Document Detail

Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil.
MedLine Citation:
PMID:  18923784     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the results of the kangaroo mother method in Brazil. METHODS: A prospective cohort study comparing 16 units that have or do not have the second phase of the kangaroo mother method: eight were national centers of excellence for the kangaroo mother method (study group) and eight were part of the Brazilian Neonatal Research Network (control group). A total of 985 newborn infants with birth weights of 500 to 1,749 g were enrolled. Multivariate analyses employed multiple linear regression and Poisson regression with robust adjustment. RESULTS: The adjusted analysis (controlled for birth weight, gestational age, Score for Neonatal Acute Physiology Perinatal Extension II, Neonatal Therapeutic Intervention Scoring System, and maternal age and educational level) demonstrated that mean length of hospital stay (p = 0.14) and intercurrent clinical conditions in the intermediate or kangaroo unit were equal for both groups. Weight (p = 0.012), length (p = 0.039) and head circumference (p = 0.006) at 36 weeks' corrected gestational age were all lower at the kangaroo units. The kangaroo units exhibited superior performance in relation to exclusive breastfeeding at discharge (69.2 vs. 23.8%, p = 0.022). CONCLUSIONS: The evidence suggests that the humanization strategy adopted by the Brazilian Ministry of Health is a safe alternative to conventional treatment and a good strategy for promoting breastfeeding.
Fernando Lamy Filho; Antônio Augusto Moura da Silva; Zeni Carvalho Lamy; Maria Auxiliadora Sousa Mendes Gomes; Maria Elizabeth Lopes Moreira; ;
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Jornal de pediatria     Volume:  84     ISSN:  1678-4782     ISO Abbreviation:  J Pediatr (Rio J)     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-10-16     Completed Date:  2009-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985188R     Medline TA:  J Pediatr (Rio J)     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  428-35     Citation Subset:  IM    
Departamento de Medicina III, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
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MeSH Terms
Case-Control Studies
Cohort Studies
Infant Care / methods*
Infant, Low Birth Weight*
Infant, Newborn
Length of Stay
Prospective Studies
Socioeconomic Factors
Treatment Outcome
Geisy Maria Souza Lima / ; Susane Oliveira de Menezes / ; Arnaldo Costa Bueno / ; Olga Penalva Vieira da Silva / ; Sílvia Helena Cavalcante de Souza Godoy / ; José Maria de Andrade Lopes / ; Carla Nasser Patrocínio / ; Ana Beatriz de Souza Machado / ; Ruth Guinsburg / ; Maria Fernanda Branco de Almeida / ; Ana Lúcia Goulart / ; Renato Machado Fiori / ; Cleide Enoir Petean Trindade / ; Cléa Rodrigues Leone / ; Lilian dos S R Sadeck / ; Renato Soibelmann Procianoy / ; Rita C Silveira / ; Francisco Eulógio Martinez / ; Sérgio Tadeu Martins Marba / ; Gisele Marafon Lopes de Lima /

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