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Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Barnendokrinologisk forskning/Gustafsson)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Barnendokrinologisk forskning/Gustafsson)
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, 345-353 p.Article in journal (Refereed) Published
Abstract [en]

Background:

Kangaroo Mother Care supports parents’ role at the neonatal intensive care unit. To enhance parents’ provision of Kangaroo Mother Care, it is essential to obtain knowledge of what parents perceive as supportive factors and barriers regarding their opportunities to perform Kangaroo Mother Care.

Aim:

To identify factors that parents of preterm infants perceived as supportive factors or barriers for their performance of Kangaroo Mother Care and to explore the timing of and reasons for parents’ discontinuation of Kangaroo Mother Care.

Methods:

A descriptive study performed at two neonatal intensive care units in Sweden with 76 mothers and 74 fathers of preterm infants born at gestational ages ranging from 28 to 33 weeks. Data on infant characteristics were obtained from the infants’ medical records. A questionnaire, based on scientific literature and the researchers’ clinical experience, was completed by the mothers and the fathers separately, shortly after the infant’s discharge from the hospital. The data was analyzed with qualitative content analysis and descriptive statistic.

Results:

Four categories were identified in parents’ responses regarding support and barriers for their performance of KMC: Parent related factors, Time, Infants related factors and The NICU and home environment. The hospital staff and environment were described by the parents as both supportive and barriers for their application of Kangaroo Mother Care. Some mothers described the infants’ feeding process as an obstacle to Kangaroo Mother Care. Sleeping with the infant skin-to-skin in the same position throughout the night could be difficult, as an uncomfortable sleeping position caused insufficient sleep. A majority of both mothers and fathers continued providing their infant with Kangaroo Mother Care to some extent after discharge.

Place, publisher, year, edition, pages
2013. Vol. 27, no 2, 345-353 p.
Keyword [en]
Kangaroo Mother Care, Neonatal, Preterm Infants, Parents
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-179516DOI: 10.1111/j.1471-6712.2012.01040.xISI: 000318815700018PubMedID: 22816503OAI: oai:DiVA.org:uu-179516DiVA: diva2:545085
Available from: 2012-08-17 Created: 2012-08-17 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Kangaroo Mother Care: Parents’ experiences and patterns of application in two Swedish neonatal intensive care units
Open this publication in new window or tab >>Kangaroo Mother Care: Parents’ experiences and patterns of application in two Swedish neonatal intensive care units
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Kangaroo Mother Care (KMC) is an alternative model of care that prevents parent-infant separation when preterm infants need neonatal intensive care by skin-to-skin contact between infants and their parents. KMC is also a strategy that involves parents in their infants’ care and enables them to assume the responsibility for the care. Furthermore, KMC promotes parent-infant bonding and attachment.

The overall aim of this thesis was to gain a deeper understanding and knowledge about parents’ capacity, willingness, and experiences of KMC and to which extent parents choose to use KMC throughout their infants' hospital stay. These studies were conducted in the NICUs at two Swedish university hospitals (NICU A and NICU B).

Mothers of infants cared for at NICU A (n=17) answered a questionnaire about their experiences of KMC (Paper I). Twenty parents of infants cared for at NICU A recorded the duration of each KMC session during a period of 24 hours and the identity the KMC provider (Paper II). Seven fathers were interviewed about their experiences of KMC (Paper III) and 76 mothers and 74 fathers completed a questionnaire about what facilitated or rendered it difficult to perform KMC (Paper IV). The time of initiation of KMC and duration in minutes, and the identity of the KMC providers was recorded continuously during the infants’ (n=104) hospital stay: 83 mothers and 80 fathers also completed a questionnaire during their infants’ hospital stay (Paper V).

This thesis provides new knowledge about parents’ practice of KMC, also continuously day and night, in a high tech NICU in an affluent society, with good resources for infant care in an incubator by trained staff. The accuracy of parents’ records of KMC were comparable to nurses’ records. The results indicate that parents want to be together with their infant in the NICU and be actively involved in the infants’ care. Although parents may experience KMC as exhausting and uncomfortable, they still prefer KMC to conventional neonatal intensive care as it supports their parental role. Early initiation of KMC after birth appears to result in a longer total duration of KMC during the infants’ hospital stay.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2012. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 804
Keyword
Kangaroo Mother Care, Neonatal intensive care unit, Preterm infant, Nursing, Parenting
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:uu:diva-180047 (URN)978-91-554-8452-1 (ISBN)
Public defence
2012-10-12, Rosensalen, Ing. 95/96, Akademiska Barnsjukhuset, Uppsala, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2012-09-19 Created: 2012-08-28 Last updated: 2013-01-22

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Thernström Blomqvist, YlvaRubertsson, ChristineHedberg Nyqvist, Kerstin

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