Nuove tecnologie
Le madri canguro: una tecnologia importabile?
“KANGAROO MOTHER CARE”: AN IMPORTABLE TECHNOLOGY?
ADRIANO CATTANEO, RICCARDO DAVANZO
Ufficio per la Cooperazione Internazionale (Centro collaboratore dell’OMS) e Divisione di Neonatologia, IRCCS “Burlo Garofolo”, Trieste
Marzo 1997 - pagg. 165 -169
Abstract
Effective care of low birth weight infants
could reduce the global burden of neonatal
mortality. Kangaroo mother care is a low
cost and simple technology, developed in
poor countries as an alternative to expensive
and sophisticated care, that has this potential.
In rich countries, kangaroo mother
care could provide additional benefits to
mothers and low birth weight infants, and
at the same time contribute to a more human
approach to neonatal care. It could
also help reducing the cost of care through
a more efficient use of staff, time and
equipment. The paper reviews the current
knowledge on kangaroo mother care and
talks in detail about the advantages that it
could bring about in neonatal units of industrialized
countries. It discusses as well the
problems and obstacles that the implementation
of kangaroo mother care would have
to address.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. WHO: Perinatal mortality. A listing of available
information. Maternal Health and Safe
Motherhood Programme (WHO/FRH/
MSM/96.7), Geneva, 1996.
2. WHO: Essential newborn care. Report of a Technical Working Group, Trieste, 25-29 April 1994. Maternal and Newborn Health / Safe Motherhood (WHO/FRH/MSM/ 96.13), Geneva, 1996.
3. WHO: Low birth weight. A tabulation of available information. Maternal Health and Safe Motherhood Programme (WHO/MCH/ 92.2), Geneva, 1992.
4. Rey ES, Martinez HG: Manejo racional del niño prematuro. In: Curso de Medicina Fetal, Universidad Nacional, Bogotá, Colombia, 1983.
5. WHO: 55th World Health Assembly. Child health and development: health of the newborn. Geneva, 1992.
6. Murton LJ, Doyle LW, Kitchen WH: Care of very low birth weight infants with limited neonatal intensive care resources. Med J Aust 146, 78-81, 1987.
7. Anderson GC: Skin-to-skin: Kangaroo care in western Europe. Am J Nurs 662-6, 1989.
8. Anderson GC: Current knowledge about skin-to-skin (kangaroo) care for preterm infants. J Perinatol 11, 216-26, 1991.
9. Ludington-Hoe SM, Hadeed AJ, Anderson GC: Physiologic responses to skin-to-skin contact in hospitalized premature infants. J Perinatol 11, 19-24, 1991.
10. Bosque EM, Brady JP, Affonso D, Wahlberg V: Physiologic measures of kangaroo versus incubator care in a tertiary level nursery. J Obstet Gynecol Neonatal Nurs 24, 219- 28, 1995.
11. Karlsson H: Skin-to-skin care: heat balance. Arch Dis Child 75, F130-2, 1996.
12. de Leeuw R, Colin EM, Dunnebier EA, Mirmiran M: Physiologic effects of kangaroo care in very small preterm infants. Biol Neonate 59, 149-55, 1991.
13. Sontheimer D, Fischer CG, Scheffer F, Kaempf D, Linderkamp O: Pitfalls in respiratory monitoring of premature infants during kangaroo care. Arch Dis Child 72, F115-7 1995.
14. Gale G, Franck L, Lund C: Skin-to-skin (kangaroo) holding of the intubated premature infant. Neonatal Network 12, 49-57, 1993.
15. Bier JB, Ferguson AE, Liebling JA, Morales Y, Archer D, Vohr R: Skin-to-skin contact improves physiologic state of breastfed low birth weight infants. Pediatr Res 37, 103A, 1995.
16. Legault M, Goulet C: Comparison of kangaroo and traditional methods of removing preterm infants from incubators. J Obstet Gynecol Neonatal Nurs 24, 501-6, 1995.
17. Acolet D, Sleath K, Whitelaw A: Oxygenation, heart rate and temperature in low birth weight infants during skin-to-skin contact with their mothers. Acta Paediatr Scand 78, 189-93, 1989.
18. Wahlberg V, Affonso D, Persson B: A retrospective, comparative study using the kangaroo method as a complement to the standard incubator care. Eur J Public Health 2, 34- 7, 1992.
19. Ludington-Hoe SM, Swinth J: Developmental aspects of kangaroo care. J Obstet Gynecol Neonatal Nurs 25, 691-703, 1996.
20. Whitelaw A, Heisterkamp G, Sleath K, Acolet D, Richards M: Skin-to-skin contact for very low birth weight infants and their mothers. Arch Dis Child 63, 1377-81, 1988.
21. Sloan NL, Leon Camacho LW, Pinto Rojas E, Stern C, and Maternidad Isidro Ayora Study Team: Kangaroo mother method: randomized controlled trial of an alternative method of care for stabilized low-birthweight infants. Lancet 344, 782-5, 1994.
22. Charpak N, Ruiz-Pelaez JG, Charpak Y: Rey-Martinez kangaroo-mother programme: an alternative way of caring for low birth weight infants? One year mortality in a twocohort study. Pediatrics 94, 804-10, 1994.
