Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial
Aim To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants. Methods One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min da...
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| Veröffentlicht in: | Pediatric research 2020-03, Vol.87 (4), p.683-688 |
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| container_title | Pediatric research |
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| creator | El-Farrash, Rania A. Shinkar, Dina M. Ragab, Dina A. Salem, Ramy M. Saad, Wessam E. Farag, Ahmed S. Salama, Dina H. Sakr, Medhat F. |
| description | Aim
To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants.
Methods
One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min daily or conventional care (controls) for at least 7 days. Salivary cortisol was measured before and after the first KC session and then after 7 days. Temperature, respiration rate, heart rate, and oxygen saturation were recorded, before and after KC. Neonates were evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).
Results
Both KC groups demonstrated higher scores for attention, arousal, regulation, nonoptimal reflexes, and quality of movements and lower scores for handling, excitability, and lethargy, compared to controls (
p
|
| doi_str_mv | 10.1038/s41390-019-0558-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2286912431</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2286912431</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-a98da7c7bfaaa8bdba794897a181195bd483b02584c65228d48ce481892964fe3</originalsourceid><addsrcrecordid>eNp1kU9v1DAQxS1URJfCB-gFWeqFS8COncTmhir-SSv1Us7WxJksbhN7GSeVypUvXq-2gITUk8f2773x-DF2LsU7KZR5n7VUVlRC2ko0janaZ2wjG1VOtO5O2EYIJStlrTllL3O-EULqxugX7FRJbVXXNRv2e5viDokPK8ESUuRp5LcQd0ApcQ-EPMx7SneYecSVUo8_4C4kgonvkcZEM0SPHOLAR8QhxB0Pke8JF6S5lCPEJX_gwKkgaQ6_cOA-xYXSNJVyoQDTK_Z8hCnj68f1jH3__On68mu1vfry7fLjtvJaNksF1gzQ-a4fAcD0Qw-d1cZ2II2UtukHbVQv6jKhb5u6NmXvURtpbG1bPaI6Y2-PvmWgnyvmxc0he5wmiJjW7IqmtbLWShb04j_0Jq0Uy-tcXT7O6q5uVaHkkfKUciYc3Z7CDHTvpHCHhNwxIVcScoeEXFs0bx6d137G4a_iTyQFqI9ALleHbP61ftr1Aecsnak</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2377947263</pqid></control><display><type>article</type><title>Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>El-Farrash, Rania A. ; Shinkar, Dina M. ; Ragab, Dina A. ; Salem, Ramy M. ; Saad, Wessam E. ; Farag, Ahmed S. ; Salama, Dina H. ; Sakr, Medhat F.</creator><creatorcontrib>El-Farrash, Rania A. ; Shinkar, Dina M. ; Ragab, Dina A. ; Salem, Ramy M. ; Saad, Wessam E. ; Farag, Ahmed S. ; Salama, Dina H. ; Sakr, Medhat F.</creatorcontrib><description>Aim
To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants.
Methods
One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min daily or conventional care (controls) for at least 7 days. Salivary cortisol was measured before and after the first KC session and then after 7 days. Temperature, respiration rate, heart rate, and oxygen saturation were recorded, before and after KC. Neonates were evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).
Results
Both KC groups demonstrated higher scores for attention, arousal, regulation, nonoptimal reflexes, and quality of movements and lower scores for handling, excitability, and lethargy, compared to controls (
p
< 0.05). Both KC groups had higher infant breastfeeding assessment tool score and reached full enteral feeds faster than controls (
p
< 0.05). After the first KC session, improvement in O
2
saturation and temperature was observed in KC 120-min group compared with the KC 60-min group (
p
< 0.05). Salivary cortisol decreased in both KC groups compared with controls after 7 days (
p
< 0.05).
