Effect of Very Early Kangaroo Care on Infant''s Extrauterine Adaptation and Maternal Birth-related Fatigue

• Main Authors: LiHung Huang, 黃麗虹
• Other Authors: Chwo Miao-Ju
• Format: Others
• Language: zh-TW
• Published: 2001
• Online Access: http://ndltd.ncl.edu.tw/handle/26419896491022149750

碩士 === 國防醫學院 === 護理研究所 === 89 === The aim of this study was to investigate the effects of very early kangaroo care on infant’s extrauterine adaptation and maternal birth-related fatigue. Non-invasive measurements of body temperature, heart rate, oxygen saturation, and behavior state were used to evaluate the effect of very early kangaroo care on infants. Modified Fatigue Symptom Checklist (MFSC) was used to investigate the effect of the extent of maternal birth-related fatigue. The inclusion criteria of mothers were NSD, no postpartum complication, clear consciousness, and could communicate with Chinese or Taiwanese. The infants were admitted to general baby room, 5 minutes Apgar score >7, condition stable, no congenital disease, and no requirement of ventilator support. Forty-nine mothers and their babies were randomly assigned to experimental group (KC) or control group by the computer minimization program designed by Conlon and Anderson (1990). The program could make the characteristics of the two samples to average by stratification. The infants in KC group received 60 minutes skin-to-skin contact with mothers after newborn nursing care. The infants in control group received the same care without the KC intervention. Before study, the physiological index (body temperature, heart rate, and oxygen saturation), behavior state, and the MFSC of maternal birth-related fatigue were taken as baseline. The same parameters were taken again after 60 minutes KC or routine care. The statistical analysis was performed with the software of SPSS 9.0/win98. The general data, physiological index, and behavior state were analyzed with descriptive statistics: frequency, percentage, mean and standard deviation. The physiological index, behavior state, and maternal birth-related fatigue were compared with student t-test and one-way ANOVA. The mean body temperature of KC group was significantly higher than control group (37.3℃ vs. 37.0℃, p=.022). The change of body temperature was within normal limit (36.5℃-37.5℃) in both groups. There were no differences in heart rate and in oxygen saturation between groups. Both the heart rate and oxygen saturation were also within normal limit (HR:120-160/min; O2 saturation: 90-100%). There was no bradycardia (<100/min) to be noted. The KC group had more quiet sleep (41% vs. 13.5%, p=.001) and alert inactivity (27.6% vs. 2.8%, p=.001) than the control group. The control group had more drowsiness (7.7% vs. 0.6%, p=.000) and crying state (38.5% vs. 15.1%, p=.000) than the KC group. The extent of maternal birth-related fatigue was significantly different between KC and control group (37.67 vs. 42.36, p=.000). Conclusively, this study demonstrates very early kangaroo care is safe and benefited to the infant’s behavioral state and helpful to diminish maternal birth-related fatigue. From this study, we suggest that KC should be adopted for all NSD infants to improve the quality of postpartum maternal-newborn care.