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Kangaroo mother care to reduce morbidity and mortality in low birthweight infants

  1. Agustin Conde-Agudelo1,*,
  2. José M Belizán2,
  3. Jose Diaz-Rossello3

Editorial Group: Cochrane Neonatal Group

Published Online: 16 MAR 2011

Assessed as up-to-date: 30 JAN 2011

DOI: 10.1002/14651858.CD002771.pub2

How to Cite

Conde-Agudelo A, Belizán JM, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews 2011, Issue 3. Art. No.: CD002771. DOI: 10.1002/14651858.CD002771.pub2.

Author Information

  1. 1

    Eunice Kennedy Shriver National Institute of Child Health and Human Development/National Institutes of Health/Department of Health and Human Services, Perinatology Research Branch, Detroit, Michigan, USA

  2. 2

    Institute for Clinical Effectiveness and Health Policy (IECS), Department of Mother and Child Health Research, Buenos Aires, Argentina

  3. 3

    University Hospital, Department of Neonatology, Montevideo, Uruguay

*Agustin Conde-Agudelo, Perinatology Research Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development/National Institutes of Health/Department of Health and Human Services, Detroit, Michigan, USA. condeagu@hotmail.com.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 16 MAR 2011

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[Figure 1]
Figure 1. Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 2]
Figure 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Figure 3]
Figure 3. Forest plot of comparison: 1 Kangaroo mother care versus conventional neonatal care, outcome: 1.1 Mortality at discharge or 40-41 weeks' corrected gestational age.
[Figure 4]
Figure 4. Forest plot of comparison: 1 Kangaroo mother care versus conventional neonatal care, outcome: 1.4 Mortality at latest follow up.
[Figure 5]
Figure 5. Forest plot of comparison: 1 Kangaroo mother care versus conventional neonatal care, outcome: 1.5 Severe infection/sepsis at latest follow up - stabilized infants.
[Figure 6]
Figure 6. Forest plot of comparison: 1 Kangaroo mother care versus conventional neonatal care, outcome: 1.13 Weight gain at latest follow up (g/day) - stabilized infants.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 1 Mortality at discharge or 40-41 weeks' postmenstrual age.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 2 Mortality at 6 months of age or 6 months follow up.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 3 Mortality at 12 months' corrected age.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 4 Mortality at latest follow up.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 5 Severe infection/sepsis at latest follow up - stabilized infants.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 6 Severe illness at 6 months follow up - stabilized infants.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 7 Nosocomial infection/sepsis at discharge or 40-41 weeks' postmenstrual age - stabilized infants.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 8 Mild/moderate infection or illness at latest follow up - stabilized infants.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 9 Lower respiratory tract disease at 6 months follow up - stabilized infants.
[Analysis 1.10]
Analysis 1.10. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 10 Diarrhea at 6 months follow up - stabilized infants.
[Analysis 1.11]
Analysis 1.11. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 11 Hypothermia at discharge or 40-41 weeks' postmenstrual age - stabilized infants.
[Analysis 1.12]
Analysis 1.12. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 12 Readmission to hospital at latest follow up - stabilized infants.
[Analysis 1.13]
Analysis 1.13. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 13 Weight gain at latest follow up (g/day) - stabilized infants.
[Analysis 1.14]
Analysis 1.14. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 14 Weight at discharge or 40-41 weeks' postmenstrual age (g) - stabilized infants.
[Analysis 1.15]
Analysis 1.15. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 15 Weight at 6 months' corrected age (g) - stabilized infants.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 16 Weight at 12 months' corrected age (g) - stabilized infants.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 17 Length gain at latest follow up (cm/week) - stabilized infants.
[Analysis 1.18]
Analysis 1.18. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 18 Length at discharge or 40-41 weeks' postmenstrual age (cm) - stabilized infants.
[Analysis 1.19]
Analysis 1.19. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 19 Length at 6 months' corrected age (cm) - stabilized infants.
[Analysis 1.20]
Analysis 1.20. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 20 Length at 12 months' corrected age (cm) - stabilized infants.
[Analysis 1.21]
Analysis 1.21. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 21 Head circumference gain at latest follow up (cm/week) - stabilized infants.
