Increasing the Resilience of Mothers With Preterm Infant: The Effect of Kangaroo Mother Care
Abstract
Objective: Having a preterm infant is a stressful experience for parents, especially for mothers. This study was conducted to identify the effect of kangaroo mother care on the resilience of mothers with preterm infant hospitalized in Neonatal Intensive Care Unit.
Materials and methods: In this randomized controlled trial study, 60 mothers with preterm infant hospitalized in Neonatal Intensive Care Unit were randomly selected and allocated to intervention and control groups (30 per group) ,in Fatemiyeh Hospital, Hamadan, Iran. Data collection tool included demographic information and Conner & Davidson Resilience Questionnaire (CD-RISC), which were completed by mothers before and after the intervention. Kangaroo Mother Care (KMC) as an intervention was run in at least one hour daily for a week in the intervention group. The mother-infant pairs in the control group only received conventional method of care (CMC).
Results: There was a significant increase in the total resilience score of the mothers in the KMC group (from 58.87±14.71 to 69.67±14.50) after intervention (P<0.001); however, resilience score decreased significantly in the mothers of CMC group (from 57.77±13.33 to 51.63±12.20).
Conclusion: Kangaroo mother care could increase the resilience of mothers of preterm infants. Therefore using this approach as a complementary, effective, Low-cost, non-invasive care is recommended to maintain and promote the health of mothers with preterm infant.
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13. Rossman B, Greene MM, Kratovil AL, Meier PP. Resilience in mothers of very-low-birth-weight infants hospitalized in the NICU. J Obstet Gynecol Neonatal
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14. Caldeira S, Timmins F. Resilience: synthesis of concept analyses and contribution to nursing classifications. International nursing review 2016;63(2):191-9.
15. Secades XG, Molinero O, Salguero A, Barquín RR, de la Vega R, Márquez S. Relationship Between Resilience and Coping Strategies in Competitive Sport. Percept Mot Skills 2016;122(1):336-49.
16. Sisto A, Vicinanza F, Campanozzi LL, Ricci G, Tartaglini D, Tambone V. Towards a Transversal Definition of Psychological Resilience: A Literature Review. Medicina (Kaunas) 2019; 55(11):745.
17. Bellido-González M, Robles-Ortega H, Castelar-Ríos MJ, Díaz-López MÁ, Gallo-Vallejo JL, Moreno-Galdó MF, et al. Psychological distress and resilience of mothers and fathers with respect to the neurobehavioral performance of small-for-gestational-age newborns. Health Qual Life Outcomes 2019; 17(1):54.
18. Matsuoka Y, Nishi D, Yonemoto N, Hamazaki K, Matsumura K, Noguchi H, et al. Tachikawa project for prevention of posttraumatic stress disorder with polyunsaturated fatty acid (TPOP): study protocol for a randomized controlled trial. BMC psychiatry 2013;13(1):1-14.
19. Shin GS, Choi KS, Jeong KS, Min YS, Ahn YS, Kim MG. Psychometric properties of the 10-item Conner-Davidson resilience scale on toxic chemical-exposed workers in South Korea. Ann Occup Environ Med 2018;30:52.
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22. Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics 2016;137(1): e20152238.
23. Ghazi M, Zare M, Ramezani M, Heidarzadeh M, Behnam Vashani HR. The Effect of Home Visit Program Based on the Continued Kangaroo Mother Care on Maternal Resiliency and Development of Premature Infant: A Randomized Clinical Trial. IJCBNM 2021;9(1):64-75.
24. Ionio C, Ciuffo G, Landoni M. Parent-Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature. Int J Environ Res Public Health 2021;18(9):4695.
25. Cho ES, Kim SJ, Kwon MS, Cho H, Kim EH, Jun EM, et al. The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal-Infant Attachment, and Maternal Stress. J Pediatr Nurs 2016;31(4):430-8.
26. Kurt F, Kucukoglu S, Ozdemir A, Ozcan Z. The effect of kangaroo care on maternal attachment in preterm infants. Niger J Clin Pract. 2020;23(1):26-32.
27. Murty AI. Saving low birth weight babies with kangaroo mother care: family resilience and social capital as success factors. Journal of Modern Education Review 2018;8:667-72.
28. Sweeney S, Rothstein R, Visintainer P, Rothstein R, Singh R. Impact of kangaroo care on parental anxiety level and parenting skills for preterm infants in the neonatal intensive care unit. J. Neonatal Nurs 2017;23(3):151-8.
29. Bitsika V, Sharpley CF, Bell R. The buffering effect of resilience upon stress, anxiety and depression in parents of a child with an autism spectrum disorder. Journal of Developmental and Physical Disabilities 2013;25:533-43.
