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Nejm: “Kangaroo -style care”, save more babies’ lives!

— According to data, the incidence of premature birth in my country is about 7%, and about 1.2 million premature babies are born each year, ranking second in the world. On May 31, my country’s three -child policy was fully opened, and the number of births in my country may increase. In order to reduce the death and disability of premature babies, as early as 2003, the World Health Organization (WHO) guidelines suggested that breastfeeding in the intensive care unit of the newborn and promoting “kangaroo -style care” to reduce the incidence of premature children’s diseases and The re -enrollment rate after discharge.

“Kangaroo -style care” is a new way of nursing. It is a skin contact with the skin of the mother or other nursing staff, which can reduce the mortality of infants in low birth weight (<2.0 kg) in babies. For babies with less than 2 kg of birth, they should be in contact with the mother's skin as early as possible. Even intermittent contact can reduce the infant complications and better gain weight.

Recently, a study published in NEJM magazine proves for the first time that it will resume the skin contact of the mother and baby’s skin immediately after birth, which can reduce the risk of death within 28 days after the birth of the low -body re -birth.

In this study, a random control test was led by the WHO in five hospitals in Ghana, India, Malawi, Nigeria, and Tanzania, and a low -weight baby weighed from 1.0 to 1.799 kilograms of birth weight Compared with the “kangaroo -style care” intervention, compared with the receiving conventional care in the thermal insulation box or radiation heating, the mortality rate within 28 days of the newborn period, the incidence of complications, breastfeeding, etc. within 72 hours of birth.

The study was included in a total of 3211 babies and their mothers, and was randomly assigned to the intervention group (1609 babies and their mothers) or the control group (1602 babies and their mother). In the neonatal intensive care unit, the intervention group’s daily skin contact is 16.9 hours (quarter -bit range, 13.0 to 19.7), and the control group is 1.5 hours (quadrimonia range, 0.3 to 3.3).

The results showed that the mortality rates of newborn intervention and control groups were 4.6%and 5.8%within 72 hours of birth, and the mortality rates within 28 after birth were 12.0%and 15.7%, respectively. At the same time, the longer the mother’s skin contact with the baby’s skin, the more obvious the effect of reducing the risk of death. Newborns who have been in contact with less than 10 hours a day, the mortality rate within 28 days is as high as 31.3%, and the newborn in the same period of at least 20 hours of contact per day The mortality rate is only 3.3%.

Researchers further discovered that the proportion of suspected sepsis babies in the intervention group was 22.9%and the control group was 27.8%. Moreover, 58.5%and 45.5%of babies began breastfeeding within 24 hours after birth, respectively, and the proportion of breastfeeding within 7 days was 78.4%and 69.0%, respectively.

Researchers said that “kangaroo -style care” has brought about major changes to the intensive care monitoring of low weight or premature newborn. In these hospitals with scarce resources, the “kangaroo -style care” will be implemented in order to save more lives.

Primitive source

Who Immediated KMC Study Group. Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight [J]. New England Journal of Medicine, 2021, 384 (21): 2028-228-228-228-228-228-228-228-228-228-228-228-2288-2288-2288-2288-2288-2288-2

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