Duration of kangaroo mother care and weight gain in very low birth weight preterm infant

Background: One of the important effects of kangaroo mother care (KMC) in preterm baby is improvement in weight gain and so shortening in hospitalization, but it is not clear that how long of kangaroo mother care is effective in weight gain. The aim of this study was to determine the least effective...

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Main Authors: Mohsen Haghshenas Mojaveri, Zahra Akbarian Rad, Zeynab Shafipour, Somayeh Alizadeh Rokni, Fatemeh Valizadeh
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2018-02-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-9&slc_lang=en&sid=1
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author Mohsen Haghshenas Mojaveri
Zahra Akbarian Rad
Zeynab Shafipour
Somayeh Alizadeh Rokni
Fatemeh Valizadeh
author_facet Mohsen Haghshenas Mojaveri
Zahra Akbarian Rad
Zeynab Shafipour
Somayeh Alizadeh Rokni
Fatemeh Valizadeh
author_sort Mohsen Haghshenas Mojaveri
collection DOAJ
description Background: One of the important effects of kangaroo mother care (KMC) in preterm baby is improvement in weight gain and so shortening in hospitalization, but it is not clear that how long of kangaroo mother care is effective in weight gain. The aim of this study was to determine the least effective duration of kangaroo mother care in weight gain in very low birth weights. Methods: Preterm babies with birth weight less than 1500 gr, without chronic cardiopulmonary disease, congenital anomaly and other medical problem when receiving to 140 ml/kg/d enteral feeding enrolled the study. KMC was started when the baby has been stabled, on the mother&rsquo;s appetency and ability at bedside. The mean daily weight gain in KMC period was compared with expected that (15 mg/kg/d) for the same baby. The babies with KMC&ge; 7 days were divided in three groups on the basis of mean daily KMC duration (< 30 min, 30-60 min and> 60). Statistical study performed by using SPSS software, version 22 (IBM SPSS, Armonk, NY, USA) and P values of less than 0.05 were considered to be significant. Results: In this study, 103 preterm baby (47 boys, 56 girls) less than 1500 gr were enrolled, with mean birth weight 1107.85&plusmn;190.87 gr. Mean weight gain of boys in KMC period and expected that were 324.78&plusmn;162.66 gr Vs. 127.46&plusmn;54.66 gr (P< 0.001). In eighty-seven babies who received KMC (7-40 days) mean daily weight gain was 26.69&plusmn;15.55 gr (P< 0.001). Mean weight gain in KMC period for group with< 30 min (n=19), 402.63&plusmn;126.29 gr Vs. 167.21&plusmn;74.20 (P< 0.001), group with 30-60 min (n=54) were 338.79&plusmn;182.60 gr Vs. 220.36&plusmn;66.98 (P< 0.001) and group with 60< (n=14) 352.14&plusmn;236.02 gr Vs. 259.96&plusmn;112.23 (P= 0.09). Conclusion: On the basis of this study KMC less than 1 hour per day is effective in weight gain of very low birth weight preterm babies.
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spelling doaj.art-9a96934d4c4c4758b594216bca9fedb62022-12-22T00:37:03ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222018-02-017511833838Duration of kangaroo mother care and weight gain in very low birth weight preterm infantMohsen Haghshenas Mojaveri0Zahra Akbarian Rad1Zeynab Shafipour2Somayeh Alizadeh Rokni3Fatemeh Valizadeh4 Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran. Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran. Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran. Background: One of the important effects of kangaroo mother care (KMC) in preterm baby is improvement in weight gain and so shortening in hospitalization, but it is not clear that how long of kangaroo mother care is effective in weight gain. The aim of this study was to determine the least effective duration of kangaroo mother care in weight gain in very low birth weights. Methods: Preterm babies with birth weight less than 1500 gr, without chronic cardiopulmonary disease, congenital anomaly and other medical problem when receiving to 140 ml/kg/d enteral feeding enrolled the study. KMC was started when the baby has been stabled, on the mother&rsquo;s appetency and ability at bedside. The mean daily weight gain in KMC period was compared with expected that (15 mg/kg/d) for the same baby. The babies with KMC&ge; 7 days were divided in three groups on the basis of mean daily KMC duration (< 30 min, 30-60 min and> 60). Statistical study performed by using SPSS software, version 22 (IBM SPSS, Armonk, NY, USA) and P values of less than 0.05 were considered to be significant. Results: In this study, 103 preterm baby (47 boys, 56 girls) less than 1500 gr were enrolled, with mean birth weight 1107.85&plusmn;190.87 gr. Mean weight gain of boys in KMC period and expected that were 324.78&plusmn;162.66 gr Vs. 127.46&plusmn;54.66 gr (P< 0.001). In eighty-seven babies who received KMC (7-40 days) mean daily weight gain was 26.69&plusmn;15.55 gr (P< 0.001). Mean weight gain in KMC period for group with< 30 min (n=19), 402.63&plusmn;126.29 gr Vs. 167.21&plusmn;74.20 (P< 0.001), group with 30-60 min (n=54) were 338.79&plusmn;182.60 gr Vs. 220.36&plusmn;66.98 (P< 0.001) and group with 60< (n=14) 352.14&plusmn;236.02 gr Vs. 259.96&plusmn;112.23 (P= 0.09). Conclusion: On the basis of this study KMC less than 1 hour per day is effective in weight gain of very low birth weight preterm babies.http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-9&slc_lang=en&sid=1kangaroo mother care premature infant very low birth weight weight gain
spellingShingle Mohsen Haghshenas Mojaveri
Zahra Akbarian Rad
Zeynab Shafipour
Somayeh Alizadeh Rokni
Fatemeh Valizadeh
Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
Tehran University Medical Journal
kangaroo mother care
premature infant
very low birth weight
weight gain
title Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
title_full Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
title_fullStr Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
title_full_unstemmed Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
title_short Duration of kangaroo mother care and weight gain in very low birth weight preterm infant
title_sort duration of kangaroo mother care and weight gain in very low birth weight preterm infant
topic kangaroo mother care
premature infant
very low birth weight
weight gain
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-9&slc_lang=en&sid=1
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