Cattaneo A, Davanzo R, Uxa F, Tamburlini G
Bureau for International Health, Istituto per l'Infanzia, Trieste, Italy.
Acta Paediatr. 1998 Apr;87(4):440-5. doi: 10.1080/08035259850157066.
Good quality care of low birthweight infants could reduce neonatal mortality in low-income countries, but the technologies used in rich countries are inappropriate. Kangaroo Mother Care does not need expensive and sophisticated equipment, and for its simplicity it can be applied almost everywhere, including peripheral maternity units of very low-income countries. Kangaroo Mother Care (KMC) can also contribute to the humanization of neonatal care and to better bonding between mother and baby in both poor and rich countries. A group of health professionals with experience in KMC met in a workshop to discuss its effectiveness, safety, applicability and acceptability in different settings: from first and second level maternity units in settings with very limited resources, to second and third level units in settings with limited resources, to second and third level maternity and neonatal care units in settings with ample resources and infant mortality rates <15/1000. The paper summarizes the recommendations of this group of health professionals for the implementation of KMC in these various settings, together with suggested research priorities.
为低体重婴儿提供高质量护理可降低低收入国家的新生儿死亡率，但富裕国家使用的技术并不适用。袋鼠式护理不需要昂贵和复杂的设备，因其简单易行，几乎可在任何地方应用，包括低收入国家的基层产科单位。袋鼠式护理（KMC）还可促进新生儿护理的人性化，并在贫穷和富裕国家改善母婴之间的亲密关系。一群具有袋鼠式护理经验的卫生专业人员在一次研讨会上会面，讨论其在不同环境中的有效性、安全性、适用性和可接受性：从资源非常有限地区的一级和二级产科单位，到资源有限地区的二级和三级单位，再到资源充足且婴儿死亡率<15‰的二级和三级产科及新生儿护理单位。本文总结了这群卫生专业人员针对在这些不同环境中实施袋鼠式护理的建议，以及建议的研究重点。
