of citation? Article describes the nursing considerations and techniques involved to successfully implment skin-to-skin holding for VLBW, technology dependent infants. Implementation. _________(2002). Newscap: <strong>Kangaroo</strong> <strong>Care</strong>. American J. Nursing. April 2002. This is an early report of the US Survey by Engler in MCN. Survey report. _________(2001). Third International Workshop on <strong>Kangaroo</strong> Mother <strong>Care</strong>: Indonesia November, 2000. Report and abstracts from the meeting. Meeting report. How do we access these? ______ (1999). <strong>Kangaroo</strong> care tops incubators. Childbirth Instructor Magazine, 9(1), 7. Clinical Report, Warming, fullterm. Birth KC/VEKC _______ (1997). “<strong>Kangaroo</strong> care” helps preemies. Indian Med Trib 5 (1-2),1. This is a summary of the Bier study. Clinical report, Preterms ______, 1995. Appropriate technologies can help make motherhood safer. Safe Mother, 18, 4-8. Review of available technologies and KC is one that is identified as keeping the infant warm against the mother’s skin and is recommended. Review. Temperature, Fullterm _______, 1985. The marsupial mother. Lancet 2(8446), 99-100. Review GET THIS Abolyan,L.V. 2006. The Breastfeeding Support and Promotion in Baby-Friendly Maternity Hospitals and Notas-Yet Baby Friendly Hospitals in Russia. Breastfeeding Medicine 1(2), 71-78. Randomized evaluation of 741 mothers (383 experimentals from the 4 Baby Friendly Hospitals; 358 controls from not as yet Baby Friendly Hospitals) interviewed about infant breastfeeding rates. Mothers in Baby Friendly Hospitals had positive effect of BFH on increased rate of exclusive BF, duration of BF, mothers and baby’s health, and maternal knowledge about BF. BFH moms liked rooming-in, BF on demand, taking care of baby by themselves. Initiation and one year BF rates higher in BFH group. Baby Friendly Hospitals in Russia have a few shortcomings: frequent use of labor anesthesia, insufficient placing of newborns on the mother’s abdomen (birth KC), rooming-in insufficient, and insufficient intiating of breastfeeding immediately after birth, and a short length of “skin-to-skin” contact (
Acolet D, Sleath K, & Whitelaw A. (1989). Oxygenation, heart rate, and temperature in very low birthweight infants during skin-to-skin contact with their mothers. Acta Paediatrica Scandinavica, 78, 189-193. KC for 10 minutes in 14 very low birth weight infants 6-134 days old and between 1000-1200 grams (five infants had BPD; two on nasal cannula, and 9 had no lung disease). When asleep, infants placed prone in incubator or prone 60º incline on mom’s chest. 5 minutes of stabilization and then VS every 30 seconds for 10 minutes. Then positions were changed (KC went to incubator; incubator went to KC) for another 10 minutes. During KC HR rose significantly within normal limits, BPDers had significant rise in transcutaneous pO2, no infant had apnea, bradycardia during KC, all maintained their temperature. Concluded KC was safe for BPD babies. No change in RR. States they do not do KC with infants having serious apnea/bradycardia. .Descriptive Cross Over Study, PreTerm, VLBW (Micropreemie), BPD, Nasal cannula, HR, RR, SaO2, Axillary Temp, Bradycardia, apnea, Safety Adam T, Lim SS, Mehta S, Bhutta ZA, Fogstad H, Mathai M, Zupan J, Darmstadt GL (2005). Cost effectiveness analysis of strategies for maternal and neonatal health in developing countries. British Medical Journal, 12,31(7525),1107-1113. Descriptive study of the cost of 21 interventions (ie. Screening for pre-eclampsia, management of LBW babies by giving feeding support, additional warmth, close monitoring, and treatment with oxygen if necessary). <strong>Kangaroo</strong> <strong>Care</strong> or skin-to-skin contact is not mentioned per se anywhere in the article, but is ASSUMED to be referred to by the “additional warmth for LBW infants” because of Zupan’s and Darmstadt’s inclusion as authors. The researchers took trials and expert opinion papers and WHO guidelines and assigned costs to the 21 interventions. Concluded that preventive interventions at community level for newborn care are highly cost effective (pg. 3 of 6) followed by antenatal screening.. Descriptive, Fullterm, preterm Community-based interventions (may include KC for warmth). Affonso, D., Bosque, E., Wahlberg, V., & Brady, J. 1993. Reconciliation and healing for mothers through skin-to-skin contact provided in an American tertiary level intensive care nursery. Neonatal Network 12 (3), 25-32. Mothers interviewed two years after preterm birth who had KC during hospitalization had better resolution of the birth experience and were able to move on better than control mothers who were still asking basic questions about the hospitalization experience. KC helps closure over preterm birth. PT, Qualitative, maternal feelings. Affonso, D., Wahlberg V, & Persson, B. 1989. Exploration of mothers’ reactions to the <strong>Kangaroo</strong> method of prematurity care. Neonatal Network, 7, 43-51. Mother’s have lots to say about preterm birth as it is very stressful to them, and KC helps with the maternal “psychological hemorrhage” associated with preterm birth. PT, Descript. Maternal confidence, psychological stability. Agostino, R., DeLuca, T., Marino, P., Gerardi, R., Patrizi, S.