Neurodevelopment and Associated Factors in Preterm Infants Who Received Kangaroo Mother Care: A 12-Month Follow-Up

IF 2.1 4区医学 Q1 PEDIATRICS Acta Paediatrica Pub Date : 2025-03-19 DOI:10.1111/apa.70065

Gilles Ndjomo, Sylvie Blairy, Erero Njiengwe, Marie Geurten

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Abstract

Aim

Document the predictive factors for neurodevelopment up to the corrected age of 12 months for infants who received Kangaroo Mother Care (KMC).

Methods

In total, 91 preterm infants and their 78 mothers were included in the study. Maternal symptoms, maternal compliance with KMC practices and infant characteristics and development were recorded.

Results

Compared with formula and mixed milk, breast milk was associated with better developmental outcomes in locomotor (ß = 19.38, t = 4.21, p < 0.001), personal-social (ß = 19.39, t = 5.43, p < 0.001), hearing and speech (ß = 14.1, t = 3.6, p < 0.001), eye and hand coordination (ß = 17.31, t = 4.53, p < 0.001) and performance (ß = 11.21, t = 2.77, p = 0.006) subscales of the Griffith Mental Development Scales. However, the daily skin-to-skin contact (SSC) duration was negatively related to the locomotor (ß = –5.17, t = −2.04, p = 0.046), personal-social (ß = –4.92, t = −2.85, p = 0.007), hearing and speech (ß = –4.88, t = −2.63, p = 0.012), eye and hand coordination (ß = –4.77, t = −2.43, p = 0.018), and performance (ß = –5.67, t = −2.92, p = 0.007) subscales. The negative effect of SSC duration was moderated by the severity of maternal depressive symptoms.

Conclusion

Promoting breast milk and treating maternal depression could contribute to positive neurodevelopment in preterm infants.

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接受袋鼠妈妈护理的早产儿的神经发育及相关因素：12个月的随访。

目的：记录袋鼠妈妈护理（KMC）对12个月婴儿神经发育的预测因素。方法：91名早产儿及其78名母亲参与研究。记录产妇症状、产妇对KMC做法的依从性以及婴儿的特征和发育情况。结果：与配方奶和混合奶相比，母乳的运动发育结局更好（ß = 19.38, t = 4.21, p）。结论：促进母乳喂养和治疗母亲抑郁有助于早产儿神经发育的积极发展。

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries