Charpak, N., Ruiz-Pelaez, J.G., & Charpak, Y. (1994). Rey-Martinez <strong>Kangaroo</strong> mother program: An alternative way of caring for low birth weight infants? One year mortality in a two cohort study. Pediatrics, 94(6 Pt1), 804-810. Infants < 2000 grm birthweight observed in two hospitals, one that gave KMC and the other did not. Enrolled when ready for minimal care. KMC infants (n=162) were 24/7 KMC until not tolerated any more (about 37 weeks postmenstrual age), and discharged early. Controls (n=170) were in incubators and had later discharge. Both followed up to one year. KMC infants had higher relative risk of death, grew less in first 3 months, and had higher proportion of developmental delay at 1 year, survival was similar between groups, but weight gain and neurodevelopment questions remain. .PT, descriptive of two groups, Mortality, 12 month follow-up, development, weight gain, length of stay, 3 rd world. Not on charts yet. Comment in Pediatrics, Dec. 1994, 94(6 PT1), 931-932. Charpak N, Ruiz-Pelaez JG, Figueroa de Calume, Z (1996). Current knowledge of kangaroo mother intervention. Current Opinion in Pediatrics, 8(2), 108-112.LITERATURE SUMMARY Charpak N, Ruiz-Pelaez JG, Figueroa de Calume Z. (2000). Humanizing neonatal care. Acta Paediatrica, 89, 501-502.POLICY, Humane Neonatal <strong>Care</strong> Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, & Charpak, Y. 2001. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics 108(5), 1072-1079. A randomized trial of 382 KMC and 364 traditional care preemies
gain 15 g/day for 3 consecutive days. At term age (at home by then?) 60/126 infants gained wgt adequately with exclusive BF, In 14 who need supplements, adequate wgt gain achieved before term age and supplements were stopped. More immature infants need supplementation more frequently, infants with lower weight for GA at birth were less likely to achieve adequate weight by term age. Growth indices at term age in KMC group were between 10-25 th percentile, similar to non KMC preterms. PT, weight, home KC, exclusive BF. Charpak N, Ruiz-Pelaez JG, & Motta, S. 2006. One year follow-up of a cohort of preterm infants (< 34 weeks GA) discharged with ambulatory oxygen in Bogota, Colombia. GET CITATION. 206 newborns were followed-up from 7 KMC programs. 4 infants died, 21 (35%) lost to follow-up at term age and 99 (48%) at 12 months. At term age exclusive BF = 54 (26.2%), growth at 12 months was normal, 16% still had supplemental home oxygen at 3 months and oxygen continued until infants were 106 days old maximum, 73% were readmitted at least once and 67% of readmissions were due to respiratory problems. 50% had opthamology screening and ROP =35% of those. 19% had neuromotor tests at 1 year. Descriptive, follow-up, mortality, home KC, home oxygen, exclusive BF, mental development, motor development, readmissions, weight and length, ROP, third world, 24 hr/day KC Charpak, N., Ruiz-Pelaez, J.G., Zupan, J., Cattaneo, A., Figueroa, Z., Tessier, R., Cristo, M., Anderson, G., Ludington, S., Mendoza, S., Mokhachane, M.S., & Worku, B. (2005). <strong>Kangaroo</strong> Mother <strong>Care</strong>: 25 years after. Acta Paediatrica 84(5), 514-522. A review of methods and types of programs of KMC as well as a summary of physiologic, breastfeeding, bonding, maternal behavior/stress, infant development outcomes. PT, Review Chen, C-H., Wang, T-M, Chang H-M, Chi C-S. (2000). The effect of breast- and bottle-feeding on oxygen saturation and body temperature in preterm infants. J. Human Lactation, 18(1), 21-27. 25 preterm infants given either bottle or breastfeeding with KC. SaO2, HR, RR, temp noted every minute for 20 min. during feeding. SaO2 and body temp sig. higher during KC breastfeeding. 2 apnea and 20 desat episodes in bottle feeding group, none in BF group. BF with KC is more physiological and less stressful. PT, comparative exploratory HR, RR, temp. SaO2, Desats, apnea, KC is less stressful, KCBF. Chia P, Sellick K, Gan S. 2006. The attitudes and practices of neonatal nurses in the use of kangaroo care. Aust. J Adv Nurs, 23(4), 20-27. READ AND PUT ON ARTICLE. Nurses are reluctant to institute KC. Implementation Children’s Hospital of Philadelphia. 2007. Guidelines for Healthcare Professionals—Skin-to-skin contacdt (<strong>Kangaroo</strong> <strong>Care</strong>). Available from http://www.chop.edu/consumer/jsp/division/generic.jsp?id=81947 This is a hospital protocol for KC with preterm infants. Infants must not have chest tubes or intracardia lines (RA, LA). Family must be willing to participate and spend at least one hour. Outcomes are that infant will maintain neurobehavioral organization, physiologic stability in oxygenation, heart rate and thermoregulation during transfers and holding, that there will not be any adverse effects associated with transfer or KC such as extubation and thermal instability, and that a bonding process is begun. Documentation of the KC session should include treatment interventions, and then duration of KC, infant’s tolerance of KC, vital signs and pain score for intubated infant during KC on the Flow Sheet. On the progress note, problems encountered during KC and action taken as well as interdisciplinary patient-familoy education flowsheet of the teaching that was completed should be recorded. Guidelines, protocols, VentKC possible, preterms Children’s Hospital of Philadelphia. 2007. Guidelines for healthcare professionals – Skin-to-skin Contact (<strong>Kangaroo</strong> <strong>Care</strong>) for Intubated Infants. Available from http://www.chop.edu/consumer/jsp/division/generic.jsp?id=81948 Hospital protocol and step by step procedure to conduct the transfer of ventilated infants into and out of KC. Equipment, procedure, transfers (parent-assisted and nurse-assisted), after transfer, and documentation (on flow sheet write duration and tolerance of KC and in Progress Notes write problems encountered and actions taken and on Patient-Family Education flowsheet write the KC teaching that has been completed) are all covered. Preterm, vent KC, guidelines Chiu, S-H, Anderson, G.C., & Burkhammer M.D. (2005). Newborn infant temperature during skin-to-skin breastfeeding in dyads having breastfeeding difficulties. Birth.32, 115-121. 48 fullterms having Breastfeeding difficulty at 12-18 hours postbrith had temporal artery temperature taken before, once during, and after each of 3 consecutive 23
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interaction Porter RH 2004. The bio
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of prolonged head-up position (test
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with FU at 35 days, 3,6,9,12 mos. K
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towards a nipple moistened with amn
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the first hour postpartum. V. Follo
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given their babies to hold with ski
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29. Wahlberg, V. Alternative care f
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412. ______. 1997. Cosleeping (beds
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REFERENCE TO KANGAROO CARE ______,
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Kattwinkel, J., Brooks, J., Keenan,
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------. (1997) Bare hugs: Skin-to-s
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practices in Bangladesh, identifyin
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Email: nprd@ftn.net or phone: 416-3
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and Maternal stress . Infant stress
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1. www.kangaguru.com has many items
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3. Kanguruproducter, is a lovely li
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