Bear Rebecca J, Mellor David J
J Perinat Educ. 2017;26(3):117-124. doi: 10.1891/1058-1243.26.3.117.
Kangaroo mother care (KMC) involves placing the newborn infant into prolonged and continuous skin-to-skin contact with the mother as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Claimed benefits of KMC as an aid to the clinical mitigation of some detrimental features of prematurity need to be evidence based. This article, the first of two, provides an overview of the impact of prematurity on those features of neonates to which KMC may be directed. Specifically, the mitigation of some cardiorespiratory, neurophysiological, sensory, gastrointestinal, musculoskeletal, renal, metabolic, and immunological impacts are outlined. Relevant neurobehavioral, psychosocial, sociocultural, and economic perspectives are briefly reviewed in the companion article. These two articles provide scientific support for a wider upscaling of KMC education and its cautious use in physiologically stable preterm infants.
袋鼠式护理（KMC）包括在新生儿出生后尽快让其与母亲进行长时间的持续皮肤接触、纯母乳喂养、尽早从医疗机构出院以及在家中进行支持性随访。作为一种有助于临床减轻早产某些有害特征的方法，袋鼠式护理所宣称的益处需要有循证依据。本文是系列两篇文章中的第一篇，概述了早产对袋鼠式护理可能针对的新生儿特征的影响。具体而言，文中概述了对一些心肺、神经生理、感官、胃肠、肌肉骨骼、肾脏、代谢和免疫方面影响的减轻情况。相关的神经行为、心理社会、社会文化和经济观点将在配套文章中简要回顾。这两篇文章为更广泛地推广袋鼠式护理教育及其在生理状况稳定的早产儿中的谨慎应用提供了科学支持。
