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SLEEP

FEEDING BABY

KANGAROO CARE

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Skin to Skin Contact

Comparison of Skin-to-Skin (Kangaroo) and Traditional Care

Kangaroo Mother Care and the Bonding Hypothesis

Abstract

Introduction

The Bonding Hypothesis

Objectives and Hypothesis

Method

Results

Table 1

-Table 2

Table 3

Table 4

Table 5

Discussion

Footnotes, Acknowledgements, Abbreviations

References

A Randomized, Controlled Trial of Kangaroo Mother Care

PARENTAL ISSUES

ADDITIONAL RESOURCES

PEDIATRICS Vol. 102 No. 2 August 1998, p. e17

Kangaroo Mother Care and the Bonding Hypothesis

Réjean Tessier*, Marta Cristo, Stella Velez, Marta Girón, SW; Zita Figueroa de Calume,
Juan G. Ruiz-Paláez¤, Yves Charpak, and Nathalie Charpak

From the *School of Psychology, Laval University, Québec, Canada; ISS-World Lab, Kangaroo Mother Care Program, Clinica del Nino, Santa Fe de Bogotá, Colombia; ¤ Clinical Epidemiology Unit, Faculty of Medicine, Javeriana University, Santa Fe de Bogotá, Colombia; and EVAL (Institut pour l'Évaluation dans le domaine Médical, Médico-social et de Santé Publique), Paris, France.

TABLE 2

A Comparison Between the KMC Group and the TC Control Group Based on Factors Related to Newborn Infants
Variables KMC Controls F(p) Variables KMC Controls F(p)
Weight at birth, g
(mean ± SD)		 1660  ± 268 1736  ± 259 .002 Distribution of weight at birth, g n (%)
Length at birth, cm
 41.4  ± 2.9 41.9  ± 2.8 .06 <1201
 20  (8) 16  (7)
  (mean ± SD) 1201-1500 45  (18) 39  (16) .62
1501-2000 181  (74) 187  (77)
Head perimeter at birth (mean ± SD) 30.3  ± 1.8 30.6  ± 1.7 .10 Lubchenco classification,
n (%)
Gestational age at birth 33.1  ± 2.3 33.7  ± 2.6 .02 PT-AGA* 175  (71) 165  (68)
  (mean ± SD) PT-SGA 52  (21) 48  (20) .29
Male/female, n 131/115 105/137 .03 T-SGA 19  (8) 29  (12)
Weight at eligibility, g (mean ± SD) 1633  ± 225 1707  ± 235 .000 Asphyxia according to Apgar at 1 min, n (%)
Age at eligibility (days) 10.0  ± 10.5 8.6  ± 10.0 .11 No asphyxia (8-10) 141  (64) 137  (66)
  (mean ± SD) Mild (6-7) 68  (31) 57  (27) .55
Head perimeter, 41 weeks (mean ± SD) 34.7  ± 1.6 34.7  ± 1.6 .97 Moderate (4-5) 8  (4) 7  (3)
Severe (0-3) 4  (2) 8  (4)
Weight (g) at 41 weeks (mean ± SD) 2851  ± 527 2855  ± 513 .93 Feeding, n (%)
Breastfeeding only 105  (43) 111  (46)
Height at 41 weeks, cm 46.8  ± 2.3 47.0  ± 2.3 .42 Breast and formula 135  (55) 111  (46) .01
  (mean ± SD) Formula 6  (2.4) 20  (8.3)
* PT-AGA indicates preterm, appropriate for gestational age; PT-SGA, preterm, small for gestational age; T-SGA, term, small for gestational age.


Pediatrics (ISSN 0031 4005). © ©1998 by the American Academy of Pediatrics

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