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| Título: Kangaroo Mother Care and neonatal outcomes: a meta-analysis | |
| Enlace: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4702019/pdf/PEDS_20152238.pdf | |
| Autores: Boundy, Ellen O.; Dastjerdi, Roya; Spiegelman, Donna; Fawzi, Wafaie W.; Missmer, Stacey A.; Lieberman, Ellice; Kajeepeta, Sandhya; Wall, Stephen; Chan, Grace J.; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen:CONTEXT: Kangaroo mother care (KMC) is an intervention aimed at improving outcomes among preterm and low birth weight newborns. OBJECTIVE: Conduct a systematic review and meta-analysis estimating the association between KMC and neonatal outcomes. DATA SOURCES: PubMed, Embase, Web of Science, Scopus, African Index Medicus (AIM), Latin American and Caribbean Health Sciences Information System (LILACS), Index Medicus for the Eastern Mediterranean Region (IMEMR), Index Medicus for the South-East Asian Region (IMSEAR), and Western Pacific Region Index Medicus (WPRIM). STUDY SELECTION: We included randomized trials and observational studies through April 2014 examining the relationship between KMC and neonatal outcomes among infants of any birth weight or gestational age. Studies with <10 participants, lack of a comparison group without KMC, and those not reporting a quantitative association were excluded. DATA EXTRACTION: Two reviewers extracted data on study design, risk of bias, KMC intervention, neonatal outcomes, relative risk (RR) or mean difference measures. RESULTS: 1035 studies were screened; 124 met inclusion criteria. Among LBW newborns,KMC compared to conventional care was associated with 36% lower mortality(RR 0.64; 95% [CI] 0.46, 0.89). KMC decreased risk of neonatal sepsis (RR 0.53, 95% CI 0.34, 0.83), hypothermia (RR 0.22; 95% CI 0.12, 0.41), hypoglycemia (RR 0.12; 95% CI 0.05, 0.32), and hospital readmission (RR 0.42; 95% CI 0.23, 0.76) and increased exclusive breastfeeding (RR 1.50; 95% CI 1.26, 1.78). Newborns receiving KMC had lower mean respiratory rate and pain measures, and higher oxygen saturation, temperature, and head circumference growth. LIMITATIONS: Lack of data on KMC limited the ability to assess dose-response. CONCLUSIONS: Interventions to scale up KMC implementation are warranted. | |
| Descriptores: kangaroo mother care; kmc; neonatal; preterm; | |
| Soporte: Digital | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: Pediatrics | |
| ISSN: 1098-4275 | |
| Periodicidad: Monthly | |
| Volumen: 137 | |
| Número: 1 | |
| Páginas: 1-16 | |
| Año: 2016 |
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