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Am J Perinatol 2021; 38(08): 791-795
DOI: 10.1055/s-0039-3402717
Original Article

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

Xiaohua Xie
1   Department of Nursing, Health Science Center, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China
,
Xueyu Chen
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
,
Panpan Sun
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
,
Aifen Cao
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
,
Yanzhu Zhuang
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
,
Xiaoyun Xiong 
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
,
Chuanzhong Yang
2   Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China
› Author Affiliations Funding This work was supported by the Shenzhen Science and Technology Innovation Committee (JCYJ20180306173125699); Shenzhen Medical Sanming Project (SZSM201612045); and institutional project (FYB2018002). The funders were not involved in the study design, data collection, analysis, interpretation, or manuscript preparation.
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Abstract

Objective Evidence on the safety and influence of kangaroo mother care (KMC) in extremely low birth weight infants (ELBWIs) on ventilation is lacking.

Study Design This is a retrospective cohort study performed in 145 ELBWIs on noninvasive mechanical ventilation from a tertiary center.

Results The duration of nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (CPAP) ventilation was significantly shorter in infants with KMC compared with infants without (21 vs. 13.5 days, p = 0.001 and 29.5 days vs. 20.5 days, p = 0.001, respectively). The frequency of apnea during hospital stay was fewer in KMC infants, compared with no KMC (23 vs. 20 times, p = 0.002). Multiple linear regression analysis showed that KMC was an independent protective factor for shortening nIPPV/CPAP duration (β = −9.90, 95% confidence interval [CI] [−13.20, −6.60], p < 0.001), total supplemental oxygen support (β = −10.52, 95% CI [−16.73, −4.30], p = 0.001), and reducing times of apneas (β = −5.88, 95% CI [−8.56, −3.21], p < 0.001).

Conclusion KMC benefits ELBWIs by shortening nIPPV/CPAP ventilation duration and total supplemental oxygen support, and reducing the frequency of apneas.

Keywords

kangaroo mother care - ventilation - apnea - preterm - extremely low birth weight

Authors' Contributions

X.X., C.Y., and X.X. conceptualized and designed the study, and wrote the first draft of the manuscript. X.C., P.S., and A.C. performed the clinical data collection and data analysis. X.X. and C.Y. reviewed and revised the manuscript.


Data Sharing

The raw dataset analyzed in the current study is available from the corresponding author on a reasonable request.




Publication History

Received: 13 June 2019

Accepted: 18 November 2019

Article published online:
31 December 2019

© 2019. Thieme. All rights reserved.

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  • References

  • 1 You D, Hug L, Ejdemyr S. et al; United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. Lancet 2015; 386 (10010): 2275-2286
    CrossrefPubMedGoogle Scholar
  • 2 WHO Guidelines Approved by the Guidelines Review Committee. WHO Recommendations on Interventions to Improve Preterm Birth Outcomes. Geneva: World Health Organization; 2015
    Google Scholar
  • 3 Patel RM, Zimmerman K, Carlton DP, Clark R, Benjamin DK, Smith PB. Early caffeine prophylaxis and risk of failure of initial continuous positive airway pressure in very low birth weight infants. J Pediatr 2017; 190: 108-111
    CrossrefPubMedGoogle Scholar
  • 4 Mehta P, Berger J, Bucholz E, Bhandari V. Factors affecting nasal intermittent positive pressure ventilation failure and impact on bronchopulmonary dysplasia in neonates. J Perinatol 2014; 34 (10) 754-760
    CrossrefPubMedGoogle Scholar
  • 5 Armanian AM, Iranpour R, Faghihian E, Salehimehr N. Caffeine administration to prevent apnea in very premature infants. Pediatr Neonatol 2016; 57 (05) 408-412
    CrossrefPubMedGoogle Scholar
  • 6 Thomson ME, Hartsock TG, Larson C. The importance of immediate postnatal contact: its effect on breastfeeding. Can Fam Physician 1979; 25: 1374-1378
    PubMedGoogle Scholar
  • 7 Cattaneo A, Davanzo R, Uxa F, Tamburlini G. Recommendations for the implementation of Kangaroo Mother Care for low birthweight infants. International Network on Kangaroo Mother Care. Acta Paediatr 1998; 87 (04) 440-445
    CrossrefPubMedGoogle Scholar
  • 8 Bergh AM, de Graft-Johnson J, Khadka N. et al. The three waves in implementation of facility-based kangaroo mother care: a multi-country case study from Asia. BMC Int Health Hum Rights 2016; 16: 4
    CrossrefPubMedGoogle Scholar
  • 9 Boundy EO, Dastjerdi R, Spiegelman D. et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics 2016; 137 (01) e20152238
    CrossrefPubMedGoogle Scholar
  • 10 Conde-Agudelo A, Díaz-Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev 2016; (08) CD002771
    PubMedGoogle Scholar
  • 11 Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2016; 11: CD003519
    Google Scholar
  • 12 Bohnhorst B, Heyne T, Peter CS, Poets CF. Skin-to-skin (kangaroo) care, respiratory control, and thermoregulation. J Pediatr 2001; 138 (02) 193-197
    CrossrefPubMedGoogle Scholar
  • 13 Heimann K, Vaessen P, Peschgens T, Stanzel S, Wenzl TG, Orlikowsky T. Impact of skin to skin care, prone and supine positioning on cardiorespiratory parameters and thermoregulation in premature infants. Neonatology 2010; 97 (04) 311-317
    CrossrefPubMedGoogle Scholar
  • 14 Mitchell AJ, Yates C, Williams K, Hall RW. Effects of daily kangaroo care on cardiorespiratory parameters in preterm infants. J Neonatal Perinatal Med 2013; 6 (03) 243-249
    CrossrefPubMedGoogle Scholar
  • 15 Lorenz L, Dawson JA, Jones H. et al. Skin-to-skin care in preterm infants receiving respiratory support does not lead to physiological instability. Arch Dis Child Fetal Neonatal Ed 2017; 102 (04) F339-F344
    CrossrefPubMedGoogle Scholar
  • 16 Jayaraman D, Mukhopadhyay K, Bhalla AK, Dhaliwal LK. Randomized controlled trial on effect of intermittent early versus late kangaroo mother care on human milk feeding in low-birth-weight neonates. Journal of human lactation: official journal of International Lactation Consultant Association 2017; 33 (03) 533-539
    CrossrefPubMedGoogle Scholar
  • 17 Evereklian M, Posmontier B. The impact of kangaroo care on premature infant weight gain. J Pediatr Nurs 2017; 34: e10-e16
    CrossrefPubMedGoogle Scholar
  • 18 Charpak N, Tessier R, Ruiz JG. et al. Twenty-year follow-up of kangaroo mother care versus traditional care. Pediatrics 2017; 139 (01) e20162063
    CrossrefPubMedGoogle Scholar