Department of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
Int Breastfeed J. 2019 Feb 19;14:12. doi: 10.1186/s13006-019-0206-0. eCollection 2019.
Kangaroo mother care is a comprehensive intervention given for all newborns especially for premature and low birthweight infants. It is the most feasible and preferred intervention for decreasing neonatal morbidity and mortality. Even though time to initiating breastfeeding has been examined by randomized controlled trials, varying findings have been reported. Therefore, the main objective of this meta-analysis was to estimate the pooled mean time to initiate breastfeeding among preterm and low birthweight infants.
The authors searched for randomized controlled trial studies conducted on the effects of kangaroo mother care on the time to breastfeeding initiation among preterm and low birthweight infants. Published articles were identified through a computerized search of electronic databases that includes MEDLINE via PubMed, EMBASE, CINAHL and CENTRAL. The search terms were kangaroo mother care or (skin to skin), or conventional care, newborns, preterm infants, low birthweight infants and randomized controlled trial. A total of 467 eligible titles were identified and eight studies met the inclusion criteria. The extracted data were entered and analyzed using Cochrane Review Manager-5-3 software. Heterogeneity across studies was evaluated by Chi test and inconsistency index (I). Publication bias was assessed using a funnel plot. The random effect model was applied to estimate the pooled mean time to initiate breastfeeding with 95% confidence interval.
In this meta-analysis, the overall pooled mean time to initiate breastfeeding was 2.6 days (95% CI 1.23, 3.96). Preterm and low birthweight infants receiving kangaroo mother care intervention initiated breastfeeding 2 days 14 h 24 min earlier than conventional care of radiant warmer/incubator method.
Kangaroo mother care promotes early initiation of breastfeeding as compared to conventional care method. Therefore, health facilities need to implement the kangaroo mother care for preterm and low birthweight infants.
袋鼠式护理是一种针对所有新生儿的综合干预措施，尤其适用于早产儿和低出生体重儿。它是降低新生儿发病率和死亡率最可行和首选的干预措施。尽管随机对照试验已经研究了开始母乳喂养的时间，但报告的结果却有所不同。因此，本荟萃分析的主要目的是估计早产儿和低出生体重儿开始母乳喂养的平均时间。
作者搜索了关于袋鼠式护理对早产儿和低出生体重儿母乳喂养开始时间影响的随机对照试验研究。通过计算机检索包括 MEDLINE 在内的电子数据库，即 PubMed、EMBASE、CINAHL 和 CENTRAL，确定了已发表的文章。检索词包括袋鼠式护理或（皮肤接触）或常规护理、新生儿、早产儿、低出生体重儿和随机对照试验。共确定了 467 个符合条件的标题，其中 8 项研究符合纳入标准。使用 Cochrane Review Manager-5-3 软件输入和分析提取的数据。通过 Chi 检验和不一致指数（I）评估研究之间的异质性。使用漏斗图评估发表偏倚。应用随机效应模型估计 95%置信区间内开始母乳喂养的平均时间。
在这项荟萃分析中，总的平均开始母乳喂养时间为 2.6 天（95%CI 1.23, 3.96）。接受袋鼠式护理干预的早产儿和低出生体重儿比传统的辐射保暖器/孵化器方法早 2 天 14 小时 24 分钟开始母乳喂养。
与传统护理方法相比，袋鼠式护理促进了母乳喂养的早期开始。因此，医疗机构需要为早产儿和低出生体重儿实施袋鼠式护理。