Conclusion
Preterm neonates who receive KC for long durations reach full enteral feeds faster, have better breastfeeding success, neurobehavioral performance, thermal control, and tissue oxygenation.</description><identifier>ISSN: 0031-3998</identifier><identifier>EISSN: 1530-0447</identifier><identifier>DOI: 10.1038/s41390-019-0558-6</identifier><identifier>PMID: 31493775</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>Age Factors ; Breast Feeding ; Breast Milk Expression ; Breastfeeding & lactation ; Child Development ; Clinical Research Article ; Double-Blind Method ; Egypt ; Feeding Behavior ; Female ; Functional Status ; Gestational Age ; Humans ; Hydrocortisone - metabolism ; Infant Behavior ; Infant, Newborn ; Infant, Premature - metabolism ; Infant, Premature - psychology ; Kangaroo-Mother Care Method ; Male ; Medicine ; Medicine & Public Health ; Nervous System - growth & development ; Pediatric Surgery ; Pediatrics ; Premature babies ; Premature Birth ; Prospective Studies ; Saliva - metabolism ; Time Factors ; Treatment Outcome</subject><ispartof>Pediatric research, 2020-03, Vol.87 (4), p.683-688</ispartof><rights>International Pediatric Research Foundation, Inc 2019</rights><rights>2019© International Pediatric Research Foundation, Inc 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-a98da7c7bfaaa8bdba794897a181195bd483b02584c65228d48ce481892964fe3</citedby><cites>FETCH-LOGICAL-c415t-a98da7c7bfaaa8bdba794897a181195bd483b02584c65228d48ce481892964fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31493775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Farrash, Rania A.</creatorcontrib><creatorcontrib>Shinkar, Dina M.</creatorcontrib><creatorcontrib>Ragab, Dina A.</creatorcontrib><creatorcontrib>Salem, Ramy M.</creatorcontrib><creatorcontrib>Saad, Wessam E.</creatorcontrib><creatorcontrib>Farag, Ahmed S.</creatorcontrib><creatorcontrib>Salama, Dina H.</creatorcontrib><creatorcontrib>Sakr, Medhat F.</creatorcontrib><title>Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial</title><title>Pediatric research</title><addtitle>Pediatr Res</addtitle><addtitle>Pediatr Res</addtitle><description>Aim
To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants.
Methods
One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min daily or conventional care (controls) for at least 7 days. Salivary cortisol was measured before and after the first KC session and then after 7 days. Temperature, respiration rate, heart rate, and oxygen saturation were recorded, before and after KC. Neonates were evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).
Results
Both KC groups demonstrated higher scores for attention, arousal, regulation, nonoptimal reflexes, and quality of movements and lower scores for handling, excitability, and lethargy, compared to controls (
p
< 0.05). Both KC groups had higher infant breastfeeding assessment tool score and reached full enteral feeds faster than controls (
p
< 0.05). After the first KC session, improvement in O
2
saturation and temperature was observed in KC 120-min group compared with the KC 60-min group (
p
< 0.05). Salivary cortisol decreased in both KC groups compared with controls after 7 days (
p
< 0.05).
Conclusion
Preterm neonates who receive KC for long durations reach full enteral feeds faster, have better breastfeeding success, neurobehavioral performance, thermal control, and tissue oxygenation.</description><subject>Age Factors</subject><subject>Breast Feeding</subject><subject>Breast Milk Expression</subject><subject>Breastfeeding & lactation</subject><subject>Child Development</subject><subject>Clinical Research Article</subject><subject>Double-Blind Method</subject><subject>Egypt</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Functional Status</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Infant Behavior</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - metabolism</subject><subject>Infant, Premature - psychology</subject><subject>Kangaroo-Mother Care Method</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nervous System - growth & development</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Premature babies</subject><subject>Premature Birth</subject><subject>Prospective Studies</subject><subject>Saliva - metabolism</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0031-3998</issn><issn>1530-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9v1DAQxS1URJfCB-gFWeqFS8COncTmhir-SSv1Us7WxJksbhN7GSeVypUvXq-2gITUk8f2773x-DF2LsU7KZR5n7VUVlRC2ko0janaZ2wjG1VOtO5O2EYIJStlrTllL3O-EULqxugX7FRJbVXXNRv2e5viDokPK8ESUuRp5LcQd0ApcQ-EPMx7SneYecSVUo8_4C4kgonvkcZEM0SPHOLAR8QhxB0Pke8JF6S5lCPEJX_gwKkgaQ6_cOA-xYXSNJVyoQDTK_Z8hCnj68f1jH3__On68mu1vfry7fLjtvJaNksF1gzQ-a4fAcD0Qw-d1cZ2II2UtukHbVQv6jKhb5u6NmXvURtpbG1bPaI6Y2-PvmWgnyvmxc0he5wmiJjW7IqmtbLWShb04j_0Jq0Uy-tcXT7O6q5uVaHkkfKUciYc3Z7CDHTvpHCHhNwxIVcScoeEXFs0bx6d137G4a_iTyQFqI9ALleHbP61ftr1Aecsnak</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>El-Farrash, Rania A.