Effects of daily kangaroo care on cardiorespiratory parameters in preterm infants.
OBJECTIVE
Kangaroo care (KC) has possible benefits for promoting physiological stability and positive developmental outcomes in preterm infants. The purpose of this study was to compare bradycardia and oxygen desaturation events in preterm infants in standard incubator care versus KC.


METHODS
Thirty-eight infants 27 to 30 weeks gestational age were randomly assigned to 2 hours of KC daily between days of life 5 to 10 or to standard incubator care. Infants were monitored for bradycardia (heart rate <80) or oxygen desaturation (<80%). Analysis of hourly events was based on three sets of data: standard care group 24 hours daily, KC group during incubator time 22 hours daily, and KC group during holding time 2 hours daily.


RESULTS
The KC group had fewer bradycardia events per hour while being held compared to time spent in an incubator (p = 0.048). The KC group also had significantly fewer oxygen desaturation events while being held than while in the incubator (p = 0.017) and significantly fewer desaturation events than infants in standard care (p = 0.02).


CONCLUSIONS
KC reduces bradycardia and oxygen desaturation events in preterm infants, providing physiological stability and possible benefits for neurodevelopmental outcomes.
College of Nursing, University of Arkansas for Medical Sciences (UAMS), AR, USA.
A J
AJ
Mitchell
C
C
Yates
K
K
Williams
R W
RW
Hall
D001919:Bradycardia / Q000517:prevention & control*; D002662:Child Health Services / Q000379:methods*; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control*; D007186:Incubators, Infant / Q000009:adverse effects; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D007235:Infant, Premature, Diseases / Q000517:prevention & control*; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000097:blood; D014110:Touch; D016896:Treatment Outcome
D010100:Oxygen
Infant; bradycardia; kangaroo care; oxygen desaturation; premature