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Intervention Review

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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

SEARCH

This is not the most recent version of the article. View current version (22 APR 2014)

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Ali 2009 {published data only}
  • Ali SM, Sharma J, Sharma R, Alam S. Kangaroo mother care as compared to conventional care for low birth weight babies. Dicle Medical Journal 2009;36(3):155-60.
Blaymore Bier 1996 {published data only}
  • Bier JA, Ferguson AE, Morales Y, Liebling JA, Archer D, Oh W, Vohr BR. Comparison of skin-to-skin contact with standard contact in low-birth-weight infants who are breast-fed. Archives of Pediatrics & Adolescent Medicine 1996;150(12):1265-9.
Boo 2007 {published data only}
Cattaneo 1998 {published data only}
  • Cattaneo A, Davanzo R, Worku B, Surjono A, Echeverria M, Bedri A, et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatrica 1998;87(9):976-85.
Charpak 1997 {published data only}
Gathwala 2008 {published data only}
Kadam 2005 {published data only}
  • Kadam S, Binoy S, Kanbur W, Mondkar JA, Fernandez A. Feasibility of kangaroo mother care in Mumbai. Indian Journal of Pediatrics 2005;72(1):35-8.
Nagai 2010 {published data only}
Neu 2010 {published data only}
Ramanathan 2001 {published data only}
  • Ramanathan K, Paul VK, Deorari AK, Taneja U, George G. Kangaroo Mother Care in very low birth weight infants. Indian Journal of Pediatrics 2001;68(11):1019-23.
Roberts 2000 {published data only}
  • Roberts KL, Paynter C, McEwan B. A comparison of kangaroo mother care and conventional cuddling care. Neonatal Network 2000;19(4):31-5.
Rojas 2003 {published data only}
  • Rojas MA, Kaplan M, Quevedo M, Sherwonit E, Foster LB, Ehrenkranz RA, Mayes L. Somatic growth of preterm infants during skin-to-skin care versus traditional holding: a randomized, controlled trial. Journal of Developmental and Behavioral Pediatrics 2003;24(3):163-8.
Sloan 1994 {published data only}
  • Sloan NL, Camacho LW, Rojas EP, Stern C. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Lancet 1994;344(8925):782-5.
Suman 2008 {published data only}
  • Suman RP, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: a randomized controlled trial. Indian Pediatrics 2008;45(1):17-23.
Whitelaw 1988 {published data only}
  • Whitelaw A, Heisterkamp G, Sleath K, Acolet D, Richards M. Skin to skin contact for very low birthweight infants and their mothers. Archives of Disease in Childhood 1988;63(11):1377-81.
Worku 2005 {published data only}
  • Worku B, Kassie A. Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. Journal of Tropical Pediatrics 2005;51(2):93-7.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Ahn 2010 {published data only}
  • Ahn HY, Lee J, Shin HJ. Kangaroo care on premature infant growth and maternal attachment and post-partum depression in South Korea. Journal of Tropical Pediatrics 2010;56(5):342-4.
Anderson 2003 {published data only}
Arandia 1993 {published data only}
  • Arandia R, Morales L. Program kangaroo mother [Programa Madre-Canguro]. Gaceta Medica Boliviana 1993;17:51-5.
Bergman 1994 {published data only}
Bergman 2004 {published data only}
  • Bergman NJ, Linley LL, Fawcus SR. Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200- to 2199-gram newborns. Acta Paediatrica 2004;93(6):779-85.
Charpak 1994 {published data only}
  • Charpak N, Ruiz-Peláez JG, Charpak Y. Rey-Martinez. Kangaroo Mother Program: an alternative way of caring for low birth weight infants? One year mortality in a two cohort study. Pediatrics 1994;94(6):804-10.
Chiu 2009 {published data only}
  • Chiu SH, Anderson GC. Effect of early skin-to-skin contact on mother-preterm infant interaction through 18 months: randomized controlled trial.. International Journal of Nursing Studies 2009;46(9):1168-80.
Christensson 1998 {published data only}
Chwo 2002 {published data only}
  • Chwo MJ, Anderson GC, Good M, Dowling DA, Shiau SH, Chu DM. A randomized controlled trial of early kangaroo care for preterm infants: effects on temperature, weight, behavior, and acuity. Journal of Nursing Research 2002;10(2):129-42.
Dala Sierra 1994 {published data only}
  • Dala Sierra E, Pineda Barahona E, Banegas RM. Kangaroo mother experience [Experiencia madre canguro]. Revista Medica Hondureña 1994;62:43-6.
Darmstadt 2006 {published data only}
  • Darmstadt GL, Kumar V, Yadav R, Singh V, Singh P, Mohanty S, et al. Introduction of community-based skin-to-skin care in rural Uttar Pradesh, India. Journal of Perinatology 2006;26(10):597-604.
de Almeida 2010 {published data only}
  • de Almeida H, Venancio SI, Sanches MT, Onuki D. The impact of kangaroo care on exclusive breastfeeding in low birth weight newborns. Jornal de Pediatria (Rio J) 2010;86(3):250-3.
