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Parenting

Kangaroo Mother Care and the Bonding Hypothesis

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

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 5

Mother’s Perception and Mother and Child’s Observed Sensitivity by Intervention Groups (KMC vs TC) and Child’s Need of NICU at Birth

With NICU Without NICU
KMC
(n = 47)
TC
(n = 35)
KMC
(n = 199)
TC
(n = 207)
Mean ± SD Mean ± SD Mean ± SD Mean ± SD
Mothers’ perception (a) (b) (c) (d)
  Sense of competence .24  ± 1.3 -.30  ± .87 .14  ± .98 -.10  ± .97 ac > bd**1
  Stress and worry .07  ± .91 .17  ± 1.3 .04  ± .94 -.08  ± .93 NS
  Support .20  ± 1.3 .25  ± .89 -.14  ± .99 .06  ± .91 ab > cdt2
Mothers’ sensitivity
  Sensitivity .77  ± .09 .75  ± .15 .73  ± .12 .71  ± .13 ab > cd**2
  Response to child’s distress .90  ± .12 .85  ± .15 .89  ± .15 .91  ± .15
  Socioemotional growth fostering .61  ± .14 .66  ± .16 .59  ± .16 .57  ± .15 ab > cd**2
  b > a*3
  Cognitive growth fostering .35  ± .19 .42  ± .24 .33  ± .20 .30  ± .18 ab > cd**2
  b > a*3
  Child’s clarity of cues .66  ± .12 .67  ± .15 .64  ± .14 .62  ± .16 ab > cd*2
  Child’s responsivity to mother .33  ± .12 .34  ± .15 .31  ± .13 .29  ± .14 ab > cd*2
(a), (b), (c), and (d) Represent group means.
* P < .05;
** P < .01;
*** P < .001; t < .10. 1 Group effect; 2 NICU effect; 3 interaction effect.
Pediatrics (ISSN 0031 4005). © 1998 by the American Academy of Pediatrics

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