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Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China.
BMC Pediatr. 2020 05 29; 20(1):260.BPed

Abstract

BACKGROUND

Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).

METHODS

A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents' knowledge and experience of KMC provision was administered to parents providing KMC.

RESULTS

One hundred thirty-five preterm infants received KMC, 21.2% of all preterm infants discharged. 65.2% of those who received KMC were below 32 weeks GA, 60.7% had a birth weight below 1500 g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA < 28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.

CONCLUSIONS

After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.

Authors+Show Affiliations

Neonatal Intensive Care Unit, Department of Pediatrics, Peking University First Hospital, Beijing, MM, China.Department of Neonatology, Northwest Women's and Children's Hospital, Shanxi, MD, China.Department of Neonatology, Nanjing Maternity and Child Health Care Hospital, Jiangsu, MM, China.Department of Neonatology, Hunan Provincial Maternal and Child Health Care Hospital, Hunan, China.Department of Neonatology, Xiangya Hospital Central South University, Hunan, MD, China.Department of Neonatology, Fujian Provincial Maternity and Children's Hospital, Fujian, China.Department of Neonatology, Women & Children's Health Care Hospital of Linyi, Shandong, China.Department of Neonatal, Shenzhen Maternity & Child Healthcare Hospital, Shenzhen, MD, China.Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, MB, China.Neonatal Intensive Care Unit, Department of Pediatrics, Peking University First Hospital, Beijing, MM, China. fengqizf@126.com.

Pub Type(s)

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

Language

eng

PubMed ID

32471391

Citation

Liu, Xin, et al. "Utilization Pattern of Kangaroo Mother Care After Introduction in Eight Selected Neonatal Intensive Care Units in China." BMC Pediatrics, vol. 20, no. 1, 2020, p. 260.
Liu X, Li Z, Chen X, et al. Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China. BMC Pediatr. 2020;20(1):260.
Liu, X., Li, Z., Chen, X., Cao, B., Yue, S., Yang, C., Liu, Q., Yang, C., Zhao, G., & Feng, Q. (2020). Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China. BMC Pediatrics, 20(1), 260. https://doi.org/10.1186/s12887-020-02153-2
Liu X, et al. Utilization Pattern of Kangaroo Mother Care After Introduction in Eight Selected Neonatal Intensive Care Units in China. BMC Pediatr. 2020 05 29;20(1):260. PubMed PMID: 32471391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China. AU - Liu,Xin, AU - Li,Zhankui, AU - Chen,Xiaohui, AU - Cao,Bei, AU - Yue,Shaojie, AU - Yang,Changyi, AU - Liu,Qiongyu, AU - Yang,Chuanzhong, AU - Zhao,Gengli, AU - Feng,Qi, Y1 - 2020/05/29/ PY - 2020/01/19/received PY - 2020/05/19/accepted PY - 2020/5/31/entrez PY - 2020/5/31/pubmed PY - 2021/5/15/medline KW - Kangaroo mother care KW - Neonatal intensive care unit KW - Preterm infants SP - 260 EP - 260 JF - BMC pediatrics JO - BMC Pediatr VL - 20 IS - 1 N2 - BACKGROUND: Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs). METHODS: A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents' knowledge and experience of KMC provision was administered to parents providing KMC. RESULTS: One hundred thirty-five preterm infants received KMC, 21.2% of all preterm infants discharged. 65.2% of those who received KMC were below 32 weeks GA, 60.7% had a birth weight below 1500 g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA < 28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants. CONCLUSIONS: After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health. SN - 1471-2431 UR - https://www.unboundmedicine.com/medline/citation/32471391/Utilization_pattern_of_kangaroo_mother_care_after_introduction_in_eight_selected_neonatal_intensive_care_units_in_China_ L2 - https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-020-02153-2 DB - PRIME DP - Unbound Medicine ER -