& Bucci, G. (1988). La marsupioterapia come nuovo approccio per favorire l'attaccamento madre bambino nei neonati di peso molto basso. Risultati prelimina. Italian Journal Pediatrics, Supple. 14(5), p. 136-139. ITALIAN Preterm LBW AIIMS - New Delhi, IOG – Chennai, KEM- Mumbai, KGMU-Lucknow, & PGI-Chandigarh. 2004. Presentation at “Workshops on KMC at Neoncon 2004. XXIV NNF Annual Convention at Chandigarh, 28October, 2004” Available from file://E:\<strong>Kangaroo</strong>Mother<strong>Care</strong>Initiative(KMCI)..htm. This is a report of a KMC network in India that has the goals to disseminate awareness about KMC among health care providers by conducting workshop in the country and by providing knowledge and evidence for KMC through the website, to catalize initiation of KMC practice at selected hospitals by onsite training of personnel in outreach hospitals, to provide in service training opportunities about KMC for healthcare providers, and to promote research and generate evidence about feasibility of KMC in the community. The network gives support for implementation of KMC and wants KMC to spread around India. Policy report, Preterm, 3 rd world, network, implementation. Not yet on charts Albright, L. 2001. <strong>Kangaroo</strong> Mother <strong>Care</strong>: Restoring the Original Paradigm for Infant <strong>Care</strong> and Breastfeeding. LEAVEN, 37(5), 106-107. Review of Nils Bergman’s talk about habitat and original paradigm.. Available from nhtml:file://G:\Research\Articles\BFDG Initiation\1-18-2007\KMC original paradigm 200… GET COPY FROM BARB Ali Z & Lowry M. 1981. Early maternal-child contact: Effect on later behaviour. Developmental Medicine and 5
- Page 1 and 2: International Network of Kangaroo C
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- Page 7 and 8: Review, 2(8): 364-373. Anderson GC.
- Page 9 and 10: On one day all moms (29) given KC (
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- Page 19 and 20: Cash, S., & O'Quinn, JLK., (1996).
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Crus Bertolo, J. 2006. Developmenta
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KC and heelstick in KC and 3 hours
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controls), motor-mental development
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Early KC (in birth recovery room),
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Mikiel-Kostyra K, Boltruszko I, Maz
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Moeller-Jensen H., Hjort-Gregersen
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Mukasa GK. 1992. Observations on ka
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significant predictor (if you want
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Ogi S, Arisawa K, Takahashi T, Akiy
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interaction Porter RH 2004. The bio
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Righard L. 2008. The baby is breast
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Salariya EM, Easton PM, Cater JI. 1
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of prolonged head-up position (test
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Kangaroo Care. Maximum possible sco
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with FU at 35 days, 3,6,9,12 mos. K
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Sywulak, H.C.M. 2002. Kangaroo moth
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Tornhage CJ, Serenius F, Uvnas-Mobe
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Uvnas-Moberg, K. 2003. The Oxytocin
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towards a nipple moistened with amn
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Walters, M., Boggs, K., Ludington-H
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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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Mulet, R.C., Figueroa de Leon, R.,
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Wieland, Ch., Bauer, K., Bisson, K.
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29. Wahlberg, V. Alternative care f
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Bauer K, Pasel K, Versmold H. (1996
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Jakarta, Indonesia, Nov. 22-25, 200
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groups.041. One month postbirth KC
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Syfrett EB, Anderson GC, Behnke M,
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Bergman, N. 2000. Kangaroo Mother C
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Saginaw General Hospital. Clinical
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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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