See the published version of this preprint at BMC Pediatrics.
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Research article
Qi Feng
Peking University First Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-7321-6134
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).
Methods: A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC.
Results: 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.
Conclusions: After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.
Keywords
Preterm infants, Kangaroo mother care, Neonatal intensive care unit
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CURRENT STATUS: Published
View the published article at BMC Pediatrics.
Version 3
Posted 28 May, 2020
No community comments so far
Submission checks complete
On 19 May, 2020
Editorial decision: Accept
On 18 May, 2020
No comments provided
Review #2 received
Received 21 Apr, 2020
Editorial decision: Major revision
On 21 Apr, 2020
Review #1 received
Received 12 Apr, 2020
Reviewer #1 agreed
On 30 Mar, 2020
Reviewer #2 agreed
On 30 Mar, 2020
Editor assigned
On 27 Mar, 2020
Reviewers invited
Invitations sent on 27 Mar, 2020
Submission checks complete
On 26 Mar, 2020
Editor invited
On 26 Mar, 2020
No comments provided
Editorial decision: Major revision
On 27 Feb, 2020
Review #2 received
Received 26 Feb, 2020
Review #1 received
Received 19 Feb, 2020
Reviewers invited
Invitations sent on 12 Feb, 2020
Reviewer #1 agreed
On 12 Feb, 2020
Reviewer #2 agreed
On 12 Feb, 2020
Editor assigned
On 21 Jan, 2020
Submission checks complete
On 20 Jan, 2020
Editor invited
On 20 Jan, 2020
First submitted
On 19 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
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See the published version of this preprint at BMC Pediatrics.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Qi Feng
Peking University First Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-7321-6134
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Pediatrics.
Version 3
Posted 28 May, 2020
No community comments so far
Submission checks complete
On 19 May, 2020
Editorial decision: Accept
On 18 May, 2020
No comments provided
Review #2 received
Received 21 Apr, 2020
Editorial decision: Major revision
On 21 Apr, 2020
Review #1 received
Received 12 Apr, 2020
Reviewer #1 agreed
On 30 Mar, 2020
Reviewer #2 agreed
On 30 Mar, 2020
Editor assigned
On 27 Mar, 2020
Reviewers invited
Invitations sent on 27 Mar, 2020
Submission checks complete
On 26 Mar, 2020
Editor invited
On 26 Mar, 2020
No comments provided
Editorial decision: Major revision
On 27 Feb, 2020
Review #2 received
Received 26 Feb, 2020
Review #1 received
Received 19 Feb, 2020
Reviewers invited
Invitations sent on 12 Feb, 2020
Reviewer #1 agreed
On 12 Feb, 2020
Reviewer #2 agreed
On 12 Feb, 2020
Editor assigned
On 21 Jan, 2020
Submission checks complete
On 20 Jan, 2020
Editor invited
On 20 Jan, 2020
First submitted
On 19 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Pediatrics.
Background: Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).
Methods: A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC.
Results: 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.
Conclusions: After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.
Figure 1
Figure 2
Figure 3
Figure 4
This is a list of supplementary files associated with this preprint. Click to download.
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