The relevance of support devices for kangaroo mother care in neonatology units
integrative literature review
DOI:
https://doi.org/10.48492/servir0211.39126Keywords:
newborn, kangaroo-mother care method, protective devices, neonatologyAbstract
Introduction: Kangaroo Mother Care (KMC) is one of the most effective strategies for caring for newborn and their parents, based on the philosophy of Family-Centered Care (FCC). Current literature points out that the safety of the newborn, the lack of resources in Neonatology services, such as protective devices during KMC, are barriers to the efficient implementation of the kangaroo method.
Objective: To identify the evidence available in the literature on support devices in KMC and to understand their relevance during KMC in newborns in neonatal units.
Method: Integrative literature review using the Whittemore and Knaf methodology, with research of studies in electronic databases PubMed, Scopus, Cinahl Complete, and Nursing & Allied Health Collection. The search resulted in 130 articles being detected 38 duplicate articles. Thus, 19 articles were selected for full reading, and according to the defined criteria, 4 studies were included.
Results: Of the included studies, the authors emphasize the importance of support devices in promoting the safety of the newborn, preventing falls, and enabling greater durability of KMC, thereby maximizing skin-to-skin contact, bonding, and breastfeeding.
Conclusion: The use of support devices in KMC offers benefits for newborns owing to their ease of use, appropriate support, allowing correct positioning, especially in the presence of medical devices, and enhancing the newborn’s self-regulation and breastfeeding.
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Abukari, A. S., & Schmollgruber, S. (2023). Concepts of family-centered care at the neonatal and paediatric intensive care unit: a scoping review. Journal of pediatric nursing, 71, e1-e10.
Baley, J., Committee on Fetus and Newborn, Watterberg, K., Cummings, J., Eichenwald, E., Poindexter, B., ... & Goldsmith, J. P. (2015). Skin-to-skin care for term and preterm infants in the neonatal ICU. Pediatrics, 136(3), 596-599.
Claes, S., Guerra, M. C., Du, J., Smits, L. M., Kommers, D., & Oetomo, S. B. (2017). Hugsy: A Comforting Solution for Preterm Neonates Designed to Enhance Parent-Child Bonding. 2017 IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). doi:10.1109/chase.2017.76
Dong, Q., Steen, M., Wepa, D., & Eden, A. (2022). Exploratory study of fathers providing kangaroo care in a neonatal intensive care unit. Journal of clinical nursing.
Dongre, S., Desai, S., & Nanavati, R. (2020). Kangaroo father care to reduce paternal stress levels: a prospective observational before-after study. Journal of Neonatal-Perinatal Medicine, 13(3), 403-411.
Fowler, S., & Lowman, L. B. (2019). Perceptions of newborn falls during physical contact. Nursing2023, 49(12), 57-59.
Hockenberry, M. J., & Barrera, P. (2014). Perspetivas de Enfermagem Pediátrica. In M. J. Hockenberry & D. Wilson (Coords.), Wong, Enfermagem da Criança e do Adolescente, 9ª edição (pp. 1-19). LUSOCIÊNCIA.
Hopia, H., Latvala, E., & Liimatainen, L. (2016). Reviewing the methodology of an integrative review. Scandinavian journal of caring sciences, 30(4), 662-669.
Kommers, D. R., Joshi, R., van Pul, C., Feijs, L., Bambang Oetomo, S., & Andriessen, P. (2019). Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device. Acta Paediatrica, 108(2), 258-265.
Kutcher, A. M., & LeBaron, V. T. (2022). A simple guide for completing an integrative review using an example article. Journal of Professional Nursing, 40, 13-19.
Larocque, C., Peterson, W. E., Squires, J. E., Mason-Ward, M., Mayhew, K., & Harrison, D. (2021). Family-centred care in the Neonatal Intensive Care Unit: A concept analysis and literature review. Journal of Neonatal Nursing, 27(6), 402-411.
Lopes, T. R. G., de Carvalho, J. B. L., Alves, T. R. M., de Medeiros, A. B., de Oliveira, S. S., & de Miranda, F. A. N. (2019). The experience of fathers with the kangaroo mother care method: an integrative review. Rev Rene, 20(1), 71.
Medina, I. M. F., Fernández, L. J., García, Á. J. S., Porcar, A. L., Miguel, E. M., & Gómez, L. C. (2024). Documento de consenso en el método madre canguro. Anales de Pediatría, 101 (3), 208-216). Elsevier Doyma.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International Journal of Surgery, 88, 105906.
Portugal, Instituto Nacional de Estatística. (2024). Estatísticas Demográficas – 2023. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_publicacoes&PUBLICACOESpub_boui=439488367&PUBLICACOESmodo=2
Portugal, Ministério da Saúde, Direção Geral da Saúde. (2018). Saúde Infantil e Juvenil - Portugal. DGS. https://www.dgs.pt/portal-da-estatistica-da-saude/diretorio-de-informacao/diretorio-de-informacao/por-serie-1007690-pdf.aspx?v=%3d%3dDwAAAB%2bLCAAAAAAABAArySzItzVUy81MsTU1MDAFAHzFEfkPAAAA.
Schrauwen, L., Kommers, D. R., & Oetomo, S. B. (2018). Viewpoints of parents and nurses on how to design products to enhance parent–infant bonding at neonatal intensive care units: a qualitative study based on existing designs. HERD: Health Environments Research & Design Journal, 11(2), 20-31.
Srinath, B. K., Shah, J., Kumar, P., & Shah, P. S. (2016). Kangaroo care by fathers and mothers: comparison of physiological and stress responses in preterm infants. Journal of perinatology, 36(5), 401-404.
Thapa, K., Mohan, D., Williams, E., Rai, C., Bista, S., Mishra, S., & Hamal, P. K. (2018). Feasibility assessment of an ergonomic baby wrap for kangaroo mother care: A mixed methods study from Nepal. PloS One, 13(11), e0207206.
Vogl, J. L., Dunne, E. C., Liu, C., Bradley, A., Rwei, A., Lonergan, E. K., Hopkins, B. S., Kwak, S., Simon, C. D., Rand, C. M., Rogers, J. A., Weese-Mayer, D. E., & Garfield, C. F. (2021). Kangaroo father care: A pilot feasibility study of physiologic, biologic, and psychosocial measures to capture the effects of father–infant and mother–infant skin‐to‐skin contact in the Neonatal Intensive Care Unit. Developmental Psychobiology, 63(5), 1521-1533.
Weber, A., & Jackson, Y. (2021). A survey of neonatal clinicians' use, needs, and preferences for kangaroo care devices. Advances in Neonatal Care, 21(3), 232-241.
Weber, A., Elder, M., Voos, K. C., Lambert, J. W., Kaplan, H. C., & Jackson, Y. C. (2020). Clinician opinions and approaches to manage risk related to safe sleep during skin-to-skin care. Journal of Obstetric, Gynecologic & Neonatal Nursing, 49(5), 464-474.
World Health Organization. (2023). Kangaroo mother care: a transformative innovation in health care – Global position paper. https://www.who.int/publications/i/item/9789240072657.
Zengin, H., & Cinar, N. (2021). Designing dress (Sarbebe) for kangaroo care, the effect of kangaroo care provided with this dress on mother and newborn’s comfort†. Health Care for Women International, 1–21. doi:10.1080/07399332.2021.1893733.
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