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- W1474593655 abstract "Infants that are born near-term or before they reach their full gestational age of 40 weeks are at risk for facing future health problems and disparities in terms of proper development (Ladewig, London, & Davidson, 2012). This has been a major concern in the medical realm because of the high cost of managing preterm newborns and the complications that can develop. However, kangaroo care may aid in physical growth and cognitive development of these infants. The purpose of this integrative review was to determine if current research shows that kangaroo care has a positive effect on preterm infants in the following aspects: vital signs, infant mortality rates, behavioral development, parent-infant bonding, pain, and breastfeeding. Various databases, including Oxford Journals, PsychInfo, CINAHL, PubMed, and Medline were used to find twenty research studies that discussed kangaroo care in relation to various aspects of infant development. Through the analysis of these articles, it was found that kangaroo care has a positive effect on maintaining healthy vital signs, reducing rates of mortality, as well as behavioral development, breastfeeding rates, pain occurrence, and bonding between parents and infants. Recommendations have been made as to how to integrate this practice into standard care for NICU patients. KANGAROO CARE AND PRETERM INFANTS 3 According to the Centers for Disease Control and Prevention (CDC), the incidence of preterm births, any birth before 37 weeks gestation, is one of every nine births in the United States (Centers for Disease Control and Prevention, 2014). Compared to full term infants, preterm infants are often subject to many obstacles and complications in the first few weeks of life due to underdeveloped body systems (Ladewig, London, & Davidson, 2012). Depending on the length of gestation, they may not be able to endure extra-uterine life without medical intervention (Ladewig, London & Davidson, 2012). They are at higher risks for lung disease, behavioral and social problems, poor vision, heart defects, and infection, compared to full term infants (Ladewig, London & Davidson, 2012). All of these potential complications can delay proper physical, psychosocial, cognitive, and behavioral development or result in infant death. Kangaroo care may be one method of care that could positively affect a preterm infant’s outcome. Kangaroo care (KC), or kangaroo mother care (KMC), is a method that mothers use to bond with their newborns, which includes skin-to-skin contact between the mother and the baby. Preterm infants are not always able to participate in kangaroo care with their mothers within the first few days or weeks of life because they are frequently admitted to the Neonatal Intensive Care Unit (NICU). There can be a lot of anxiety and uncertainty associated with preterm infants and kangaroo care because the neonates can be so fragile and medical equipment can be intimidating to parents. A survey of 284 NICUs in Europe determined that routine offers of KC occurred with rates ranging from 41% to 100% (Nyqvist et al., 2010). This statistic provides evidence that not all hospitals are regularly offering KC or making it a priority in their standards of care. The purpose of this project was to identify, describe, and evaluate the evidence about the effects of kangaroo care on outcomes in preterm infants. Practice and research recommendations have been identified based on the critical appraisal of the evidence and known barriers to KANGAROO CARE AND PRETERM INFANTS 4 providing this care in the NICU. The following PICOT question will be answered: In preterm infants, how does kangaroo care, compared with a lack of kangaroo care, affect vital signs, mortality rates, behavioral development, parent-infant bonding, pain occurrence, and breastfeeding rates?" @default.
- W1474593655 created "2016-06-24" @default.
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- W1474593655 date "2015-01-01" @default.
- W1474593655 modified "2023-09-27" @default.
- W1474593655 title "Kangaroo Care and Preterm Infants" @default.
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