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Kangaroo Mother Care in two Swedish NICUs
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. (Barnendokrinologisk forskning/Gustafsson)
Örebro Medical Centre Hospital, Örebro.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Barnendokrinologisk forskning/Gustafsson)
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2012 (English)Article in journal (Other academic) Submitted
Abstract [en]

Aim:

To describe initiation and the extent of parents’ application of Kangaroo Mother Care (KMC).

Methods:

The exact duration of which 104 preterm infants were cared for skin-to-skin was recorded in the infants’ medical charts during their hospital stay: the parents answered a questionnaire.

Results:

Both parents were involved in the practice of KMC. Three infants experienced KMC directly after birth, 34 within one hour, 85 within 24 hours, and the remaining 19 infants at 24 – 78 h post birth. KMC commenced earlier (median age of 50 minutes) in infants whose first KMC contact was with their father than with their mother (median age of 649 minutes: p < 0.000). The earlier KMC was initiated, the more the infant was cared for with KMC per day during his/her hospital stay (p < 0.000). The median daily duration of KMC was 403 minutes.

Conclusion:

Early initiation of KMC had a positive impact on the extent of parents’ application of the method. Even though the infants in this study were cared for with KMC to a high extent there is a potential for extended use of KMC in this type of hospital setting for reducing separation between infants and parents.

Place, publisher, year, edition, pages
2012.
Keyword [en]
Kangaro Mother Care, Parenting, Neonatal Intensive Care Unit
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-179517OAI: oai:DiVA.org:uu-179517DiVA: diva2:545088
Available from: 2012-08-17 Created: 2012-08-17 Last updated: 2012-09-20Bibliographically 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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