23. Affonso D, Bosque E, Wahlberg V, Brady J: Reconciliation and healing for mothers through skin-to-skin contact provided in an American tertiary level intensive care nursery. Neonatal Network 12, 25-32, 1993.
24. Affonso D, Wahlberg V, Persson B: Exploration of mother’s reactions to the kangaroo method of prematurity care. Neonatal Network 7, 43-51, 1989.
25. Ludington-Hoe SM, Hashemi MS, Argote LA, Medellin G, Rey H: Selected physiologic measures and behavior during paternal skin contact with Colombian preterm infants. J Dev Physiol 18, 223-32, 1992.
2. WHO: Essential newborn care. Report of a Technical Working Group, Trieste, 25-29 April 1994. Maternal and Newborn Health / Safe Motherhood (WHO/FRH/MSM/ 96.13), Geneva, 1996.
3. WHO: Low birth weight. A tabulation of available information. Maternal Health and Safe Motherhood Programme (WHO/MCH/ 92.2), Geneva, 1992.
4. Rey ES, Martinez HG: Manejo racional del niño prematuro. In: Curso de Medicina Fetal, Universidad Nacional, Bogotá, Colombia, 1983.
5. WHO: 55th World Health Assembly. Child health and development: health of the newborn. Geneva, 1992.
6. Murton LJ, Doyle LW, Kitchen WH: Care of very low birth weight infants with limited neonatal intensive care resources. Med J Aust 146, 78-81, 1987.
7. Anderson GC: Skin-to-skin: Kangaroo care in western Europe. Am J Nurs 662-6, 1989.
8. Anderson GC: Current knowledge about skin-to-skin (kangaroo) care for preterm infants. J Perinatol 11, 216-26, 1991.
9. Ludington-Hoe SM, Hadeed AJ, Anderson GC: Physiologic responses to skin-to-skin contact in hospitalized premature infants. J Perinatol 11, 19-24, 1991.
10. Bosque EM, Brady JP, Affonso D, Wahlberg V: Physiologic measures of kangaroo versus incubator care in a tertiary level nursery. J Obstet Gynecol Neonatal Nurs 24, 219- 28, 1995.
11. Karlsson H: Skin-to-skin care: heat balance. Arch Dis Child 75, F130-2, 1996.
12. de Leeuw R, Colin EM, Dunnebier EA, Mirmiran M: Physiologic effects of kangaroo care in very small preterm infants. Biol Neonate 59, 149-55, 1991.
13. Sontheimer D, Fischer CG, Scheffer F, Kaempf D, Linderkamp O: Pitfalls in respiratory monitoring of premature infants during kangaroo care. Arch Dis Child 72, F115-7 1995.
14. Gale G, Franck L, Lund C: Skin-to-skin (kangaroo) holding of the intubated premature infant. Neonatal Network 12, 49-57, 1993.
15. Bier JB, Ferguson AE, Liebling JA, Morales Y, Archer D, Vohr R: Skin-to-skin contact improves physiologic state of breastfed low birth weight infants. Pediatr Res 37, 103A, 1995.
16. Legault M, Goulet C: Comparison of kangaroo and traditional methods of removing preterm infants from incubators. J Obstet Gynecol Neonatal Nurs 24, 501-6, 1995.
17. Acolet D, Sleath K, Whitelaw A: Oxygenation, heart rate and temperature in low birth weight infants during skin-to-skin contact with their mothers. Acta Paediatr Scand 78, 189-93, 1989.
18. Wahlberg V, Affonso D, Persson B: A retrospective, comparative study using the kangaroo method as a complement to the standard incubator care. Eur J Public Health 2, 34- 7, 1992.
19. Ludington-Hoe SM, Swinth J: Developmental aspects of kangaroo care. J Obstet Gynecol Neonatal Nurs 25, 691-703, 1996.
20. Whitelaw A, Heisterkamp G, Sleath K, Acolet D, Richards M: Skin-to-skin contact for very low birth weight infants and their mothers. Arch Dis Child 63, 1377-81, 1988.
21. Sloan NL, Leon Camacho LW, Pinto Rojas E, Stern C, and Maternidad Isidro Ayora Study Team: Kangaroo mother method: randomized controlled trial of an alternative method of care for stabilized low-birthweight infants. Lancet 344, 782-5, 1994.
22. Charpak N, Ruiz-Pelaez JG, Charpak Y: Rey-Martinez kangaroo-mother programme: an alternative way of caring for low birth weight infants? One year mortality in a twocohort study. Pediatrics 94, 804-10, 1994.
23. Affonso D, Bosque E, Wahlberg V, Brady J: Reconciliation and healing for mothers through skin-to-skin contact provided in an American tertiary level intensive care nursery. Neonatal Network 12, 25-32, 1993.
24. Affonso D, Wahlberg V, Persson B: Exploration of mother’s reactions to the kangaroo method of prematurity care. Neonatal Network 7, 43-51, 1989.
25. Ludington-Hoe SM, Hashemi MS, Argote LA, Medellin G, Rey H: Selected physiologic measures and behavior during paternal skin contact with Colombian preterm infants. J Dev Physiol 18, 223-32, 1992.