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A Test of Kangaroo Care on Preterm Infant Breastfeeding.
J Obstet Gynecol Neonatal Nurs. 2016 Jan-Feb; 45(1):45-61.JO

Abstract

OBJECTIVE

To test the effects of kangaroo care (KC) on breastfeeding outcomes in preterm infants compared with two control groups and to explore whether maternal-infant characteristics and the mother's choice to use KC were related to breastfeeding measures.

DESIGN

Secondary analysis of a multisite, stratified, randomized three-arm trial. The treatment groups used KC, auditory-tactile-visual-vestibular (ATVV) intervention, or received preterm infant care information.

SETTING

Neonatal intensive care units from 4 hospitals in the United States from 2006 to 2011.

PARTICIPANTS

Racially diverse mothers (N = 231) and their preterm infants born weighing less than 1,750 g.

METHODS

Mothers and their infants were enrolled once the infants were no longer critically ill, weighed at least 1,000 g, and could be safely held outside the incubator by parents. Participants were instructed by study nurses; those allocated to the KC or ATVV groups were asked to engage in these interactions with their infants for a minimum of 3 times a week in the hospital and at home until their infants reached age 2 months adjusted for prematurity.

RESULTS

Feeding at the breast during hospitalization, the duration of postdischarge breastfeeding, and breastfeeding exclusivity after hospital discharge did not differ statistically among the treatment groups. Regardless of group assignment, married, older, and more educated women were more likely to feed at the breast during hospitalization. Mothers who practiced KC, regardless of randomly allocated group, were more likely to provide their milk than those who did not practice KC. Breastfeeding duration was greatest among more educated women.

CONCLUSION

As implemented in this study, assignment to the KC group did not appear to influence the measured breastfeeding outcomes.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26815798

Citation

Tully, Kristin P., et al. "A Test of Kangaroo Care On Preterm Infant Breastfeeding." Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, vol. 45, no. 1, 2016, pp. 45-61.
Tully KP, Holditch-Davis D, White-Traut RC, et al. A Test of Kangaroo Care on Preterm Infant Breastfeeding. J Obstet Gynecol Neonatal Nurs. 2016;45(1):45-61.
Tully, K. P., Holditch-Davis, D., White-Traut, R. C., David, R., O'Shea, T. M., & Geraldo, V. (2016). A Test of Kangaroo Care on Preterm Infant Breastfeeding. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 45(1), 45-61. https://doi.org/10.1016/j.jogn.2015.10.004
Tully KP, et al. A Test of Kangaroo Care On Preterm Infant Breastfeeding. J Obstet Gynecol Neonatal Nurs. 2016 Jan-Feb;45(1):45-61. PubMed PMID: 26815798.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Test of Kangaroo Care on Preterm Infant Breastfeeding. AU - Tully,Kristin P, AU - Holditch-Davis,Diane, AU - White-Traut,Rosemary C, AU - David,Richard, AU - O'Shea,T Michael, AU - Geraldo,Victoria, Y1 - 2015/11/25/ PY - 2015/09/01/accepted PY - 2016/1/28/entrez PY - 2016/1/28/pubmed PY - 2016/11/1/medline KW - NICU KW - infant feeding KW - kangaroo care KW - massage KW - mothers KW - neonatal intensive care unit KW - preterm infants SP - 45 EP - 61 JF - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN JO - J Obstet Gynecol Neonatal Nurs VL - 45 IS - 1 N2 - OBJECTIVE: To test the effects of kangaroo care (KC) on breastfeeding outcomes in preterm infants compared with two control groups and to explore whether maternal-infant characteristics and the mother's choice to use KC were related to breastfeeding measures. DESIGN: Secondary analysis of a multisite, stratified, randomized three-arm trial. The treatment groups used KC, auditory-tactile-visual-vestibular (ATVV) intervention, or received preterm infant care information. SETTING: Neonatal intensive care units from 4 hospitals in the United States from 2006 to 2011. PARTICIPANTS: Racially diverse mothers (N = 231) and their preterm infants born weighing less than 1,750 g. METHODS: Mothers and their infants were enrolled once the infants were no longer critically ill, weighed at least 1,000 g, and could be safely held outside the incubator by parents. Participants were instructed by study nurses; those allocated to the KC or ATVV groups were asked to engage in these interactions with their infants for a minimum of 3 times a week in the hospital and at home until their infants reached age 2 months adjusted for prematurity. RESULTS: Feeding at the breast during hospitalization, the duration of postdischarge breastfeeding, and breastfeeding exclusivity after hospital discharge did not differ statistically among the treatment groups. Regardless of group assignment, married, older, and more educated women were more likely to feed at the breast during hospitalization. Mothers who practiced KC, regardless of randomly allocated group, were more likely to provide their milk than those who did not practice KC. Breastfeeding duration was greatest among more educated women. CONCLUSION: As implemented in this study, assignment to the KC group did not appear to influence the measured breastfeeding outcomes. SN - 1552-6909 UR - https://www.unboundmedicine.com/medline/citation/26815798/A_Test_of_Kangaroo_Care_on_Preterm_Infant_Breastfeeding_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0884-2175(15)00005-2 DB - PRIME DP - Unbound Medicine ER -