 JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci VL - 27 IS - 2 N2 - BACKGROUND: Kangaroo Mother Care (KMC) supports parents' role at the neonatal intensive care unit (NICU). To enhance parents' provision of KMC, it is essential to obtain knowledge of what parents perceive as supportive factors and barriers regarding their opportunities to perform KMC. AIM: To identify factors that parents of preterm infants perceived as supportive factors or barriers for their performance of KMC and to explore the timing of and reasons for parents' discontinuation of KMC. METHODS: A descriptive study performed at two NICUs in Sweden with 76 mothers and 74 fathers of preterm infants born at gestational ages ranging from 28 to 33 weeks. Data on infant characteristics were obtained from the infants' medical records. A questionnaire, based on scientific literature and the researchers' clinical experience, was completed by the mothers and the fathers separately, shortly after the infant's discharge from the hospital. The data were analyzed with qualitative content analysis and descriptive statistic. RESULTS: Four categories were identified in parents' responses regarding support and barriers for their performance of KMC: Parent related factors, Time, Infants related factors and The NICU and home environment. The hospital staff and environment were described by the parents as both supportive and barriers for their application of KMC. Some mothers described the infants' feeding process as an obstacle to KMC. Sleeping with the infant skin-to-skin in the same position throughout the night could be difficult, as an uncomfortable sleeping position caused insufficient sleep. A majority of both mothers and fathers continued providing their infant with KMC to some extent after discharge. CONCLUSION: Interventions for enhancing parents' opportunities for performing KMC should address both hospital staff attitudes and practices and the NICU environment. SN - 1471-6712 UR - https://www.unboundmedicine.com/medline/citation/22816503/Provision_of_Kangaroo_Mother_Care:_supportive_factors_and_barriers_perceived_by_parents_ L2 - https://doi.org/10.1111/j.1471-6712.2012.01040.x DB - PRIME DP - Unbound Medicine ER -