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Kangaroo Care and the  Ventilated Neonate By Karen Black (MNursSci, RNC)
Kangaroo Care (also known as Skin-to Skin Contact) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current definition of Kangaroo Care: “ A form of parental caregiving where the newborn low birthweight or premature infant is intermittently nursed skin-to-skin in a vertical position between the mother’s breasts or against the father’s chest for a non-specific period of time.”  (Kenner & Lott, 2003)
Benefits of Kangaroo Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Kangaroo Care as an alternative to cots in rural Tanzania
In a setting as affluent as our own to what extent should Kangaroo Care be promoted?
Kangaroo Care and the Intensive Care Infant ,[object Object],[object Object],[object Object]
Aims and objectives ,[object Object],[object Object],[object Object]
Physiological Stability ● Infants oxygen requirements increased and body temperature dropped. 14 Quantitative Smith (2001) ● The physiological observations of Infants <1kg remained stable during KC and decreased oxygen requirement. 12 Quantitative Ludington, Ferreira & Swinth (1999) ● a 27-day old neonate weighing 894g received SIMV at a rate of 12 breaths per minute whilst receiving Kangaroo Care for 45minutes. 1 case study  Ludington-Hoe, Ferreira & Goldstein (1998) ●  During KC period pulse, oxygen and respiratory rate remained within normal parameters for infants of ≥30/40 or >1.2kg.  ● Infants <30/40 or <1.2kg showed signs of restlessness, tachycardia and decreased oxygenation during prolonged kangaroo care. 25 Quantitative Gale, Frank & Lund (1993) ●  Infants responded to Kangaroo care with increased quiet sleep and decreased Oxygen requirement.  ● Highlight possible benefits and need for further research.  2 case study  Drosten-Brookes (1993) Findings Sample group Type of Study Researcher(s)
Transfer Technique ,[object Object],[object Object],[object Object],[object Object]
Breastfeeding ,[object Object],[object Object],[object Object]
Advantages of Kangaroo Care to breastfeeding ,[object Object],[object Object],[object Object]
Parental benefits of Kangaroo Care ,[object Object],[object Object],[object Object],[object Object]
Adverse effects of Kangaroo Care ,[object Object],[object Object]
Evaluation of evidence ,[object Object],[object Object],[object Object]
Limits in research evidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers to Kangaroo Care with ventilated neonates in practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Engler  et al , 2002)
 
Recommendations for practice ,[object Object],[object Object],[object Object]
Recommendations for education ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Inis Kangaroo

  • 1. Kangaroo Care and the Ventilated Neonate By Karen Black (MNursSci, RNC)
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  • 3. Current definition of Kangaroo Care: “ A form of parental caregiving where the newborn low birthweight or premature infant is intermittently nursed skin-to-skin in a vertical position between the mother’s breasts or against the father’s chest for a non-specific period of time.” (Kenner & Lott, 2003)
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  • 5. Kangaroo Care as an alternative to cots in rural Tanzania
  • 6. In a setting as affluent as our own to what extent should Kangaroo Care be promoted?
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  • 9. Physiological Stability ● Infants oxygen requirements increased and body temperature dropped. 14 Quantitative Smith (2001) ● The physiological observations of Infants <1kg remained stable during KC and decreased oxygen requirement. 12 Quantitative Ludington, Ferreira & Swinth (1999) ● a 27-day old neonate weighing 894g received SIMV at a rate of 12 breaths per minute whilst receiving Kangaroo Care for 45minutes. 1 case study Ludington-Hoe, Ferreira & Goldstein (1998) ● During KC period pulse, oxygen and respiratory rate remained within normal parameters for infants of ≥30/40 or >1.2kg. ● Infants <30/40 or <1.2kg showed signs of restlessness, tachycardia and decreased oxygenation during prolonged kangaroo care. 25 Quantitative Gale, Frank & Lund (1993) ● Infants responded to Kangaroo care with increased quiet sleep and decreased Oxygen requirement. ● Highlight possible benefits and need for further research. 2 case study Drosten-Brookes (1993) Findings Sample group Type of Study Researcher(s)
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