AI Article Synopsis

  • The kangaroo-mother care method (KMC), which emphasizes skin-to-skin contact, was studied to determine its effectiveness alongside neonatal phototherapy (NNPT) in treating jaundiced neonates.
  • A meta-analysis of five studies with 482 neonates found that KMC combined with NNPT resulted in lower bilirubin levels and shorter treatment times compared to NNPT alone.
  • Overall, the study concluded that incorporating KMC can enhance the treatment of non-pathological jaundice in newborns.

Article Abstract

Background: The kangaroo-mother care method (KMC) is a skin-to-skin contact-centered care approach with numerous benefits for neonates, but its impact on the treatment of jaundiced neonates is unknown. This study aimed to investigate the efficacy of KMC combined with neonatal phototherapy (NNPT) in treating neonates with non-pathological jaundice.

Methods: Relevant articles were searched in PubMed, Embase, Web of Science, and Cochrane Library databases from database establishment to April 2022. The outcomes included, without limitation, serum bilirubin levels, and duration of phototherapy.

Results: This meta-analysis included five studies (4 randomized controlled trials and 1 observational study) involving four hundred eighty-two neonates with non-pathological jaundice. The results showed that the group receiving KMC combined with NNPT had lower serum bilirubin at 72 h after intervention [weighted mean difference (WMD) = -1.51,  = 0.03], shorter duration of phototherapy [standard mean difference (SMD) = -1.45,  < 0.001] and shorter duration of hospitalization (SMD = -1.32,  = 0.002) compared to NNPT group. There was no difference in peak bilirubin in both groups of neonates (WMD = -0.12,  = 0.62).

Conclusions: KMC combined with NNPT helped to treat non-pathological jaundice in newborns compared to NNPT alone.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112003PMC
http://dx.doi.org/10.3389/fped.2023.1098143DOI Listing

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