Nunes Cynthia Ribeiro do Nascimento, Campos Luís Gustavo, Lucena Aline Moreira, Pereira Janser Moura, Costa Patrícia Rodrigues da, Lima Flávia Aparecida Felipe de, Azevedo Vivian Mara Gonçalves de Oliveira
Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil.
Hospital Sofia Feldman, Belo Horizonte, MG, Brasil.
Rev Paul Pediatr. 2017 Apr-Jun;35(2):136-143. doi: 10.1590/1984-0462/;2017;35;2;00006.
To analyze the influence of the Kangaroo Position duration in the initial interactions between mothers and preterm infants.
This is an exploratory prospective observational study that analyzed the mother-infant interaction during breastfeeding, before hospital discharge. All eligible newborns, with a gestational age of 28-32 weeks and a birth weight of 1,000-1,800 g from June 11 to September 31, 2014 were included. The films of the interaction were evaluated by the "Mother-Baby Interaction Protocol 0-6 months" tool. The duration of the Kangaroo Position during all the hospitalization period was correlated with the interaction between mother and preterm infant.
The longer the dyad spent time in the Kangaroo Position, the more the newborns made physical contact attempts with their mothers during breastfeeding (r=0.37; p=0.03); and the longer the time in the Kangaroo Position, the less the mothers talked to their children (r=-0.47; p=0.006).
Longer periods in the Kangaroo Position stimulates the initial exchanges of contact between preterm infant with his mother, which suggests a higher alert status of the newborn and a better availability for interactions with the mother during breastfeeding.
分析袋鼠式护理时长对母亲与早产儿初次互动的影响。
这是一项探索性前瞻性观察研究,分析出院前母乳喂养期间的母婴互动。纳入了2014年6月11日至9月31日期间所有符合条件的新生儿,其孕周为28 - 32周,出生体重为1000 - 1800克。互动视频通过“0 - 6个月母婴互动协议”工具进行评估。整个住院期间袋鼠式护理的时长与母亲和早产儿之间的互动相关。
母婴在袋鼠式护理中花费的时间越长,新生儿在母乳喂养期间与母亲进行身体接触尝试的次数就越多(r = 0.37;p = 0.03);且在袋鼠式护理中的时间越长,母亲与孩子交谈的次数就越少(r = -0.47;p = 0.006)。
较长时间的袋鼠式护理能促进早产儿与母亲之间的初次接触交流,这表明新生儿的警觉状态更高,且在母乳喂养期间与母亲互动的意愿更强。