de Macedo 2007 {published data only}
  • de Macedo EC, Cruvinel F, Lukasova K, D'Antino ME. The mood variation in mothers of preterm infants in Kangaroo mother care and conventional incubator care. Journal of Tropical Pediatrics 2007;53(5):344-6.
Feldman 2002 {published data only}
  • Feldman R, Eidelman AI, Sirota L, Weller A. Comparison of skin-to-skin (kangaroo) and traditional care: parenting outcomes and preterm infant development. Pediatrics 2002;110(1):16-26..
Hake Brooks 2008 {published data only}
  • Hake-Brooks SJ, Anderson GC. Kangaroo care and breastfeeding of mother-preterm infant dyads 0-18 months: a randomized, controlled trial. Neonatal Network 2008;27(3):151-9.
Huang 2006 {published data only}
  • Huang YY, Huang CY, Lin SM, Wu SC. Effect of very early kangaroo care on extrauterine temperature adaptation in newborn infants with hypothermia problems [In Chinese]. Hu Li Za Zhi Journal of Nursing 2006;53(4):41-8.
Ibe 2004 {published data only}
  • Ibe OE, Austin T, Sullivan K, Fabanwo O, Disu E, Costello AM. A comparison of kangaroo mother care and conventional incubator care for thermal regulation of infants < 2000 g in Nigeria using continuous ambulatory temperature monitoring. Annals of Tropical Paediatrics 2004;24(3):245-51.
Kambarami 1998 {published data only}
  • Kambarami RA, Chidede O, Kowo DT. Kangaroo care versus incubator care in the management of well preterm infants--a pilot study. Annals of Tropical Paediatrics 1998;18(2):81-6..
Kumar 2008 {published data only}
  • Kumar V, Mohanty S, Kumar A, Misra RP, Santosham M, Awasthi S, et al. Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: a cluster-randomised controlled trial. Lancet 2008;372(9644):1151-62.
Lai 2006 {published data only}
  • Lai HL, Chen CJ, Peng TC, Chang FM, Hsieh ML, Huang HY, Chang SC. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants' responses. International Journal of Nursing Studies 2006;43(2):139-46.
Lamy Filho 2008 {published data only}
  • Lamy Filho F, Silva AA, Lamy ZC, Gomes MA, Moreira ME. Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil. Jornal de Pediatria (Rio J) 2008;84(5):428-35.
Legault 1993 {published data only}
  • Legault M, Goulet C. Comparative study of two methods of holding premature infants: the kangaroo method versus the traditional method [Etude comparative de deux méthodes de sortie du prématuré: méthode kangourou versus méthode traditionnelle]. Canadian Journal of Nursing Research 1993;25(4):67-80.
Legault 1995 {published data only}
  • Legault M, Goulet C. Comparison of kangaroo and traditional methods of removing preterm infants from incubators. Journal of Obstetric, Gynecologic and Neonatal Nursing 1995;24(6):501-6.
Lincetto 2000 {published data only}
Ludington-Hoe 1991 {published data only}
  • Ludington SM, Hadeed AJ, Anderson G. Cardiorespiratory, thermal and state effects of kangaroo care for preterm infants: randomized controlled trial. Pediatric Research 1991;29(4):223A.
Ludington-Hoe 2000 {published data only}
  • Ludington-Hoe SM, Nguyen N, Swinth JY, Satyshur RD. Kangaroo care compared to incubators in maintaining body warmth in preterm infants. Biological Research for Nursing 2000;2(1):60-73.
Ludington-Hoe 2004 {published data only}
  • Ludington-Hoe SM, Anderson GC, Swinth JY, Thompson C, Hadeed AJ. Randomized controlled trial of kangaroo care: cardiorespiratory and thermal effects on healthy preterm infants. Neonatal Network 2004;23(3):39-48.
Ludington-Hoe 2006 {published data only}
  • Ludington-Hoe SM, Johnson MW, Morgan K, Lewis T, Gutman J, Wilson PD, Scher MS. Neurophysiologic assessment of neonatal sleep organization: preliminary results of a randomized, controlled trial of skin contact with preterm infants. Pediatrics 2006;117(5):e909-23.
Miles 2006 {published data only}
Miltersteiner 2005 {published data only}
  • Miltersteiner AR, Dalle Molle L, Marchetto Claus S, Rotta NT. Length of hospital stay of preterm infants observed in the Kangaroo position and prone position in incubator [Tempo de internação hospitalar de bebês pré-termos observados na Posição Mãe-Canguru e na Posição Prona na incubadora]. Revista AMRIGS 2005;49(1):20-6.
Ohgi 2002 {published data only}
  • Ohgi S, Fukuda M, Moriuchi H, Kusumoto T, Akiyama T, Nugent JK, Brazelton TB, Arisawa K, Takahashi T, Saitoh H. Comparison of kangaroo care and standard care: behavioral organization, development, and temperament in healthy, low-birth-weight infants through 1 year. Journal of Perinatology 2002;22(5):374-9.
Sloan 2008 {published data only}
  • Sloan NL, Ahmed S, Mitra SN, Choudhury N, Chowdhury M, Rob U, Winikoff B. Community-based kangaroo mother care to prevent neonatal and infant mortality: a randomized, controlled cluster trial. Pediatrics 2008;121(5):e1047-59.
Tallandini 2006 {published data only}

