Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis

BackgroundThe kangaroo-mother care method (KMC) is a skin-to-skin contact-centered care approach with numerous benefits for neonates, but its impact on the treatment of jaundiced neonates is unknown. This study aimed to investigate the efficacy of KMC combined with neonatal phototherapy (NNPT) in tr...

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Main Authors: Xiang Huang, Meiling Chen, Rongrong Fu, Wei He, Yujing He, Haojie Shentu, Suping Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1098143/full
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author Xiang Huang
Meiling Chen
Rongrong Fu
Wei He
Yujing He
Haojie Shentu
Suping Zhu
author_facet Xiang Huang
Meiling Chen
Rongrong Fu
Wei He
Yujing He
Haojie Shentu
Suping Zhu
author_sort Xiang Huang
collection DOAJ
description BackgroundThe kangaroo-mother care method (KMC) is a skin-to-skin contact-centered care approach with numerous benefits for neonates, but its impact on the treatment of jaundiced neonates is unknown. This study aimed to investigate the efficacy of KMC combined with neonatal phototherapy (NNPT) in treating neonates with non-pathological jaundice.MethodsRelevant articles were searched in PubMed, Embase, Web of Science, and Cochrane Library databases from database establishment to April 2022. The outcomes included, without limitation, serum bilirubin levels, and duration of phototherapy.ResultsThis meta-analysis included five studies (4 randomized controlled trials and 1 observational study) involving four hundred eighty-two neonates with non-pathological jaundice. The results showed that the group receiving KMC combined with NNPT had lower serum bilirubin at 72 h after intervention [weighted mean difference (WMD) = −1.51, p = 0.03], shorter duration of phototherapy [standard mean difference (SMD) = −1.45, p < 0.001] and shorter duration of hospitalization (SMD = −1.32, p = 0.002) compared to NNPT group. There was no difference in peak bilirubin in both groups of neonates (WMD = −0.12, p = 0.62).ConclusionsKMC combined with NNPT helped to treat non-pathological jaundice in newborns compared to NNPT alone.
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spelling doaj.art-3813a6ba1f034b88a437a06a8ee548c22023-02-10T09:25:52ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-01-011110.3389/fped.2023.10981431098143Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysisXiang Huang0Meiling Chen1Rongrong Fu2Wei He3Yujing He4Haojie Shentu5Suping Zhu6Department of Pediatric, Ningbo Yinzhou No. 2 Hospital, Ningbo, ChinaThe Public Health College, Zhejiang Chinese Medical University, Hangzhou, ChinaThe First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaState Key Laboratory Breeding Base of Green Chemistry Synthesis Technology, Zhejiang University of Technology, Hangzhou, ChinaThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaThe Medical Imaging College, Hangzhou Medical College, Hangzhou, ChinaDepartment of Pediatric, Ningbo Yinzhou No. 2 Hospital, Ningbo, ChinaBackgroundThe kangaroo-mother care method (KMC) is a skin-to-skin contact-centered care approach with numerous benefits for neonates, but its impact on the treatment of jaundiced neonates is unknown. This study aimed to investigate the efficacy of KMC combined with neonatal phototherapy (NNPT) in treating neonates with non-pathological jaundice.MethodsRelevant articles were searched in PubMed, Embase, Web of Science, and Cochrane Library databases from database establishment to April 2022. The outcomes included, without limitation, serum bilirubin levels, and duration of phototherapy.ResultsThis meta-analysis included five studies (4 randomized controlled trials and 1 observational study) involving four hundred eighty-two neonates with non-pathological jaundice. The results showed that the group receiving KMC combined with NNPT had lower serum bilirubin at 72 h after intervention [weighted mean difference (WMD) = −1.51, p = 0.03], shorter duration of phototherapy [standard mean difference (SMD) = −1.45, p < 0.001] and shorter duration of hospitalization (SMD = −1.32, p = 0.002) compared to NNPT group. There was no difference in peak bilirubin in both groups of neonates (WMD = −0.12, p = 0.62).ConclusionsKMC combined with NNPT helped to treat non-pathological jaundice in newborns compared to NNPT alone.https://www.frontiersin.org/articles/10.3389/fped.2023.1098143/fullkangaroo-Mother care methodphototherapyskin-to-skin contacthyperbilirubinemiainfantmeta—analysis
spellingShingle Xiang Huang
Meiling Chen
Rongrong Fu
Wei He
Yujing He
Haojie Shentu
Suping Zhu
Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
Frontiers in Pediatrics
kangaroo-Mother care method
phototherapy
skin-to-skin contact
hyperbilirubinemia
infant
meta—analysis
title Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
title_full Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
title_fullStr Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
title_full_unstemmed Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
title_short Efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non-pathological jaundice: A meta-analysis
title_sort efficacy of kangaroo mother care combined with neonatal phototherapy in newborns with non pathological jaundice a meta analysis
topic kangaroo-Mother care method
phototherapy
skin-to-skin contact
hyperbilirubinemia
infant
meta—analysis
url https://www.frontiersin.org/articles/10.3389/fped.2023.1098143/full
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