Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil
To evaluate the results of the kangaroo mother method in Brazil. A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Br...
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| Published in: | Jornal de pediatria Vol. 84; no. 5; pp. 428 - 435 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Brazil
01-09-2008
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| Abstract | To evaluate the results of the kangaroo mother method in Brazil.
A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employed multiple linear regression and Poisson regression with robust adjustment.
The adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p = 0.022).
The evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding. |
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| AbstractList | To evaluate the results of the kangaroo mother method in Brazil.
A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employed multiple linear regression and Poisson regression with robust adjustment.
The adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p = 0.022).
The evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding. OBJECTIVETo evaluate the results of the kangaroo mother method in Brazil. METHODSA prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employed multiple linear regression and Poisson regression with robust adjustment. RESULTSThe adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p = 0.022). CONCLUSIONSThe evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding. |
| Author | Lamy, Zeni Carvalho Lamy Filho, Fernando Gomes, Maria Auxiliadora Sousa Mendes Moreira, Maria Elizabeth Lopes Silva, Antônio Augusto Moura da |
| Author_xml | – sequence: 1 givenname: Fernando surname: Lamy Filho fullname: Lamy Filho, Fernando email: lamyfilho@gmail.com organization: Departamento de Medicina III, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil. lamyfilho@gmail.com – sequence: 2 givenname: Antônio Augusto Moura da surname: Silva fullname: Silva, Antônio Augusto Moura da – sequence: 3 givenname: Zeni Carvalho surname: Lamy fullname: Lamy, Zeni Carvalho – sequence: 4 givenname: Maria Auxiliadora Sousa Mendes surname: Gomes fullname: Gomes, Maria Auxiliadora Sousa Mendes – sequence: 5 givenname: Maria Elizabeth Lopes surname: Moreira fullname: Moreira, Maria Elizabeth Lopes |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18923784$$D View this record in MEDLINE/PubMed |
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| Snippet | To evaluate the results of the kangaroo mother method in Brazil.
A prospective cohort study comparing 16 units that have or do not have the second phase of the... OBJECTIVETo evaluate the results of the kangaroo mother method in Brazil. METHODSA prospective cohort study comparing 16 units that have or do not have the... |
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| SubjectTerms | Adult Brazil Case-Control Studies Cohort Studies Female Humans Infant Care - methods Infant, Low Birth Weight Infant, Newborn Length of Stay Male Prospective Studies Socioeconomic Factors Treatment Outcome |
| Title | Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil |
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