[Analysis 1.22]
Analysis 1.22. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 22 Head circumference at discharge or 40-41 weeks' postmenstrual age (cm) - stabilized infants.
[Analysis 1.23]
Analysis 1.23. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 23 Head circumference at 6 months' corrected age (cm) - stabilized infants.
[Analysis 1.24]
Analysis 1.24. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 24 Head circumference at 12 months' corrected age (cm) - stabilized infants.
[Analysis 1.25]
Analysis 1.25. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 25 Psychomotor development (Griffith quotients) at 12 months' corrected age.
[Analysis 1.26]
Analysis 1.26. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 26 Cerebral palsy at 12 months' corrected age.
[Analysis 1.27]
Analysis 1.27. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 27 Deafness at 12 months' corrected age.
[Analysis 1.28]
Analysis 1.28. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 28 Visual impairment at 12 months' corrected age.
[Analysis 1.29]
Analysis 1.29. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 29 Exclusive breast feeding at discharge or 40-41 weeks' postmenstrual age - stabilized infants.
[Analysis 1.30]
Analysis 1.30. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 30 Exclusive breast feeding at 1-3 months follow up - stabilized infants.
[Analysis 1.31]
Analysis 1.31. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 31 Exclusive breast feeding at 6-12 months follow up - stabilized infants.
[Analysis 1.32]
Analysis 1.32. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 32 Any breast feeding at discharge or 40-41 weeks' postmenstrual age - stabilized infants.
[Analysis 1.33]
Analysis 1.33. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 33 Any breast feeding at 1-2 months follow up - stabilized infants.
[Analysis 1.34]
Analysis 1.34. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 34 Any breast feeding at 3 months follow up - stabilized infants.
[Analysis 1.35]
Analysis 1.35. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 35 Any breast feeding at 6 months follow up - stabilized infants.
[Analysis 1.36]
Analysis 1.36. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 36 Any breast feeding at 12 months follow up - stabilized infants.
[Analysis 1.37]
Analysis 1.37. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 37 Onset of breast feeding (days) - stabilized infants.
[Analysis 1.38]
Analysis 1.38. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 38 Length of hospital stay (days) - stabilized infants.
[Analysis 1.39]
Analysis 1.39. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 39 Parental and familiar satisfaction (continuous KMC).
[Analysis 1.40]
Analysis 1.40. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 40 Mother-infant attachment: mother's feelings and perceptions according to interval between birth and start of intervention, and infant admission to NICU.
[Analysis 1.41]
Analysis 1.41. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 41 Mother-infant attachment: mother's responses to the infant according to interval between birth and start of intervention, and infant admission to NICU.
[Analysis 1.42]
Analysis 1.42. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 42 Mother-infant attachment: infant's responses to the mother according to interval between birth and start of intervention, and infant admission to NICU.
[Analysis 1.43]
Analysis 1.43. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 43 Mother-infant attachment at 3 months follow-up.
[Analysis 1.44]
Analysis 1.44. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 44 Mother-infant attachment: stress in NICU.
[Analysis 1.45]
Analysis 1.45. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 45 Mother-infant attachment: parenting skills.
[Analysis 1.46]
Analysis 1.46. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 46 Mother-infant interaction at 6 months follow-up.
[Analysis 1.47]
Analysis 1.47. Comparison 1 Kangaroo mother care versus conventional neonatal care, Outcome 47 Social and home environment.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 1 Mortality at 4 weeks of age.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 2 Morbidity at 4 weeks of age.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 3 Severe infection at 4 weeks of age.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 4 Re-admission to hospital at 4 weeks of age.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 5 Hypothermia.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 6 Weight gain (grams).
[Analysis 2.7]
Analysis 2.7. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 7 Exclusive breast feeding.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Early versus late kangaroo mother care in relatively stable LBW infants, Outcome 8 Length of hospital stay (days).