Twenty-year follow-up of kangaroo mother care versus traditional care

BACKGROUND AND OBJECTIVES: Kangaroo mother care (KMC) is a multifaceted intervention for preterm and low birth weight infants and their parents. Short- and mid-term benefits of KMC on survival, neurodevelopment, breastfeeding, and the quality of mother-infant bonding were documented in a randomized...

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Autores Principales: Charpak, Nathalie, Tessier, Rejean, Ruiz, Juan G., Hernandez, Jose Tiberio, Uriza, Felipe, Villegas, Julieta, Nadeau, Line, Mercier, Catherine, Maheu, Francoise, Marin, Jorge, Maldonado, Dario, Cortes, Darwin, Gallego, Juan M.
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: American Academy of Pediatrics 2017
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/22779
https://doi.org/10.1542/peds.2016-2063
id ir-10336-22779
recordtype dspace
spelling ir-10336-227792022-05-02T12:37:14Z Twenty-year follow-up of kangaroo mother care versus traditional care Charpak, Nathalie Tessier, Rejean Ruiz, Juan G. Hernandez, Jose Tiberio Uriza, Felipe Villegas, Julieta Nadeau, Line Mercier, Catherine Maheu, Francoise Marin, Jorge Maldonado, Dario Cortes, Darwin Gallego, Juan M. Adult Adulthood Aggressiveness Anthropometry Article Behavior Behavior assessment Behavior disorder Brain size Caudate nucleus Child health care Cognition Comparative study Controlled study Externalization Female Follow up Fragile individual Gestational age Health status History Home environment Human Hyperactivity Intelligence quotient Kangaroo care Low birth weight Male Maternal stress Miscellaneous named groups Morbidity Mortality Neuroimaging Neurophysiology Nurturing behavior Optometry Outcome assessment Priority journal Protective behavior Randomized controlled trial (topic) School attendance Social interaction Traditional care Work history Young adult Young adulthood Adolescent Breast feeding Child Child behavior disorders Colombia Conduct disorder Cross-sectional study Infant Infant care Intelligence Kangaroo care Longitudinal study Low birth weight Mother child relation Neurodevelopmental disorders Newborn Object relation Prematurity Preschool child Randomized controlled trial Social adaptation Survival analysis Trends Young adult Adolescent Breast feeding Child Child behavior disorders Colombia Conduct disorder Cross-sectional studies Female Humans Infant Infant care Intelligence Kangaroo-mother care method Longitudinal studies Male Mother-child relations Neurodevelopmental disorders Object attachment Social adjustment Survival analysis Young adult premature preschool low birth weight newborn Child Infant Infant Infant BACKGROUND AND OBJECTIVES: Kangaroo mother care (KMC) is a multifaceted intervention for preterm and low birth weight infants and their parents. Short- and mid-term benefits of KMC on survival, neurodevelopment, breastfeeding, and the quality of mother-infant bonding were documented in a randomized controlled trial (RCT) conducted in Colombia from 1993 to 1996. The aim of the present study was to evaluate the persistence of these results in young adulthood. METHODS: From 2012 to 2014, a total of 494 (69%) of the 716 participants of the original RCT known to be alive were identified; 441 (62% of the participants in the original RCT) were re-enrolled, and results for the 264 participants weighing less than 1800 g at birth were analyzed. The KMC and control groups were compared for health status and neurologic, cognitive, and social functioning with the use of neuroimaging, neurophysiological, and behavioral tests. RESULTS: The effects of KMC at 1 year on IQ and home environment were still present 20 years later in the most fragile individuals, and KMC parents were more protective and nurturing, reflected by reduced school absenteeism and reduced hyperactivity, aggressiveness, externalization, and socio-deviant conduct of young adults. Neuroimaging showed larger volume of the left caudate nucleus in the KMC group. CONCLUSIONS: This study indicates that KMC had significant, long-lasting social and behavioral protective effects 20 years after the intervention. Coverage with this efficient and scientifically based health care intervention should be extended to the 18 million infants born each year who are candidates for the method. Copyright © 2017 by the American Academy of Pediatrics. 2017 2020-05-25T23:57:58Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 314005 https://repository.urosario.edu.co/handle/10336/22779 https://doi.org/10.1542/peds.2016-2063 eng info:eu-repo/semantics/openAccess application/pdf American Academy of Pediatrics instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Adult
Adulthood
Aggressiveness
Anthropometry
Article
Behavior
Behavior assessment
Behavior disorder
Brain size
Caudate nucleus
Child health care
Cognition
Comparative study
Controlled study
Externalization
Female
Follow up
Fragile individual
Gestational age
Health status
History
Home environment
Human
Hyperactivity
Intelligence quotient
Kangaroo care
Low birth weight
Male
Maternal stress
Miscellaneous named groups
Morbidity
Mortality
Neuroimaging
Neurophysiology
Nurturing behavior
Optometry
Outcome assessment
Priority journal
Protective behavior
Randomized controlled trial (topic)
School attendance
Social interaction
Traditional care
Work history
Young adult
Young adulthood
Adolescent
Breast feeding
Child
