The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings
Abstract
A randomized controlled trial was carried out for 1 y in three tertiary and teaching hospitals, in Addis Ababa (Ethiopia), Yogyakarta (Indonesia) and Merida (Mexico), to study the effectiveness, feasibility, acceptability and cost of kangaroo mother care (KMC) when compared to conventional methods of care (CMC). About 29% of 649 low birthweight infants (LBWI; 1000‐1999 g) died before eligibility. Of the survivors, 38% were excluded for various reasons, 149 were randomly assigned to KMC (almost exclusive skin‐to‐skin care after stabilization), and 136 to CMC (warm room or incubator care). There were three deaths in each group and no difference in the incidence of severe disease. Hypothermia was significantly less common in KMC infants in Merida (13.5 vs 31.5 episodes/100 infants/d) and overall (10.8 vs 14.6). Exclusive breastfeeding at discharge was more common in KMC infants in Merida (80% vs 16%) and overall (88% vs 70%). KMC infants had a higher mean daily weight gain (21.3 g vs 17.7 g) and were discharged earlier (13.4 vs 16.3 d after enrolment). KMC was considered feasible and presented advantages over CMC in terms of maintenance of equipment. Mothers expressed a clear preference for KMC and health workers found it safe and convenient. KMC was cheaper than CMC in terms of salaries (US$ 11 788 vs US$ 29 888) and other running costs (US$ 7501 vs US$ 9876). This study confirms that hospital KMC for stabilized LBWI 1000‐1999 g is at least as effective and safe as CMC, and shows that it is feasible in different settings, acceptable to mothers of different cultures, and less expensive. Where exclusive breastfeeding is uncommon among LBWI, KMC may bring about an increase in its prevalence and duration, with consequent benefits for health and growth. For hospitals in low‐income countries KMC may represent an appropriate use of scarce resources.
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Few studies report the correlation of PAT with SBP in infants, mainly in the context of sleep studies and as a screening method rather than a core clinical tool, and none report measurements of PTT in this critical care population.
“Few studies report the correlation of PAT with SBP in infants, mainly in the context of sleep studies and as screening method rather than a core clinical tool.35,36 None report measurements of PTT in this critical care population.”
From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [35]
Citations
Cites
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Research works printed but not linked: 5
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Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis
Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., Kajeepeta, S., Wall, S., & Chan, G. J. (2016) · Pediatrics · doi:10.1542/peds.2015-2238 · Cited by 661
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Kangaroo mother care: 25 years after
Charpak, N., Gabriel Ruiz, J., Zupan, J., Cattaneo, A., Figueroa, Z., Tessier, R., Cristo, M., Anderson, G., Ludington, S., Mendoza, S., et al. (2005) · Acta Paediatrica · doi:10.1111/j.1651-2227.2005.tb01930.x · Cited by 364
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Metadata
- Authors
- Cattaneo, A., Davanzo, R., Worku, B., Surjono, A., Echeverria, M., Bedri, A., Haksari, E., Osorno, L., Gudetta, B., Setyowireni, D., Quintero, S., & Tamburlini, G.
- Affiliations
- Rumah Sakit Umum Pusat Dr. Sardjito (ID)
- Centro Medico Nacional Siglo XXI (MX)
- Corresponding author
- Cattaneo, A
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 1998-09
- Volume
- 87
- Issue
- 9
- Pages
- 976-985
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- OpenAlex
- W2157222016
- Cited by
- 243
- References
- 13
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 6 · 2021: 20 · 2020: 8 · 2019: 4 · 2018: 8 · 2017: 12 · 2016: 12 · 2015: 9 · 2014: 13 · 2013: 14 · 2012: 17
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- kangaroo mother care, low birth weight infants, skin-to-skin care, neonatal hypothermia, exclusive breastfeeding, infant weight gain, neonatal mortality, low-income countries
- MeSH terms
- Breast Feeding, Developing Countries, Ethiopia, Feasibility Studies, Humans, Indonesia, Infant Care, Infant, Low Birth Weight, Infant, Newborn, Mexico, Touch
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