B K Srinath1, J Shah1, P Kumar1,2, P S Shah1,3. 1. NICU, Department of Pediatrics, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada. 2. Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. 3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Abstract
OBJECTIVE: To compare physiological and biochemical responses in stable preterm neonates and their parents following kangaroo mother care (KMC) and kangaroo father care (KFC). STUDY DESIGN: We conducted a prospective cross-over design study of stable preterm neonates of <35 weeks gestation in a tertiary Neonatal Unit in Toronto. All neonates received KMC and KFC for 1 h on consecutive days in a random order. Heart rate, temperature, blood pressure, oxygen saturation and salivary cortisol in infants before and after kangaroo care and heart rate, temperature and salivary cortisol in parents before and after kangaroo care were measured. Pairwise comparisons of changes in these measures were analyzed. RESULT: Twenty-six sets of neonates and their parents were studied for physiological parameters, of which 19 had adequate samples for salivary cortisol assessment. The infants had a mean birth weight of 1096 g (s.d.=217) and a mean postmenstrual age at study of 32 weeks (s.d.=2). There were no significant differences in the changes in mean heart rate (P=0.51), temperature (P=0.37), oxygen saturation (P=0.50), systolic blood pressure (P=0.32), mean blood pressure (0.10) and salivary cortisol (P=0.50) before and after KMC or KFC in the neonates. The changes in mean heart rate (P=0.62), temperature (P=0.28) and salivary cortisol (P=0.59) before and after kangaroo care were similar between mothers and fathers. CONCLUSION: No significant differences in physiological and stress responses were identified following KMC or KFC in preterm neonates. KFC may be as safe and as effective as KMC.
RCT Entities:
OBJECTIVE: To compare physiological and biochemical responses in stable preterm neonates and their parents following kangaroo mother care (KMC) and kangaroo father care (KFC). STUDY DESIGN: We conducted a prospective cross-over design study of stable preterm neonates of <35 weeks gestation in a tertiary Neonatal Unit in Toronto. All neonates received KMC and KFC for 1 h on consecutive days in a random order. Heart rate, temperature, blood pressure, oxygen saturation and salivary cortisol in infants before and after kangaroo care and heart rate, temperature and salivary cortisol in parents before and after kangaroo care were measured. Pairwise comparisons of changes in these measures were analyzed. RESULT: Twenty-six sets of neonates and their parents were studied for physiological parameters, of which 19 had adequate samples for salivary cortisol assessment. The infants had a mean birth weight of 1096 g (s.d.=217) and a mean postmenstrual age at study of 32 weeks (s.d.=2). There were no significant differences in the changes in mean heart rate (P=0.51), temperature (P=0.37), oxygen saturation (P=0.50), systolic blood pressure (P=0.32), mean blood pressure (0.10) and salivary cortisol (P=0.50) before and after KMC or KFC in the neonates. The changes in mean heart rate (P=0.62), temperature (P=0.28) and salivary cortisol (P=0.59) before and after kangaroo care were similar between mothers and fathers. CONCLUSION: No significant differences in physiological and stress responses were identified following KMC or KFC in preterm neonates. KFC may be as safe and as effective as KMC.
Authors: Joy E Lawn; Judith Mwansa-Kambafwile; Bernardo L Horta; Fernando C Barros; Simon Cousens Journal: Int J Epidemiol Date: 2010-04 Impact factor: 7.196
Authors: Cristina Calixto; Francisco E Martinez; Salim M Jorge; Ayrton C Moreira; Carlos E Martinelli Journal: J Pediatr Date: 2002-01 Impact factor: 4.406
Authors: Ruth E Grunau; Liisa Holsti; David W Haley; Tim Oberlander; Joanne Weinberg; Alfonso Solimano; Michael F Whitfield; Colleen Fitzgerald; Wayne Yu Journal: Pain Date: 2005-02 Impact factor: 7.926
Authors: Annemarie Stroustrup; Jennifer B Bragg; Emily A Spear; Andrea Aguiar; Emily Zimmerman; Joseph R Isler; Stefanie A Busgang; Paul C Curtin; Chris Gennings; Syam S Andra; Manish Arora Journal: BMJ Open Date: 2019-11-25 Impact factor: 2.692
Authors: Felix B He; Anna Axelin; Sari Ahlqvist-Björkroth; Simo Raiskila; Eliisa Löyttyniemi; Liisa Lehtonen Journal: BMC Pediatr Date: 2021-01-11 Impact factor: 2.125
Authors: Delia Cristóbal Cañadas; Tesifón Parrón Carreño; Cristina Sánchez Borja; Antonio Bonillo Perales Journal: Int J Environ Res Public Health Date: 2022-06-11 Impact factor: 4.614
Authors: Kerstin H Nyqvist; Andreas Rosenblad; Helena Volgsten; Eva-Lotta Funkquist; Elisabet Mattsson Journal: PeerJ Date: 2017-10-30 Impact factor: 2.984