The beneficial effect of early and prolonged kangaroo mother care on long‐term neuro‐developmental outcomes in low birth neonates – A cohort study

Author:

Bisanalli Shridevi1ORCID,Balachander Bharathi1,Shashidhar A.1,Raman Vijaya2,Josit Pavitra3,Rao Suman PN1ORCID

Affiliation:

1. Department of Neonatology St. John's Medical College Hospital Bangalore Karnataka India

2. Department of Psychiatry St. John's Medical College Hospital Bangalore Karnataka India

3. St.John's Research Institute Bangalore Karnataka India

Abstract

AbstractAimKangaroo mother care (KMC) has immense short‐term benefits, but data on long‐term outcomes are scarce. Hence, this study aimed to compare the neurodevelopmental outcomes at 12 months of corrected age (CA) in infants <2000 g receiving early and prolonged KMC to a control group.MethodsThis was a cohort study that was conducted from January 2017 to November 2018. All neonates<2000 g were eligible for the study. Neonates that received early initiation (<72 h of life) and prolonged KMC comprised the intervention group and were compared to neonates without the intervention. Bayley Scales of Infant and Toddler Development, Third edition (BSID‐III) was done at 12 months of CA, and this was analysed using t‐test and multi‐linear regression analysis.ResultsThere were 75 neonates in the intervention and 69 in the control group. Baseline characteristics were comparable. We found higher composite scores for cognition (110.38 ± 9.89 vs. 105.44 ± 8.77, p value = 0.023), language (107.51 ± 10.72 vs. 101.05 ± 12.06, p value = 0.014) and adaptive behaviour (87.97 ± 9.97 vs. 80 ± 9.1, p value<0.001) in the early and prolonged KMC group in comparison to the control group.ConclusionInfants with early and prolonged KMC have better neurodevelopmental outcomes in terms of cognition, language and adaptive behaviour at 12 months of CA.

Publisher

Wiley

Subject

General Medicine,Pediatrics, Perinatology and Child Health

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