30. Hans SL, Edwards RC, Zhang Y. Randomized controlled trial of doula-home-visiting services: impact on maternal and infant health. Maternal and child health journal 2018;22(Suppl 1):105-13.
31. Coşkun D, Günay U. The Effects of Kangaroo Care Applied by Turkish Mothers who Have Premature Babies and Cannot Breastfeed on Their Stress Levels and Amount of Milk Production. J Pediatr Nurs 2020;50:e26-e32.
32. Yilmaz F, Küçükoglu S, Özdemir AA, Ogul T, Aski N. The effect of kangaroo mother care, provided in the early postpartum period, on the breastfeeding
self-efficacy level of mothers and the perceived insufficient milk supply. The Journal of perinatal & neonatal nursing 2020;34(1):80-7.
33. Jamali QZ, Shah R, Shahid F, Fatima A, Khalsa S, Spacek J, et al. Barriers and enablers for practicing kangaroo mother care (KMC) in rural Sindh, Pakistan. PLoS One 2019;14(6):e0213225.
34. Mohammadi M, Sattarzadeh N, Heidarzadeh M, Hosseini MB, Hakimi S. Implementation Barriers for Practicing Continuous Kangaroo Mother Care from the Perspective of Neonatologists and Nurses. J Caring Sci 2021;10(3):137-144.
2. Trumello C, Candelori C, Cofini M, Cimino S, Cerniglia L, Paciello M, et al. Mothers' Depression,
Anxiety, and Mental Representations After Preterm Birth: A Study During the Infant's Hospitalization in a Neonatal Intensive Care Unit. Front Public Health 2018;6:359.
3. McCarty DB, Dusing SC, Gilbert A, LeBlond KD, Soucie M, O'Shea TM. Parent and Therapist Perceptions of the Feasibility, Acceptability, and Benefits of a Weekly Therapist-Led Massage Program for Extremely Preterm Infants in Neonatal Intensive Care. Children (Basel) 2023;10(9):1453.
4. Mousavi SS, Keramat A, Mohagheghi P, Mousavi SA, Motaghi Z, Khosravi A, et al. The Need for Support and Not Distress Evoking: A Meta-Synthesis of Experiences of Iranian Parents with Premature Infants. Iran J Psychiatry Behav Sci 2017;11(4):e5916.
5. Thivierge E, Luu TM, Bourque CJ, Duquette LA, Pearce R, Jaworski M, et al. Guilt and Regret Experienced by Parents of Children Born Extremely Preterm. J Pediatr 2023; 257:113268.
6. O'Meara A, Akande M, Yagiela L, Hummel K, Whyte-Nesfield M, Michelson KN, et al. Family Outcomes after the Pediatric Intensive Care Unit: A Scoping Review. J Intensive Care Med 2022;37(9):1179-1198.
7. Grunberg VA, Geller PA, Bonacquisti A, Patterson CA. NICU infant health severity and family outcomes: a systematic review of assessments and findings in psychosocial research. J Perinatol 2019;39(2):156-172.
8. Galeano MD, Carvajal BV. Coping in mothers of premature newborns after hospital discharge. Newborn and infant nursing reviews 2016;16(3):105-9.
9. Mohammadi F, Basiri B, Barati M, Khazaei S, Zahra-Masoumi S, Sadeghian E, et al. Effectiveness of kangaroo mother care on maternal resilience and breastfeeding self-efficacy using the role-play method in a neonatal intensive care unit. Bol Med Hosp Infant Mex 2022;79(4):228-236.
10. World Health Organization. WHO recommendations on interventions to improve preterm birth outcomes. http://apps.who.int/iris/bitstream/10665/183037/1/9789241508988_eng.pdf (Accessed April 2019).
11. Dhage VD, Rannaware A, Choudhari SG. Kangaroo Mother Care for Low-Birth-Weight Babies in Low and Middle-Income Countries: A Narrative Review. Cureus 2023; 15(4):e38355.
12. Cai Q, Chen DQ, Wang H, Zhang Y, Yang R, Xu WL, et al. What influences the implementation of kangaroo mother care? An umbrella review. BMC Pregnancy Childbirth 2022; 22(1):851.
13. Rossman B, Greene MM, Kratovil AL, Meier PP. Resilience in mothers of very-low-birth-weight infants hospitalized in the NICU. J Obstet Gynecol Neonatal
Nur 2017;46(3):434-45.
14. Caldeira S, Timmins F. Resilience: synthesis of concept analyses and contribution to nursing classifications. International nursing review 2016;63(2):191-9.
15. Secades XG, Molinero O, Salguero A, Barquín RR, de la Vega R, Márquez S. Relationship Between Resilience and Coping Strategies in Competitive Sport. Percept Mot Skills 2016;122(1):336-49.
