Kangaroo mother care: A randomized controlled trial on effectiveness of early Kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia
Kangaroo mother care: A randomized controlled trial on effectiveness of early Kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia
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DOI：
10.1093/tropej/fmh085
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发表时间：
2005-04-01
影响因子：
2
通讯作者：
Kassie, A
中科院分区：
文献类型：
--
作者：
Worku, B;Kassie, A
在亚的斯亚贝巴进行了一项为期一年（2001 年 11 月至 2002 年 11 月）的随机对照试验，以研究低出生体重婴儿稳定之前早期袋鼠妈妈护理与传统护理方法相比的有效性。研究期间共有 259 名体重低于 2000 克的婴儿，总共 123 名（47.5%）低出生体重婴儿被纳入研究。 62 名婴儿被登记为袋鼠妈妈护理 (KMC) 病例，其余 61 名婴儿为传统护理方法 (CMC) 病例。两个群体的人口和社会经济特征具有可比性。 KMC 和 CMC 入组时的平均年龄分别为 10 小时和 9.8 小时（p > 0.05，置信区间为 95%）。 KMC 的平均出生体重为 1514.8 g（范围 1000-1900 g），CMC 的平均出生体重为 1471.8 g（范围 930-1900 g）（p > 0.05，95% CI），KMC 和 CMC 病例的平均孕龄分别为 32.42 和 31.59 周。 58% 的 KMC 和 52% 的 CMC 病例采用静脉注射。体液。 62 名 KMC 婴儿中的 21 名（34%）和 23/61 名（37%）CMC 婴儿通过鼻咽导管吸氧。 KMC 退出研究的平均年龄为 4.6 天，CMC 为 5.4 天。 KMC 和 CMC 中分别有 91% 和 88% 的婴儿在出生后 7 天内退出研究。研究表明，14/62 (22.5%) 的 KMC 婴儿与 24/63 (38%) 的 CMC 婴儿在研究期间死亡（p < 0.05，CI 为 95%）。大多数死亡发生在出生后的前 12 小时内。早期袋鼠妈妈护理组早产低出生体重儿的存活率在前 12 小时及之后明显优于采用传统护理方法的婴儿。超过 95% 的母亲表示，她们很乐意使用早期袋鼠妈妈法来照顾低出生体重的婴儿。建议研究社区层面袋鼠妈妈护理的可行性和有效性。
A randomized controlled trial was conducted over a 1-year period (November 2001-November 2002) in Addis Ababa to study the effectiveness of early Kangaroo mother care before stabilization of low birthweight infants as compared with the conventional method of care. There were 259 babies weighing less than 2000 g during the study period and a total of 123 (47.5 per cent) low birthweight infants were included in to the study. Sixty-two infants were enrolled as Kangaroo Mother Care (KMC) and the remaining 61 were Conventional Method of Care (CMC) cases. The demographic and socioeconomic characteristics for both groups were comparable. The mean age at the time of enrollment was 10 and 9.8 h for KMC and CMC, respectively (p > 0.05 with 95 per cent confidence interval). The mean birthweight was 1514.8 g (range 1000-1900 g) for KMC and 1471.8 g (range 930-1900 g) for CMC (p > 0.05 with 95 per cent CI) and the mean gestational age was 32.42 and 31.59 weeks for KMC and CMC cases, respectively. Fifty-eight per cent of KMC and 52 per cent of CMC cases were on i.v. fluid. Twenty-one of 62 (34 per cent) of KMC and 23/61 (37 per cent) of CMC babies were on oxygen through nasopharyngeal catheter. The mean age at exit from the study was 4.6 days for KMC and 5.4 days for CMC. Ninety-one per cent and 88 per cent of babies in KMC and CMC were discharged from the study in the first 7 days of life, respectively. The study showed that 14/62 (22.5 per cent) of KMC vs. 24/63 (38 per cent) CMC babies died during the study (p < 0.05 and CI of 95 per cent.) The majority of deaths occurred during the first 12 h of life. Survival for the preterm low birthweight infants was remarkably better for the early kangaroo mother care group than the babies in the conventional method of care in the first 12 h and there after. More than 95 per cent of mothers reported that they were happy to care for their low birthweight babies using the early Kangaroo mother method. It was recommended to study the feasibility and effectiveness of Kangaroo mother care at the community level.