XIII International Conference on Kangaroo Mother Care – Different opinions, experiences and related KMC issues: Good practices, stabilisation concept, nutrition and basic respiratory support

Author:

Pallás‐Alonso Carmen12ORCID,Montealegre Adriana34,Hernández‐Aguilar María Teresa5,Muñoz‐Amat Bárbara12ORCID,Collados‐Gómez Laura126ORCID,Jiménez‐Fernández Lucía1,García‐Lara Nadia12,Cabrera‐Lafuente Marta78,Moral‐Pumarega María Teresa12,López‐Maestro María12ORCID,Charpak Nathalie3ORCID

Affiliation:

1. Department of Neonatology 12 de Octubre University Hospital Madrid Spain

2. i+12 Research Institute Madrid Spain

3. Fundación Canguro Bogotá Bogotá Colombia

4. Pontificia Universidad Javeriana Hospital Universitario San Ignacio Bogotá Colombia

5. Breastfeeding Clinical Unit Dr. Peset University Hospital Valencia Spain

6. Nursing and Nutrition Department, Faculty of Biomedicine Universidad Europea Madrid Spain

7. Department of Neonatology La Paz University Hospital Madrid Spain

8. Spanish Neonatal BFHI Coordinator Madrid Spain

Abstract

AbstractAimThis study aimed to summarise the views and experiences of the participants in the workshop of the XIII International Conference on Kangaroo Mother Care (KMC).MethodsThe results of the discussions held during the workshop of the XIII International Conference on KMC were summarised. There were 152 participants from 47 countries. Four main KMC topics were discussed: good practices, immediate implementation, nutrition and basic ventilation.ResultsSeveral agreements were reached, namely that professional societies and governments should develop official recommendations to promote KMC as standard care for preterm and low birth weight infants and that parents should be involved as active caregivers in neonatal care units. Moreover, the criteria for referring community‐born infants to KMC require standardisation.Important inequalities in resource availability among high‐, middle‐ and low‐income countries were recognised for all topics. Specific needs were identified for parenteral nutrition and fortifiers, nasal continuous positive airway pressure (nCPAP) and oxygen blenders, which are rarely available in low‐ and middle‐income countries.Immediate implementation of KMC was discussed as a new concept. Its benefits were recognised, but its application has some variability.ConclusionAdequate preterm care requires a basic neonatal package, including KMC, nCPAP, immediate management protocols and adequate nutrition and feeding strategies. The differences in resources among high‐, middle‐ and low‐income countries highlight the wide disparities in neonatal care according to the place of birth.

Publisher

Wiley

Subject

General Medicine,Pediatrics, Perinatology and Child Health

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