</creator><creator>Shinkar, Dina M.</creator><creator>Ragab, Dina A.</creator><creator>Salem, Ramy M.</creator><creator>Saad, Wessam E.</creator><creator>Farag, Ahmed S.</creator><creator>Salama, Dina H.</creator><creator>Sakr, Medhat F.</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200301</creationdate><title>Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial</title><author>El-Farrash, Rania A. ; Shinkar, Dina M. ; Ragab, Dina A. ; Salem, Ramy M. ; Saad, Wessam E. ; Farag, Ahmed S. ; Salama, Dina H. ; Sakr, Medhat F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-a98da7c7bfaaa8bdba794897a181195bd483b02584c65228d48ce481892964fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age Factors</topic><topic>Breast Feeding</topic><topic>Breast Milk Expression</topic><topic>Breastfeeding & lactation</topic><topic>Child Development</topic><topic>Clinical Research Article</topic><topic>Double-Blind Method</topic><topic>Egypt</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Functional Status</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Infant Behavior</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - metabolism</topic><topic>Infant, Premature - psychology</topic><topic>Kangaroo-Mother Care Method</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nervous System - growth & development</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Premature babies</topic><topic>Premature Birth</topic><topic>Prospective Studies</topic><topic>Saliva - metabolism</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Farrash, Rania A.</creatorcontrib><creatorcontrib>Shinkar, Dina M.</creatorcontrib><creatorcontrib>Ragab, Dina A.</creatorcontrib><creatorcontrib>Salem, Ramy M.</creatorcontrib><creatorcontrib>Saad, Wessam E.</creatorcontrib><creatorcontrib>Farag, Ahmed S.</creatorcontrib><creatorcontrib>Salama, Dina H.</creatorcontrib><creatorcontrib>Sakr, Medhat F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El-Farrash, Rania A.</au><au>Shinkar, Dina M.</au><au>Ragab, Dina A.</au><au>Salem, Ramy M.</au><au>Saad, Wessam E.</au><au>Farag, Ahmed S.</au><au>Salama, Dina H.</au><au>Sakr, Medhat F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial</atitle><jtitle>Pediatric research</jtitle><stitle>Pediatr Res</stitle><addtitle>Pediatr Res</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>87</volume><issue>4</issue><spage>683</spage><epage>688</epage><pages>683-688</pages><issn>0031-3998</issn><eissn>1530-0447</eissn><abstract>Aim
To investigate the effect of kangaroo care (KC) and its duration on neurobehavioral performance, stress response, breastfeeding success, and vital signs in premature infants.
Methods
One hundred and twenty premature infants were randomized to receive either KC for 60 min daily, KC for 120 min daily or conventional care (controls) for at least 7 days. Salivary cortisol was measured before and after the first KC session and then after 7 days. Temperature, respiration rate, heart rate, and oxygen saturation were recorded, before and after KC. Neonates were evaluated by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).
Results
Both KC groups demonstrated higher scores for attention, arousal, regulation, nonoptimal reflexes, and quality of movements and lower scores for handling, excitability, and lethargy, compared to controls (
p
< 0.05). Both KC groups had higher infant breastfeeding assessment tool score and reached full enteral feeds faster than controls (
p
< 0.05). After the first KC session, improvement in O
2
saturation and temperature was observed in KC 120-min group compared with the KC 60-min group (
p
< 0.05). Salivary cortisol decreased in both KC groups compared with controls after 7 days (
p
< 0.05).
Conclusion
Preterm neonates who receive KC for long durations reach full enteral feeds faster, have better breastfeeding success, neurobehavioral performance, thermal control, and tissue oxygenation.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>31493775</pmid><doi>10.1038/s41390-019-0558-6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Age Factors Breast Feeding Breast Milk Expression Breastfeeding & lactation Child Development Clinical Research Article Double-Blind Method Egypt Feeding Behavior Female Functional Status Gestational Age Humans Hydrocortisone - metabolism Infant Behavior Infant, Newborn Infant, Premature - metabolism Infant, Premature - psychology Kangaroo-Mother Care Method Male Medicine Medicine & Public Health Nervous System - growth & development Pediatric Surgery Pediatrics Premature babies Premature Birth Prospective Studies Saliva - metabolism Time Factors Treatment Outcome |
| title | Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial |
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