Breastfeeding, Depression, Post-Partum, Feeding, Breast, Gain, Weight, Low Birth Weight, Mother-Infant Interaction, Premature
Conditions
Keywords
Massage, Kangaroo mother care, low birth weight infant, premature infant, Mother- infant interaction, domiciliary, Nursing, home health nursing, telenursing
Brief summary
The objective of this randomized clinical trial will determine the effectiveness of nursing intervention (Kangaroo Baby Massage) on the interaction between mothers and premature, low birth weight infants at home The dyad mother- infant of the control group will receive Kangaroo position KP and the dyad mother- infant mothers of the intervention group will receive the Kangaroo Baby Massage KBM
Detailed description
Participants and methods: 68 dyads mother-infant will randomize, 34 in intervention KBM group and 34 in control group KP, previous they meet inclusion criteria and accept their participation through informed consent. weight gain and Kangaroo position days at home will be the primaries outcomes. The Alert states, Types of BC feeding, Perceived maternal parental self-efficacy and Postnatal depression. Will be secondary outcomes. Barnard's mother-child interaction theory supports the study
Interventions
BEHAVIORALKangaroo Baby Massage
The Kangaroo Baby Massage is an intervention that arose from nursing practice in 1996. It is a therapy that does not require an incubator, fuses massage, kangaroo position and music. KBM is available on video
Sponsors
Universidad Nacional de Colombia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
The infant-mother dyads will not be Know that there are two different interventions in each group. This leads to greater adherence to treatment. The researchers: there will be two research assistants who will receive capacity regardless of the group of participants they are going to train, the main researcher will not carry out the training to the mothers and will be blinded. The nursing assistant in charge of weighing the baby and the pediatrician who determines the time of the kangaroo position. They will be blinded.
Intervention model description
Two interventions groups of 34 each, participated in the study. The first group received Nursing intervention Kangaroo Baby Massage KBM at home and the second group received Kangaroo position KP at home, the KBM will start when the infant arrives at home until they leave the kangaroo position. The KP will measure since the baby arrive at home until leave the kangaroo position.
Eligibility
Sex/Gender
ALL
Age
2 Days to 3 Months
Healthy volunteers
No
Inclusion criteria
* Prematures and low birth weight infants in Kangaroo position with a chronological age less than 3 months * The mothers take care the infant at home * Baby with a weight equal to or greater than 1800 grams at the time of entry to the study. * Baby whose birth was institutional or extra-institutional. * Mothers with training in the Kangaroo Mother Program * Children controlled in the Ambulatory Kangaroo Mother Program
Exclusion criteria
* Children diagnosed with intraventricular hemorrhages grade III and IV or congenital malformations * Children who have more than one ambulatory kangaroo control * Children who have been at home for more than 3 days without starting the ambulatory kangaroo control * Babies with infections and other pathologies that require hospitalization during the study * Presence of infectious diseases and other pathologies in the mother that require hospitalization * Mother confirmed with positive test for covid 19 at the moment of the randomization * Mothers with cognitive problems or mental disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weight | Through study completion, an average of 20 days | Weight gain after randomization up to infant doesn´t need to stay in kangaroo position at home. |
| Kangaroo position days at home | Through study completion, an average of 20 days | Number days that the infant needs to stay in kangaroo position at home |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alert states | Through study completion, an average of 20 days | The mother will observe and record YES OR NO the baby woke up during the intervention |
| Types of feeding | Through study completion, an average of 20 days | The mother will report whether or not the baby fed during the intervention and will identify the type of feeding (exclusive breast milk, formula or mixed) |
| Perceived maternal parental self-efficacy | Given by a self-report provided by the mother of the perceived maternal parental self-efficacy questionnaire on day 1 before randomization and day 7 and 14 after randomization | The questionnaire contains 20 items with a Likert scale (1. Totally disagree, 2. disagree, 3. agree and 4. totally agree) the minimum value is 20 and the maximum is 80 and the higher scores means a better outcome. |
| Postnatal depression | Given by a self-report provided by the mother of the Edinburgh Postnatal Depression Scale on day 1 before randomization and day 7 and 14 after randomization | . This scale contains 10 points of 0, 1, 2 and 3 are given according to the increase in the severity of the symptom. The points for questions 3, 5, 6, 7, 8, 9, 10 are scored in reverse order (3, 2, 1, 0). All points are added together to give the total score. A score of 10+ means worse outcome and shows the probability of depression |
Countries
Colombia
Outcome results
None listed