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EspañolDatos del Documento
| Título: Kangaroo mother care to prevent neonatal deaths due to preterm birth complications. | |
| Enlace: https://doi.org/10.1093/ije/dyq031 | |
| Autores: Lawn, Joy E.; Mwansa-Kambafwile, Judith; Horta, Bernardo L.; Barros, Fernando C.; Cousens, Simon; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen:BACKGROUND: 'Kangaroo mother care' (KMC) includes thermal care through continuous skin-to-skin contact, support for exclusive breastfeeding or other appropriate feeding, and early recognition/response to illness. Whilst increasingly accepted in both high- and low-income countries, a Cochrane review (2003) did not find evidence of KMC's mortality benefit, and did not report neonatal-specific data. OBJECTIVES: The objectives of this study were to review the evidence, and estimate the effect of KMC on neonatal mortality due to complications of preterm birth. METHODS: We conducted systematic reviews. Standardized abstraction tables were used and study quality assessed by adapted GRADE methodology. Meta-analyses were undertaken. RESULTS: We identified 15 studies reporting mortality and/or morbidity outcomes including nine randomized controlled trials (RCTs) and six observational studies all from low- or middle-income settings. Except one, all were hospital-based and included only babies of birth-weight <2000 g (assumed preterm). The one community-based trial had missing birthweight data, as well as other limitations and was excluded. Neonatal-specific data were supplied by two authors. Meta-analysis of three RCTs commencing KMC in the first week of life showed a significant reduction in neonatal mortality [relative risk (RR) 0.49, 95% confidence interval (CI) 0.29-0.82] compared with standard care. A meta-analysis of three observational studies also suggested significant mortality benefit (RR 0.68, 95% CI 0.58-0.79). Five RCTs suggested significant reductions in serious morbidity for babies <2000 g (RR 0.34, 95% CI 0.17-0.65). CONCLUSION: This is the first published meta-analysis showing that KMC substantially reduces neonatal mortality amongst preterm babies (birth weight <2000 g) in hospital, and is highly effective in reducing severe morbidity, particularly from infection. However, KMC remains unavailable at-scale in most low-income countries. | |
| Descriptores: neonatal mortality; newborn care; preterm births; prematurity; low birthweight; kangaroo mother care; kangaroo care; skin-to-skin care; | |
| Soporte: Digital | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: International Journal of Epidemiology | |
| ISSN: 0300-5771 (impreso) // 1464-3685 (online) | |
| Periodicidad: | |
| Volumen: 39 | |
| Número: suppl. 1 | |
| Páginas: 144-154 | |
| Año: 2010 |
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