The beneficial effect of early and prolonged kangaroo mother care on long‐term neuro‐developmental outcomes in low birth neonates – A cohort study

医学 贝利婴儿发育量表 蹒跚学步的孩子 儿科 队列 干预(咨询) 队列研究 认知 内科学 发展心理学 精神运动学习 精神科 心理学
作者
Shridevi Bisanalli,Bharathi Balachander,A. Shashidhar,Vijaya Raman,Pavitra Josit,Suman Rao
出处
期刊:Acta Paediatrica [Wiley]
卷期号:112 (11): 2400-2407 被引量:21
标识
DOI:10.1111/apa.16939
摘要

Abstract Aim Kangaroo mother care (KMC) has immense short‐term benefits, but data on long‐term outcomes are scarce. Hence, this study aimed to compare the neurodevelopmental outcomes at 12 months of corrected age (CA) in infants <2000 g receiving early and prolonged KMC to a control group. Methods This was a cohort study that was conducted from January 2017 to November 2018. All neonates<2000 g were eligible for the study. Neonates that received early initiation (<72 h of life) and prolonged KMC comprised the intervention group and were compared to neonates without the intervention. Bayley Scales of Infant and Toddler Development, Third edition (BSID‐III) was done at 12 months of CA, and this was analysed using t ‐test and multi‐linear regression analysis. Results There were 75 neonates in the intervention and 69 in the control group. Baseline characteristics were comparable. We found higher composite scores for cognition (110.38 ± 9.89 vs. 105.44 ± 8.77, p value = 0.023), language (107.51 ± 10.72 vs. 101.05 ± 12.06, p value = 0.014) and adaptive behaviour (87.97 ± 9.97 vs. 80 ± 9.1, p value<0.001) in the early and prolonged KMC group in comparison to the control group. Conclusion Infants with early and prolonged KMC have better neurodevelopmental outcomes in terms of cognition, language and adaptive behaviour at 12 months of CA.
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