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Udani 2008 {published data only}
  • Udani R, Nanavati R, Mauskar AV, Suman R. Innovation: KEM Kangaroo bag for Kangaroo care. http://kangaroo.javeriana.edu.co/encuentros/7encuentro/workshop/Abstract-Posters/Rekha%20Udani%205.pdf (June 30, 2010 date last accessed) 2008.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Barker 1995
Bassler 2010
  • Bassler D, Briel M, Montori VM, Lane M, Glasziou P, Zhou Q, et al. Stopping randomized trials early for benefit and estimation of treatment effects: systematic review and meta-regression analysis. Journal of the American Medical Association 2010;303(12):1180-7.
Charpak 1996
  • Charpak N, Ruiz-Peláez JG, Figueroa de Calume Z. Current knowledge of kangaroo mother Intervention. Current Opinion in Pediatrics 1996;8(2):108-12.
Diaz-Rossello 2008
  • Díaz-Rossello JL, Ferreira-Castro A. Maternology: When a Baby is Born, a Mother is Born. NeoReviews 2008;9(8):e326-e331.
Egger 1997
  • Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analyses detected by a simple graphical test. British Medical Journal 1997;315(7109):629-34.
Guyer 1998
Higgins 2003
Higgins 2009
  • Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.0.2 [updated September 2009]. The Cochrane Collaboration 2009.
Johnston 2010
  • Johnston C, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Skin-to-skin care for procedural pain in neonates (Protocol). Cochrane Database of Systematic Reviews 2010, Issue 3. [DOI: 10.1002/14651858.CD008435]
Lawn 2005
Lawn 2010
  • Lawn JE, Mwansa-Kambafwile J, Horta BL, Barros FC, Cousens S. 'Kangaroo mother care' to prevent neonatal deaths due to preterm birth complications. International Journal of Epidemiology 2010;39(Suppl 1):i144-54.
Moore 2007
Nyqvist 2010
RevMan 2008
  • The Nordic Cochrane Centre, Denmark. The Cochrane Collaboration. Review Manager (RevMan). 5.0.24. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration 2008.
Rey 1983
  • Rey E, Martinez H. Rational management of the premature infant [Manejo racional del niño prematuro]. I Curso de Medicina Fetal y Neonatal. Bogota, Colombia:: Universidad Nacional, 1983:137-51.
Roberts 2010
  • Roberts G, Anderson PJ, Doyle LW, Victorian Infant Collaborative Study Group. The stability of the diagnosis of developmental disability between ages 2 and 8 in a geographic cohort of very preterm children born in 1997. Archives of Disease in Childhood 2010;95(10):786-90.
Ruiz-Peláez 2004
UNICEF/WHO 2004
  • United Nations Childrens Fund and World Health Organization. Low birthweight: Country, regional and global estimates. UNICEF. New York, 2004.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Conde-Agudelo 2000
  • Conde-Agudelo A, Diaz-Rossello JL, Belizan JM. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews 2000, Issue (4):CD002771. [Art. No.: CD002771. DOI: 10.1002/14651858.CD002771.pub2]
Conde-Agudelo 2003
  • Conde-Agudelo A, Diaz-Rossello JL, Belizan JM. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews 2003, Issue (2):CD002771. [Art. No.: CD002771. DOI: 10.1002/14651858.CD002771.pub2]