Baley Jill
Pediatrics. 2015 Sep;136(3):596-9. doi: 10.1542/peds.2015-2335.
“Kangaroo mother care” was first described as an alternative method of caring for low birth weight infants in resource-limited countries, where neonatal mortality and infection rates are high because of overcrowded nurseries, inadequate staffing, and lack of equipment. Intermittent skin-to-skin care (SSC), a modified version of kangaroo mother care, is now being offered in resource-rich countries to infants needing neonatal intensive care, including those who require ventilator support or are extremely premature. SSC significantly improves milk production by the mother and is associated with a longer duration of breastfeeding. Increased parent satisfaction, better sleep organization, a longer duration of quiet sleep, and decreased pain perception during procedures have also been reported in association with SSC. Despite apparent physiologic stability during SSC, it is prudent that infants in the NICU have continuous cardiovascular monitoring and that care be taken to verify correct head positioning for airway patency as well as the stability of the endotracheal tube, arterial and venous access devices, and other life support equipment.
“袋鼠式护理”最初被描述为资源有限国家照顾低体重婴儿的一种替代方法，在这些国家，由于新生儿重症监护病房拥挤、人员配备不足和设备缺乏，新生儿死亡率和感染率很高。间歇性皮肤接触护理（SSC）是袋鼠式护理的一种改良形式，目前在资源丰富的国家为需要新生儿重症监护的婴儿提供，包括那些需要呼吸机支持或极度早产的婴儿。SSC显著提高了母亲的乳汁分泌量，并与更长时间的母乳喂养有关。与SSC相关的还有父母满意度提高、睡眠结构改善、安静睡眠持续时间延长以及操作过程中疼痛感知降低。尽管在SSC期间婴儿生理状态明显稳定，但新生儿重症监护病房的婴儿进行连续心血管监测，并注意确保气道通畅的正确头部位置以及气管内导管、动脉和静脉通路装置及其他生命支持设备的稳定性是谨慎之举。
