Kangaroo method

A mother carries her child, who was born ten weeks prematurely, on her upper body (2002)

In neonatal medicine, the kangaroo method ( Kangaroo care ) is a method in which a newborn (usually a premature baby ) is placed skin to skin on the upper body of an adult.

The method was initially used in areas where incubators were not available or not sufficiently reliable. Today it is widely used in the care of premature babies. The name is based on the reproduction of marsupials , especially kangaroos , which carry their immature offspring on their bodies for some time.

history

Due to increasing mortality at the Instituto Materno Infantil in Bogotá ( Colombia ), the doctor Edgar Rey Sanabria, a professor of neonatology at the Universidad Nacional de Colombia , developed a method to alleviate the shortage of incubators, carers and other resources. He suggested bringing premature babies into regular skin contact with their mothers in order to keep the newborns warm and breastfeed.

In the early 1990s, the method found widespread use in the United States. Initially only premature babies were supplied with it, but later the method was also used in normal babies.

In a survey of 323 institutions for premature babies in Germany, in which 162 took part, 160 of the institutions surveyed stated that they use the kangaroo method.

Effects

Premature babies cared for with the kangaroo method are more likely to survive and are less prone to serious illnesses, including hospital infections and respiratory diseases. There are also improvements in body temperature, heartbeat and breathing rate.

Further studies suggest better mental development, less stress, less sensation, and positive effects on growth and motor development. In addition, the proportion of premature infants who are fed exclusively by breastfeeding has increased. The method can have a positive effect on the mother-child relationship. It has a positive effect on parenting satisfaction and confidence.

Web links

Kangaroo method in the care wiki.
High-risk babies - with mother's warmth instead of machines , FAZ.net, December 26, 2014.

Individual evidence

↑ M. Thiel, A. Längler, T. Ostermann: P05.21. Kangarooing in German neonatology departments: results of a nationwide survey . In: BMC Complementary and Alternative Medicine 2012 , May 15-18 , 2012, Supplement 1, p. 381 doi: 10.1186 / 1472-6882-12-S1-P381 .

^ Conde-Agudelo, Diaz-Rossello, & Belizan, 2003.

↑ ^a ^b Ludington-Hoe, S., Hosseini, R., & Torowicz, D. (2005). Skin-to-skin contact (kangaroo care) analgesia for preterm infant heel stick. AACN Clinical Issues, 16 (3), 373-387.

↑ ^a ^b ^c ^d Charpak, N., Ruiz, J., Zupan, J., Cattaneo, A., Figueroa, Z., Tessier, R., Cristo, M., Anderson, G., Ludington, S., Mendoza, S., Mokhachane, M., & Worku, B. (2005). Kangaroo mother care: 25 years after . In: Acta Pediatric , 94 (5), pp. 514-522.

↑ Feldman, R., Eidelman, A., Sirota, L., & Weller, A. (2002): Comparison of skin-to-skin (kangaroo) and traditional care: Parenting outcomes and preterm development . In: Pediatrics , 110 (1), pp. 16-26.

↑ McCain, G., Ludington-Hoe, S., Swinth, J., & Hadeed, A. (2005): Heart rate variability responses of a preterm infant to kangaroo care . In: Journal of Ostetrics, Gynecologic, and Neonatal Nursing , 34 (6), pp. 689-694.

↑ Penalva, O., & Schwartzman, J. (2006): Descriptive study of the clinical and nutritional profile and follow-up of premature babies in a Kangaroo Mother Care Program . In: Journal of Pediatrics , 82 (1), 33-39.

↑ Johnston, C., Stevens, B., Pinelli, J., Gibbins, S., Filion, F., Jack, A., Steele, S., Boyer, K., & Veilleux, A. (2003): Kangaroo care is effective in diminishing pain response in preterm neonates . In: Archives of Pediatrics and Adolescent Medicine . 157 (11), pp. 1084-1088.

^ Dodd, V. (2005): Implications of kangaroo care for growth and development in preterm infants . In: Journal of Ostetrics, Gynecologic, and Neonatal Nursing , 34 (2), pp. 218-232.

[1] M. Thiel, A. Längler, T. Ostermann: P05.21. Kangarooing in German neonatology departments: results of a nationwide survey . In: BMC Complementary and Alternative Medicine 2012 , May 15-18 , 2012, Supplement 1, p. 381 doi: 10.1186 / 1472-6882-12-S1-P381 .

[2] Conde-Agudelo, Diaz-Rossello, & Belizan, 2003.

[ReferenceA-3] Ludington-Hoe, S., Hosseini, R., & Torowicz, D. (2005). Skin-to-skin contact (kangaroo care) analgesia for preterm infant heel stick. AACN Clinical Issues, 16 (3), 373-387.

[Charpak,_N._2005-4] Charpak, N., Ruiz, J., Zupan, J., Cattaneo, A., Figueroa, Z., Tessier, R., Cristo, M., Anderson, G., Ludington, S., Mendoza, S., Mokhachane, M., & Worku, B. (2005). Kangaroo mother care: 25 years after . In: Acta Pediatric , 94 (5), pp. 514-522.

[5] Feldman, R., Eidelman, A., Sirota, L., & Weller, A. (2002): Comparison of skin-to-skin (kangaroo) and traditional care: Parenting outcomes and preterm development . In: Pediatrics , 110 (1), pp. 16-26.

[6] McCain, G., Ludington-Hoe, S., Swinth, J., & Hadeed, A. (2005): Heart rate variability responses of a preterm infant to kangaroo care . In: Journal of Ostetrics, Gynecologic, and Neonatal Nursing , 34 (6), pp. 689-694.

[7] Penalva, O., & Schwartzman, J. (2006): Descriptive study of the clinical and nutritional profile and follow-up of premature babies in a Kangaroo Mother Care Program . In: Journal of Pediatrics , 82 (1), 33-39.

[8] Johnston, C., Stevens, B., Pinelli, J., Gibbins, S., Filion, F., Jack, A., Steele, S., Boyer, K., & Veilleux, A. (2003): Kangaroo care is effective in diminishing pain response in preterm neonates . In: Archives of Pediatrics and Adolescent Medicine . 157 (11), pp. 1084-1088.

[9] Dodd, V. (2005): Implications of kangaroo care for growth and development in preterm infants . In: Journal of Ostetrics, Gynecologic, and Neonatal Nursing , 34 (2), pp. 218-232.