Does kangaroo mother care save lives?
Does kangaroo mother care save lives?
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DOI：
10.1093/tropej/fml032
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发表时间：
2006-12-01
影响因子：
2
通讯作者：
Prinsloo, R.
中科院分区：
文献类型：
--
作者：
Pattinson, R. C.;Bergh, A. -M.;Prinsloo, R.
为了评估利用南非围产期问题识别方案（PPIP）在医院引入袋鼠妈妈护理（KMC）的影响，对南非的PPIP哨点进行了调查，要求提供有关医院实施袋鼠妈妈护理的信息，以及如果实施了，何时开始实施的信息。每个机构体重在1000克至1999克之间的婴儿的活产和新生儿死亡数据是从国家公私合作伙伴关系数据库中获得的，并且在适用的情况下，将其分为引入KMC之前和之后两个时期。对调查作出回应的40家医院可以将KMC和PPIP数据的做法结合起来。其中，截至2005年1月，8家医院尚未启动KMC， 21家医院拥有KMC启动后一段时间的PPIP数据，11家医院拥有KMC引入前后的PPIP数据。所有不存在KMC的医院及引入KMC前的新生儿死亡率（NNDR）为88.14/1000活产，而存在KMC的医院及引入KMC后的新生儿死亡率（NNDR）为71.43/1000活产[相对风险（RR） 0.81；95%置信区间（CI） 0.72-0.91]。在11家拥有KMC开始前后可靠PPIP数据的医院中，KMC引入前的NNDR为87.72/1000活产，KMC引入后的NNDR为60.76/1000活产（RR 0.62; 95% CI 0.53-0.73）。体重在1000至1999克之间的新生儿NNDR的大幅显著降低与KMC的引入有关。
To assess the impact of the introduction of kangaroo mother care (KMC) in hospitals using the Perinatal Problem Identification Programme (PPIP) in South Africa, a survey was conducted of the PPIP sentinel sites in South Africa requesting information on the practice of KMC in the hospital and if practised, when it had been initiated. Data on live births and the neonatal deaths of infants weighing between 1000 and 1999 g for each institution were obtained from the national PPIP database and, where applicable, divided into two periods, before and after the introduction of KMC. The practice of KMC and PPIP data could be combined for 40 of the hospitals that had responded to the survey. Of these, eight hospitals had not initiated KMC by January 2005, 21 had PPIP data for a period after KMC had commenced and 11 had PPIP data for periods before and after the introduction of KMC. The neonatal death rate (NNDR) for all hospitals with no KMC or before the introduction of KMC was 88.14/1000 live births, whereas the NNDR for hospitals with KMC or after the introduction of KMC was 71.43/1000 live births [relative risk (RR) 0.81; 95% confidence interval (CI) 0.72-0.91]. For the 11 hospitals that had reliable PPIP data for periods before and after the initiation of KMC, the NNDR was 87.72/1000 live births before KMC and 60.76/1000 live births after KMC had been introduced (RR 0.62; 95% CI 0.53-0.73).The large and significant reduction in the NNDR of neonates weighing between 1000 and 1999 g was associated with the introduction of KMC.