SciELO - Scientific Electronic Library Online

 
vol.84 issue5Effects of non-nutritive sucking and oral stimulation on breastfeeding rates for preterm, low birth weight infants: a randomized clinical trialBiliary atresia: we still operate too late author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Jornal de Pediatria

Print version ISSN 0021-7557

Abstract

LAMY FILHO, Fernando  and  GRUPO DE AVALIACAO DO METODO CANGURU et al. Evaluation of the neonatal outcomes of the kangaroo mother method in Brazil. J. Pediatr. (Rio J.) [online]. 2008, vol.84, n.5, pp. 428-435. ISSN 0021-7557.  http://dx.doi.org/10.1590/S0021-75572008000600009.

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.

Keywords : Kangaroo mother care; low birth weight; humanization.

        · abstract in Portuguese     · text in English | Portuguese     · pdf in English | Portuguese