We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Kangaroo mother care enhances exclusive breastmilk feeding and shortens time to achieve full enteral feeding in extremely preterm infants requiring non-invasive assisted ventilation.
- Authors
Li, Jiaxin; Wang, Huiyan; Yang, Jiaming; Chen, Xueyu; Cao, Aifen; Yang, Chuanzhong; Xiong, Xiaoyun
- Abstract
Background: Extremely preterm infants (EPIs) frequently encounter challenges in feeding due to their underdeveloped digestive systems. Attaining full enteral feeding at the earliest possible stage can facilitate the removal of vascular catheters and decrease catheter-related complications. Methods: We performed a retrospective cohort study comprising 145 extremely preterm infants with a gestational age < 28 weeks who underwent non-invasive mechanical ventilation at Shenzhen Maternity & Child Healthcare Hospital between January 2019 and June 2020. The KMC group received standard nursing care along with KMC, while the control group received standard nursing care without KMC. KMC initiation took place three weeks after admission and continued for a period of two weeks or more while maintaining stable vital signs. We evaluated the rate of exclusive breastmilk feeding within 24 h prior to discharge and the time to full enteral feeding throughout hospitalization. Additionally, we conducted a multiple linear regression analysis to identify the independent factors associated with exclusive breastmilk feeding rates and the time to full enteral feeding. Results: The KMC group exhibited a significantly higher rate of exclusive breastmilk feeding in the 24 h before discharge in comparison to the Non-KMC group (52.8% vs. 31.5%, OR 2.43; 95% CI 1.24, 4.78). Moreover, the KMC group achieved full enteral feeding in a shorter duration than the Non-KMC group (43.1 ± 9.6 days vs. 48.7 ± 6.9 days, p < 0.001). Multiple linear regression analysis revealed that KMC was an independent protective factor associated with improved exclusive breastmilk feeding rates (OR 2.43; 95% CI 1.24, 4.78) and a reduction in the time to full enteral feeding (β -5.35, p < 0.001) in extremely preterm infants. Conclusion: Kangaroo Mother Care (KMC) can expedite the achievement of full enteral feeding and enhance exclusive breastmilk feeding rates in extremely preterm infants receiving non-invasive assisted ventilation. These findings highlight the beneficial effects of KMC on the feeding outcomes of this vulnerable population, underscoring the importance of implementing KMC as a part of comprehensive care for extremely preterm infants.
- Subjects
BREASTFEEDING; RESEARCH funding; AT-risk people; HOSPITAL care; MULTIPLE regression analysis; POSTNATAL care; BREAST milk; RETROSPECTIVE studies; DISCHARGE planning; HOSPITALS; DESCRIPTIVE statistics; ENTERAL feeding; LONGITUDINAL method; SURGICAL complications; ODDS ratio; ARTIFICIAL respiration; GESTATIONAL age; CATHETERS; CHILD care; COMPARATIVE studies; CONFIDENCE intervals; PATIENT positioning
- Publication
International Breastfeeding Journal, 2024, Vol 19, Issue 1, p1
- ISSN
1746-4358
- Publication type
Article
- DOI
10.1186/s13006-024-00662-9