16. Sisto A, Vicinanza F, Campanozzi LL, Ricci G, Tartaglini D, Tambone V. Towards a Transversal Definition of Psychological Resilience: A Literature Review. Medicina (Kaunas) 2019; 55(11):745.
17. Bellido-González M, Robles-Ortega H, Castelar-Ríos MJ, Díaz-López MÁ, Gallo-Vallejo JL, Moreno-Galdó MF, et al. Psychological distress and resilience of mothers and fathers with respect to the neurobehavioral performance of small-for-gestational-age newborns. Health Qual Life Outcomes 2019; 17(1):54.
18. Matsuoka Y, Nishi D, Yonemoto N, Hamazaki K, Matsumura K, Noguchi H, et al. Tachikawa project for prevention of posttraumatic stress disorder with polyunsaturated fatty acid (TPOP): study protocol for a randomized controlled trial. BMC psychiatry 2013;13(1):1-14.
19. Shin GS, Choi KS, Jeong KS, Min YS, Ahn YS, Kim MG. Psychometric properties of the 10-item Conner-Davidson resilience scale on toxic chemical-exposed workers in South Korea. Ann Occup Environ Med 2018;30:52.
20. Chan GJ, Labar AS, Wall S, Atun R. Kangaroo mother care: a systematic review of barriers and enablers. Bull World Health Organ 2016;94(2):130.
21. World Health Organization. Guidelines for drinking-water quality. World Health Organization, 2002.
22. Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics 2016;137(1): e20152238.
23. Ghazi M, Zare M, Ramezani M, Heidarzadeh M, Behnam Vashani HR. The Effect of Home Visit Program Based on the Continued Kangaroo Mother Care on Maternal Resiliency and Development of Premature Infant: A Randomized Clinical Trial. IJCBNM 2021;9(1):64-75.
24. Ionio C, Ciuffo G, Landoni M. Parent-Infant Skin-to-Skin Contact and Stress Regulation: A Systematic Review of the Literature. Int J Environ Res Public Health 2021;18(9):4695.
25. Cho ES, Kim SJ, Kwon MS, Cho H, Kim EH, Jun EM, et al. The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal-Infant Attachment, and Maternal Stress. J Pediatr Nurs 2016;31(4):430-8.
26. Kurt F, Kucukoglu S, Ozdemir A, Ozcan Z. The effect of kangaroo care on maternal attachment in preterm infants. Niger J Clin Pract. 2020;23(1):26-32.
27. Murty AI. Saving low birth weight babies with kangaroo mother care: family resilience and social capital as success factors. Journal of Modern Education Review 2018;8:667-72.
28. Sweeney S, Rothstein R, Visintainer P, Rothstein R, Singh R. Impact of kangaroo care on parental anxiety level and parenting skills for preterm infants in the neonatal intensive care unit. J. Neonatal Nurs 2017;23(3):151-8.
29. Bitsika V, Sharpley CF, Bell R. The buffering effect of resilience upon stress, anxiety and depression in parents of a child with an autism spectrum disorder. Journal of Developmental and Physical Disabilities 2013;25:533-43.
30. Hans SL, Edwards RC, Zhang Y. Randomized controlled trial of doula-home-visiting services: impact on maternal and infant health. Maternal and child health journal 2018;22(Suppl 1):105-13.
31. Coşkun D, Günay U. The Effects of Kangaroo Care Applied by Turkish Mothers who Have Premature Babies and Cannot Breastfeed on Their Stress Levels and Amount of Milk Production. J Pediatr Nurs 2020;50:e26-e32.
32. Yilmaz F, Küçükoglu S, Özdemir AA, Ogul T, Aski N. The effect of kangaroo mother care, provided in the early postpartum period, on the breastfeeding
self-efficacy level of mothers and the perceived insufficient milk supply. The Journal of perinatal & neonatal nursing 2020;34(1):80-7.
33. Jamali QZ, Shah R, Shahid F, Fatima A, Khalsa S, Spacek J, et al. Barriers and enablers for practicing kangaroo mother care (KMC) in rural Sindh, Pakistan. PLoS One 2019;14(6):e0213225.
34. Mohammadi M, Sattarzadeh N, Heidarzadeh M, Hosseini MB, Hakimi S. Implementation Barriers for Practicing Continuous Kangaroo Mother Care from the Perspective of Neonatologists and Nurses. J Caring Sci 2021;10(3):137-144.
| Files | ||
| Issue | Vol 18, No 1 (March 2024) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/jfrh.v18i1.15440 | |
| Keywords | ||
| Mothers Infant Premature Kangaroo-Mother Care Method Resilience Psychological | ||
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How to Cite
1.
Abasalizadeh M, Kazemi F, Aghababaei S, Basiri B, Soltani F. Increasing the Resilience of Mothers With Preterm Infant: The Effect of Kangaroo Mother Care. J Family Reprod Health. 2024;18(1):60-66.
