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Physiological effects of kangaroo care in very small preterm infants.

Kangaroo care for preterm infants has great benefits for the parents and for the parent-infant bonding process. A clinical observational study was conducted in which several physiological variables were collected, including among others transcutaneous oxygen pressure, heart rate, respiratory rate, occurrence of apneic attacks, breathing pattern (studied with power spectrum analysis), behavioral states and rectal temperature, during kangaroo care in small preterm infants. Kangaroo-care did not significantly affect any of these physiological variables comparing the period of 1 h before, 1 h during and 1 h after kangaroo care. We conclude that kangaroo care is a safe method, even for very small nonstabilized preterm infants.

Blood Gas Monitoring, Transcutaneous

Current knowledge about skin-to-skin (kangaroo) care for preterm infants.

Skin-to-skin ("kangaroo") care for preterm infants is becoming widespread in Western Europe. During this care the mother holds her diaper-clad premature infant against her skin beneath her clothing and allows self-regulatory access to breast-feeding. Fathers hold their infants skin-to-skin also. Research projects in Western Europe and the United States provide data that support the safety and effectiveness of this method. Infants held skin-to-skin are warm enough and have regular heart rate and respirations, more deep sleep and alert inactivity, less crying, no increase in infections, greater weight gain, and earlier discharge. Lactation is more productive and of greater duration. Parents become attached to their infants and feel confident about caring for them. This research is summarized and annotated in a table, along with descriptive reports and videotapes. These data can be used by health care professionals to make informed decisions about offering kangaroo care opportunities to selected parents and their preterm infants.

Breast Feeding

Impact of kangaroo care on circadian rhythm, growth, physiological stability in premature infants, and cortisol and melatonin levels in maternal breast milk: A randomized controlled trial.

PURPOSE: This study aimed to examine the effects of regular kangaroo care (KC) on sleep-wake cycles, growth, physiological stability, and maternal breast milk cortisol and melatonin levels in premature infants. DESIGN: This study was a parallel group, single-blind, pre-test-post-test, randomised controlled trial (RCT). METHODS: This randomized controlled study was conducted in a neonatal intensive care unit (NICU) in T&#xfc;rkiye between September 2024 and September 2025 Thirty-six premature infants were randomized to intervention (n = 28) or control (n = 28). Infants in the intervention group received KC for three consecutive days, twice daily (10:00 a.m. and 10:00 p.m.) for 60 min per session. Data were collected using the Infant Information Form, Physiological Parameters Monitoring Chart, and Premature Infant Sleep-Wake Cycles Tracking Chart. Sleep-wake cycles were monitored using a Bispectral Index device. Breast milk cortisol and melatonin levels were measured at baseline and on day three using the competitive ELISA method. The study was registered at ClinicalTrials.gov (NCT06589349). RESULTS: Regular KC had a statistically significant effect on BIS values, heart rate, respiratory rate, oxygen saturation, and body temperature (p < 0.05). No statistically significant effects were observed on infant body weight or on maternal breast milk cortisol and melatonin levels (p > 0.05). CONCLUSION: The findings indicate that regular KC is associated with improved regulation of the sleep-wake cycle and enhanced physiological stability in premature infants. No significant changes were observed in maternal breast milk cortisol or melatonin levels following KC.

Humans

[Kangaroo care].

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Colombia

The "kangaroo-mother" method: evaluation of an alternative model for the care of low birth weight newborns in developing countries.

The "kangaroo-mother" method, that is nursing babies by continuously keeping them wrapped at the mother's breasts, has been proposed as an "appropriate technology" for the care of low birth weight (LBW) newborns in developing countries. We evaluated the effectiveness of this method as an alternative hospital care model in the Special Care nursery of the Central Hospital of Mapto, Mozambique. One hundred LBW newborns (mean birth weight 1329 g, SD +/- 208 g) were consecutively admitted to the "kangaroo-mother" section of the unit at the mean postnatal age of 11.6 days. Ninety-five of them were discharged alive after a mean period of 16.3 days of "kangaroo" nursing. During this period they were exclusively breast fed and their mean weight gain was 12.8 g/day. Besides being very effective in improving survival, this method favored the development of early mother-infant relations, which are certainly very important for the long term well-being of the child.

Breast Feeding

Myth of the marsupial mother: home care of very low birth weight babies in Bogota, Colombia.

Because of the shortage of equipment and staff and the frequency of cross-infection in hospital, paediatricians at San Juan de Dios Hospital, Bogota, have been sending home babies weighing as little as 700 g, cared for between the mother's breasts in a vertical position and fed only on mother's milk ("kangaroo babies"). Infants as immature as 32 weeks gestation were successfully cared for at home in this way. Mother's milk was supplemented with guava juice and later with soup, but mean time to regain birth weight was 36 days. The previously publicised high survival figures for this home-care programme were found to be misleading because they omitted babies who had died in the first few days after birth. Although this approach is valuable in developing countries, home care of very low birth weight babies would not improve survival in industrialised nations. Nevertheless, care of such tiny infants in special care baby units in developed countries could benefit from similar emphasis on education and motivation of mothers and early skin-to-skin contact.

Body Weight

Kangaroo babies.

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Female

Orphaned kangaroo and wallaby joeys as a potential zoonotic source of Salmonella spp.

Sixteen serotypes of Salmonella spp. were isolated from 37 (26.8%) of 138 orphaned kangaroo and wallaby pouch-young which were in the care of guardians in north Queensland. Sal. lansing, Sal. virchow and Sal. wandsworth were the most prevalent serotypes. Orphaned macropodid joeys are a potential source of zoonotic infection for Salmonella spp. and recommendations to reduce the risk of transmission to humans are presented.

Adult