KMID : 0361720150260040305
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Korean Journal of perinatology 2015 Volume.26 No. 4 p.305 ~ p.311
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Efficacy and Safety of Kangaroo Mother Care in Preterm Infants in Korea
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Lim Joo-Hee
Shin Jeong-Eun Lee Soon-Min Eun Ho-Sun Park Min-Soo Park Kook-In Namgung Ran
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Abstract
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Purpose: This study aimed to identify the safety of Kangaroo Mother Care (KMC) and to analyze its medical and psychological effects.
Methods: Forty five preterm infants, admitted to Gangnam Severance Hospital NICU from October 2012 to September 2013, were recruited. KMC was performed for 1 hour daily until the discharge by either mother or father. The medical effects in KMC group were compared with historical control group. Psychological effects in KMC group were made a comparison with the non-KMC group.
Results: The mean gestational age was 31.3¡¾3.5 weeks, and the mean birth weight was 1,080¡¾250 g. KMC was started at the mean age of 18.3¡¾8.4 days. No event of hypothermia, bradycardia, desaturation, or hypotension occurred. There was no event of death or sepsis. Four patients (9%) had apnea but recovered after the tactile stimulation. Duration of the hospitalization in KMC group was significantly shorter than control group (P=0.041). Spielberger¡¯s anxiety scale decreased from 49.7 to 48.5. Muller¡¯s maternal attachment inventory increased from 98.4 to 99.5. Reduction of the self-happiness score improved from 5% to 70%. The score for Spielberger¡¯s anxiety scale tended to be lower in the KMC group than in the control group without statistically significant. Muller¡¯s maternal attachment inventory score was significantly higher in the KMC group.
Conclusion: KMC is a safe method to Korean preterm infants. Due to reduction of hospitalization and beneficial psychological effect, we believe that offering KMC to more preterm infants as a supplement therapy will be useful.
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KEYWORD
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Kangaroo mother care, Preterm infants, Clinical Efficacy, Safety
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