Bear Rebecca J, Mellor David J
J Perinat Educ. 2017;26(4):177-184. doi: 10.1891/1058-1243.26.4.177.
Kangaroo mother care (KMC) involves infant skin-to-skin contact with the mother from as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Much evidence supports use of KMC clinically as an aid to mitigating some detrimental features of prematurity. This article-the second of two-explores impairments in brain development because of uncongenial inputs from the postnatal therapeutic environment of premature infants, not encountered in utero, and some of their negative neurobehavioral, psychosocial, sociocultural, and economic implications. It is concluded that evidence favoring the use of KMC in stable preterm infants is very strong and that, as noted by others, barriers to implementation of KMC, apart from infant infirmity, are mainly because of hesitancy from parents, health-care professional, and/or institutions, which may be unfounded.
袋鼠式护理（KMC）包括婴儿出生后尽快与母亲进行皮肤接触、纯母乳喂养、从医疗机构提前出院以及在家中进行支持性随访。大量证据支持在临床上使用袋鼠式护理来减轻早产的一些有害特征。本文是系列文章的第二篇，探讨了由于早产儿出生后的治疗环境中存在子宫内未遇到的不适合的输入而导致的脑发育障碍，以及它们的一些负面神经行为、心理社会、社会文化和经济影响。得出的结论是，支持在稳定的早产儿中使用袋鼠式护理的证据非常充分，而且正如其他人所指出的，除了婴儿体弱外，袋鼠式护理实施的障碍主要是由于父母、医护人员和/或机构的犹豫，而这种犹豫可能是没有根据的。