Child behavior disorders
Colombia
Conduct disorder
Cross-sectional study
Infant
Infant care
Intelligence
Kangaroo care
Longitudinal study
Low birth weight
Mother child relation
Neurodevelopmental disorders
Newborn
Object relation
Prematurity
Preschool child
Randomized controlled trial
Social adaptation
Survival analysis
Trends
Young adult
Adolescent
Breast feeding
Child
Child behavior disorders
Colombia
Conduct disorder
Cross-sectional studies
Female
Humans
Infant
Infant care
Intelligence
Kangaroo-mother care method
Longitudinal studies
Male
Mother-child relations
Neurodevelopmental disorders
Object attachment
Social adjustment
Survival analysis
Young adult
premature
preschool
low birth weight
newborn
Child
Infant
Infant
Infant
spellingShingle Adult
Adulthood
Aggressiveness
Anthropometry
Article
Behavior
Behavior assessment
Behavior disorder
Brain size
Caudate nucleus
Child health care
Cognition
Comparative study
Controlled study
Externalization
Female
Follow up
Fragile individual
Gestational age
Health status
History
Home environment
Human
Hyperactivity
Intelligence quotient
Kangaroo care
Low birth weight
Male
Maternal stress
Miscellaneous named groups
Morbidity
Mortality
Neuroimaging
Neurophysiology
Nurturing behavior
Optometry
Outcome assessment
Priority journal
Protective behavior
Randomized controlled trial (topic)
School attendance
Social interaction
Traditional care
Work history
Young adult
Young adulthood
Adolescent
Breast feeding
Child
Child behavior disorders
Colombia
Conduct disorder
Cross-sectional study
Infant
Infant care
Intelligence
Kangaroo care
Longitudinal study
Low birth weight
Mother child relation
Neurodevelopmental disorders
Newborn
Object relation
Prematurity
Preschool child
Randomized controlled trial
Social adaptation
Survival analysis
Trends
Young adult
Adolescent
Breast feeding
Child
Child behavior disorders
Colombia
Conduct disorder
Cross-sectional studies
Female
Humans
Infant
Infant care
Intelligence
Kangaroo-mother care method
Longitudinal studies
Male
Mother-child relations
Neurodevelopmental disorders
Object attachment
Social adjustment
Survival analysis
Young adult
premature
preschool
low birth weight
newborn
Child
Infant
Infant
Infant
Charpak, Nathalie
Tessier, Rejean
Ruiz, Juan G.
Hernandez, Jose Tiberio
Uriza, Felipe
Villegas, Julieta
Nadeau, Line
Mercier, Catherine
Maheu, Francoise
Marin, Jorge
Maldonado, Dario
Cortes, Darwin
Gallego, Juan M.
Twenty-year follow-up of kangaroo mother care versus traditional care
description BACKGROUND AND OBJECTIVES: Kangaroo mother care (KMC) is a multifaceted intervention for preterm and low birth weight infants and their parents. Short- and mid-term benefits of KMC on survival, neurodevelopment, breastfeeding, and the quality of mother-infant bonding were documented in a randomized controlled trial (RCT) conducted in Colombia from 1993 to 1996. The aim of the present study was to evaluate the persistence of these results in young adulthood. METHODS: From 2012 to 2014, a total of 494 (69%) of the 716 participants of the original RCT known to be alive were identified; 441 (62% of the participants in the original RCT) were re-enrolled, and results for the 264 participants weighing less than 1800 g at birth were analyzed. The KMC and control groups were compared for health status and neurologic, cognitive, and social functioning with the use of neuroimaging, neurophysiological, and behavioral tests. RESULTS: The effects of KMC at 1 year on IQ and home environment were still present 20 years later in the most fragile individuals, and KMC parents were more protective and nurturing, reflected by reduced school absenteeism and reduced hyperactivity, aggressiveness, externalization, and socio-deviant conduct of young adults. Neuroimaging showed larger volume of the left caudate nucleus in the KMC group. CONCLUSIONS: This study indicates that KMC had significant, long-lasting social and behavioral protective effects 20 years after the intervention. Coverage with this efficient and scientifically based health care intervention should be extended to the 18 million infants born each year who are candidates for the method. Copyright © 2017 by the American Academy of Pediatrics.
format Artículo (Article)
author Charpak, Nathalie
Tessier, Rejean
Ruiz, Juan G.
Hernandez, Jose Tiberio
Uriza, Felipe
Villegas, Julieta
Nadeau, Line
Mercier, Catherine
Maheu, Francoise
Marin, Jorge
Maldonado, Dario
Cortes, Darwin
Gallego, Juan M.
author_facet Charpak, Nathalie
Tessier, Rejean
Ruiz, Juan G.
Hernandez, Jose Tiberio
Uriza, Felipe
Villegas, Julieta
Nadeau, Line
Mercier, Catherine
Maheu, Francoise
Marin, Jorge
Maldonado, Dario
Cortes, Darwin
Gallego, Juan M.
author_sort Charpak, Nathalie
title Twenty-year follow-up of kangaroo mother care versus traditional care
title_short Twenty-year follow-up of kangaroo mother care versus traditional care
title_full Twenty-year follow-up of kangaroo mother care versus traditional care
title_fullStr Twenty-year follow-up of kangaroo mother care versus traditional care
title_full_unstemmed Twenty-year follow-up of kangaroo mother care versus traditional care
title_sort twenty-year follow-up of kangaroo mother care versus traditional care
publisher American Academy of Pediatrics
publishDate 2017
url https://repository.urosario.edu.co/handle/10336/22779
https://doi.org/10.1542/peds.2016-2063
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score 12,131701