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A Gómez Papí

Publications and source records attributed to A Gómez Papí.

3 recordsLinked to original sources
PubMed1998

[Kangaroo method in delivery room for full-term babies].

OBJECTIVE: Our objective was to determine the tolerance to kangaroo care in the delivery room. PATIENTS AND METHODS: We have studied 651 normal full term newborn infants delivered in our hospital during an 8 month period. Immediately after birth, the newborn infants were dried and placed in skin-to-skin contact between their mother's breasts. They remained in kangaroo care in the delivery room, during transportation to the post-partum area and in their room as long as two hours. The kangaroo care duration, the infant's post-kangaroo care axillary temperature, the mother's and infant's attitudes and the type of newborn feeding were recorded. RESULTS: Of the patients studied, 533 (82%) were put in skin-to-skin contact and the kangaroo care lasted 49 +/- 23 min (mean +/- SD). Eighty-percent of the mothers had decided previously to breastfeed their child. The post-kangaroo care axillary temperature was > or = 36 degrees C in 96% of the newborns and it was proportional to the kangaroo care duration (r = 0.31, p < 0.0001; IC 95%; beta = 0.0038-0.0068). During kangaroo care, most of the mothers looked at their child and were happy, although 21% felt tired. Almost all infants (98.5%) stayed awake. The newborn infants who spontaneously did the first breastfeeding during the skin-to-skin contact remained more time in kangaroo care (60 +/- 22 vs 36 +/- 17 minutes; p < 0.0001). If the infant remained more than 50 minutes in kangaroo care, he had nearly 8 times more probability of breastfeeding spontaneously (odds ratio = 7.73; IC 95%: OR = 4.02-15.1). CONCLUSIONS: We recommend kangaroo care in the delivery room as a safe and well tolerated method for mothers and newborn infants which contributes to their well-being. In order to improve breastfeeding and the newborn's temperature, we recommend that the infant remains more than 50 minutes in kangaroo care.

Breast Feeding↗
PubMed1998

["Kangaroo method" in the care of premature infants admitted to a neonatal intensive care unit].

OBJECTIVE: More and progressively smaller preterm infants are taken out of the incubator and placed skin-to-skin (kangaroo care) on their mother's chest to promote bonding and breastfeeding. The aim of our study was to know the tolerance to kangaroo care and its security for preterm infants and their mothers, as well as its relationship to breastfeeding. PATIENTS AND METHODS: We studied 445 sessions of 38 stable preterm newborns in our Neonatal Intensive Care Unit (NICU). Their mean birth weight was 1,452 +/- 415 g and gestational age 31.5 +/- 2 weeks (mean +/- SD). The preterm infants, dressed in a diaper and cotton cap, were placed in skin-to-skin contact between their mother's breasts in an upright position and covered with a towel. The kangaroo care duration, temperature, heart rate, respiratory rate, StcO2, and the mother and infant behavioral responses were recorded. During kangaroo care, the preterm infants were nourished by their mother's milk directly by breastfeeding or by intermittent tube feeding, depending on their sucking reflex. The kangaroo care lasted 30-90 minutes, one to eight times a day depending on the availability of the mother. RESULTS: During the kangaroo care, body temperatures, heart rate, respiratory rate and StcO2 remained stable. In the majority of cases, In the majority of cases, the preterm infants showed conduct patterns that indicated good tolerance toward this method, including open hand, sleeping, alert tranquility and even smiles. The breastfeeding sessions were longer than normal because the premature infants alternated short periods of sucking with longer sleep periods. Mothers participated actively looking, talking, touching, smiling and even playing with their preterm infants. CONCLUSIONS: Kangaroo care is a safe and well-accepted method for preterm infants admitted to a NICU and their mothers. Intermittent kangaroo care does not allow for breastfeeding by demand, therefore with the smallest preterm infants, we are obligated to supplement feeding with the mother's milk by tube gavage.

Adult↗