Effects of kangaroo contact on some physiological parameters in term neonates and pain score in mothers with cesarean section

Majallah-i ̒Ilmī-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Simnān

关键词: Kangaroo contact;    Cesarean section;    Mothers;    Neonates;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Effects of Kangaroo mother care (KMC) has been shown for pre-term infants, howeverKMC has not been studied adequately in term newborns. This study was performed to evaluate the effectof Kangaroo contact (KC) on some physiological parameters in term neonates and pain score in motherswith cesarean section (C/S) in Fatemiye hospital of Shahrood (Iran).Materials and Methods: In a randomized clinical trail, 160 mother-infant dyads divided in two KC androutine care (RC) groups. KC was done three 60 min/day for two consecutive days. After cesareansection, pain intensity was determined with verbal numeric analog scale (0-10 score). Temperature wasobserved in four sets for each neonate. Infant’s reflexes scores, neonatal jaundice and urine cortisol ofneonates were compared between two groups. Mother’s satisfaction was recorded before discharge ofhospital by checklist.Results: Both groups were similar regarding to all baseline variables. A significant increasing intemperature was observed in half an hour (36.8 vs 36.6 ºC, P<0.05) and just before discontinuing KC (anhour after initiating KC) (36.9 vs 36.6 ºC, P<0.001). Pain score in mother after C/S (6 vs 7.8, P<0.001),number of sever crying (5.6 vs 12.3, P<0.05 ) in hospital and urine cortisol before discharging were lowerthan RC group (388.4 vs 471.3 μ/24 hours, P<0.05, ) There was no significant differences in jaundice andmean of reflexes score in neonates. Overall, perception of mothers was positive toward KC.Conclusions: This study provides evidences showing that using KC had beneficial effects for bothmother and infant. In addition, in order to prevention of the complications due to separation of neonatesfrom their mothers in C/S, skin to skin contact as a routine care is recommended in cesarean sectionunites in Iran.

【 授权许可】

Unknown