Kangaroo-mother care method and neurobehavior of preterm infants

Kangaroo-mother care method and neurobehavior of preterm infants

Author Silva, Margareth Gurgel de Castro Google Scholar
Barros, Marina Carvalho de Moraes Autor UNIFESP Google Scholar
Pessoa, Ursula Maria Lima Google Scholar
Guinsburg, Ruth Autor UNIFESP Google Scholar
Abstract Objective: To evaluate the effect of kangaroo-mother care (KMC) in preterm (PT) neurobehavior between 36 and 41 weeks post-conceptual age (PCA). Method: A prospective cohort of 61 preterm infants with gestational age (GA) of 28-32 w evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS), with 36-41 w PCA. Infants with clinical instability were excluded. They were analyzed in 2 groups: Kangaroo (KAN): KMC for 7 or more days

Conventional (CON): did not receive KMC. Scores of the 13 NNNS variables were compared between groups and the effect of KMC in the scores of the variables of NNNS were evaluated by multiple linear regression, controlling for confounders. Results: The KAN groups (n = 24) and CON (n = 37) were similar regarding main demographic and clinical maternal and neonatal characteristics. Mean GA was 30.3 w

and birth weight was 1170 g for both groups. PT of KAN group were admitted in KMC with PCA of 35.8 w (38.5 days of life) and remained with this care for 14.3 days. The NNNS was applied 13 days after the start of KMC. PT submitted to KMC showed higher quality of movements (KAN: 4.98 +/- 0.53 vs CON: 4.53 +/- 0.47

p = 0.001) and lower scores on Signs of stress and abstinence (KAN: 0.03 +/- 0.03 vs CON: 0.05 +/- 0.03

p = 0.001). Controlling for confounders, the KMC was associated with higher scores on the variables Attention, Quality of movements, and lower scores on Asymmetry and Signs of stress and abstinence. Conclusion: PT submitted to the KMC, compared to those non-submitted, have better neurobehavior performance between 36 and 41 weeks of post-conceptual age. (C) 2016 Published by Elsevier Ireland Ltd.
Keywords Infant, newborn
Infant, premature
Behavior
Kangaroo-mother care method
xmlui.dri2xhtml.METS-1.0.item-coverage Clare
Language English
Date 2016
Published in Early Human Development. Clare, v. 95, p. 55-59, 2016.
ISSN 0378-3782 (Sherpa/Romeo, impact factor)
Publisher Elsevier Ireland Ltd
Extent 55-59
Origin http://dx.doi.org/10.1016/j.earlhumdev.2016.02.004
Access rights Closed access
Type Article
Web of Science ID WOS:000374603800012
URI https://repositorio.unifesp.br/handle/11600/56121

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