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Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis
OBJECTIVE: To investigate the effect of kangaroo mother care for low-birth-weight and preterm infants on parents’ mental and physical health. METHODS: The Cochrane Central Register of Controlled Trials, Cochrane Register of Studies Online, PubMed(®), Web of Science, Scopus and EMBASE(®) databases we...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225947/ https://www.ncbi.nlm.nih.gov/pubmed/37265678 http://dx.doi.org/10.2471/BLT.22.288977 |
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author | Pathak, Barsha Gadapani Sinha, Bireshwar Sharma, Neeraj Mazumder, Sarmila Bhandari, Nita |
author_facet | Pathak, Barsha Gadapani Sinha, Bireshwar Sharma, Neeraj Mazumder, Sarmila Bhandari, Nita |
author_sort | Pathak, Barsha Gadapani |
collection | PubMed |
description | OBJECTIVE: To investigate the effect of kangaroo mother care for low-birth-weight and preterm infants on parents’ mental and physical health. METHODS: The Cochrane Central Register of Controlled Trials, Cochrane Register of Studies Online, PubMed(®), Web of Science, Scopus and EMBASE(®) databases were searched on 16 January 2023 for randomized and quasi-randomized trials on kangaroo mother care. Records identified were screened independently by two reviewers. Pooled relative risks (RRs) are reported for categorical variables, and standardized mean differences (SMDs) or mean differences are reported for continuous variables. Evidence quality was assessed using the GRADE approach. FINDINGS: The search identified 30 studies involving 7719 preterm or low-birth-weight infants. There was high-certainty evidence that kangaroo mother care substantially reduced the risk of moderate-to-severe postpartum maternal depressive symptoms compared with no kangaroo mother care (RR: 0.76; 95% confidence interval, CI: 0.59 to 0.96). In addition, there was low-certainty evidence that kangaroo mother care reduced scores for maternal stress (SMD: −0.82; 95% CI: −1.32 to −0.32) and anxiety (SMD: −0.62; 95% CI: −1.01 to −0.23) and increased mother–infant attachment and bonding scores (SMD: 1.19; 95% CI: 0.27 to 2.10). Limited evidence indicated father–infant interactions may be improved, though no marked effect on paternal depression or stress was observed. No trial reported parental physical health outcomes. CONCLUSION: Kangaroo mother care for preterm and low-birth-weight infants was associated with less postpartum maternal depression, stress and anxiety and better mother–infant attachment and bonding. More research is required to evaluate effects on paternal health. |
format | Online Article Text |
id | pubmed-10225947 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-102259472023-06-01 Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis Pathak, Barsha Gadapani Sinha, Bireshwar Sharma, Neeraj Mazumder, Sarmila Bhandari, Nita Bull World Health Organ Systematic Reviews OBJECTIVE: To investigate the effect of kangaroo mother care for low-birth-weight and preterm infants on parents’ mental and physical health. METHODS: The Cochrane Central Register of Controlled Trials, Cochrane Register of Studies Online, PubMed(®), Web of Science, Scopus and EMBASE(®) databases were searched on 16 January 2023 for randomized and quasi-randomized trials on kangaroo mother care. Records identified were screened independently by two reviewers. Pooled relative risks (RRs) are reported for categorical variables, and standardized mean differences (SMDs) or mean differences are reported for continuous variables. Evidence quality was assessed using the GRADE approach. FINDINGS: The search identified 30 studies involving 7719 preterm or low-birth-weight infants. There was high-certainty evidence that kangaroo mother care substantially reduced the risk of moderate-to-severe postpartum maternal depressive symptoms compared with no kangaroo mother care (RR: 0.76; 95% confidence interval, CI: 0.59 to 0.96). In addition, there was low-certainty evidence that kangaroo mother care reduced scores for maternal stress (SMD: −0.82; 95% CI: −1.32 to −0.32) and anxiety (SMD: −0.62; 95% CI: −1.01 to −0.23) and increased mother–infant attachment and bonding scores (SMD: 1.19; 95% CI: 0.27 to 2.10). Limited evidence indicated father–infant interactions may be improved, though no marked effect on paternal depression or stress was observed. No trial reported parental physical health outcomes. CONCLUSION: Kangaroo mother care for preterm and low-birth-weight infants was associated with less postpartum maternal depression, stress and anxiety and better mother–infant attachment and bonding. More research is required to evaluate effects on paternal health. World Health Organization 2023-06-01 2023-03-31 /pmc/articles/PMC10225947/ /pubmed/37265678 http://dx.doi.org/10.2471/BLT.22.288977 Text en (c) 2023 The authors; licensee World Health Organization. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Systematic Reviews Pathak, Barsha Gadapani Sinha, Bireshwar Sharma, Neeraj Mazumder, Sarmila Bhandari, Nita Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title | Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title_full | Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title_fullStr | Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title_full_unstemmed | Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title_short | Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
title_sort | effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis |
topic | Systematic Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225947/ https://www.ncbi.nlm.nih.gov/pubmed/37265678 http://dx.doi.org/10.2471/BLT.22.288977 |
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