Centre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, and Tampere University Hospital, Tampere, Finland.
Matern Child Nutr. 2022 Oct;18(4):e13419. doi: 10.1111/mcn.13419. Epub 2022 Aug 10.
This individually randomized trial was conducted to estimate the effect of promoting community-initiated kangaroo mother care (ciKMC) in low birthweight (LBW) infants on infant breastfeeding performance. It was designed as a substudy within a larger primary trial on ciKMC and infant survival. Five hundred fifty stable LBW mother-infant dyads (1500-2250 g) who provided consent, were consecutively enroled for breastfeeding performance assessment. The ciKMC intervention included promotion and support of continuous skin-to-skin contact and exclusive breastfeeding (EBF) through home visits during the neonatal period. The primary outcome was effective breastfeeding performance indicated by an infant breastfeeding assessment tool score of ≥10 after the end of the neonatal period. As secondary outcomes, we reported maternal satisfaction related to infant breastfeeding, and EBF after the end of the neonatal period. We completed outcome assessments in 96% of participants. In the ciKMC arm, 92% of the infants showed effective breastfeeding performance against 81% in the control arm [adjusted prevalence ratio (aPR): 1.24, 95% confidence interval (CI): 1.16-1.32]. In the ciKMC arm, 65% of the mothers reported to be very satisfied with their infants' breastfeeding against 51% in the control arm (aPR: 1.22, 95% CI: 1.05-1.41). The proportion of infants practicing EBF was 89% in the ciKMC arm against 45% in the control arm (aPR: 1.62, 95% CI: 1.45-1.81). Our study findings suggest that promotion of ciKMC can improve effective breastfeeding, EBF and maternal satisfaction related to breastfeeding in LBW infants.
这项个体随机试验旨在评估在低出生体重（LBW）婴儿中推广社区主导的袋鼠式母亲护理（ciKMC）对婴儿母乳喂养表现的影响。它是一项关于 ciKMC 和婴儿生存的更大初级试验的子研究。555 名稳定的 LBW 母婴对（1500-2250g）同意参与母乳喂养表现评估，连续纳入研究。ciKMC 干预包括在新生儿期通过家访促进和支持持续的皮肤接触和纯母乳喂养（EBF）。主要结局是婴儿在新生儿期末期后通过婴儿母乳喂养评估工具评分≥10 表示有效的母乳喂养表现。作为次要结局，我们报告了与婴儿母乳喂养相关的母亲满意度以及新生儿期末期后的 EBF。我们在 96%的参与者中完成了结局评估。在 ciKMC 组中，92%的婴儿表现出有效的母乳喂养表现，而对照组为 81%[调整后的患病率比（aPR）：1.24，95%置信区间（CI）：1.16-1.32]。在 ciKMC 组中，65%的母亲报告对婴儿的母乳喂养非常满意，而对照组为 51%（aPR：1.22，95%CI：1.05-1.41）。在 ciKMC 组中，89%的婴儿实行 EBF，而对照组为 45%（aPR：1.62，95%CI：1.45-1.81）。我们的研究结果表明，推广 ciKMC 可以改善 LBW 婴儿的有效母乳喂养、EBF 和与母乳喂养相关的母亲满意度。
