Effect of Kangaroo Baby Massage on Mother-infant Interaction at Home

Universidad Nacional de Colombia68 enrolled

Overview

The objective of this randomized clinical trial will determine the effectiveness of nursing intervention (Kangaroo Baby Massage) on the interaction between mothers and premature, low birth weight infants at home The dyad mother- infant of the control group will receive Kangaroo position KP and the dyad mother- infant mothers of the intervention group will receive the Kangaroo Baby Massage KBM

Participants and methods: 68 dyads mother-infant will randomize, 34 in intervention KBM group and 34 in control group KP, previous they meet inclusion criteria and accept their participation through informed consent. weight gain and Kangaroo position days at home will be the primaries outcomes. The Alert states, Types of BC feeding, Perceived maternal parental self-efficacy and Postnatal depression. Will be secondary outcomes. Barnard's mother-child interaction theory supports the study

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Premature Low Birth Weight Mother-Infant Interaction

Eligibility

Sex: ALLMin age: 2 DaysMax age: 3 Months

Medical Language ↔ Plain English

Inclusion Criteria * Prematures and low birth weight infants in Kangaroo position with a chronological age less than 3 months * The mothers take care the infant at home * Baby with a weight equal to or greater than 1800 grams at the time of entry to the study. * Baby whose birth was institutional or extra-institutional. * Mothers with training in the Kangaroo Mother Program * Children controlled in the Ambulatory Kangaroo Mother Program Exclusion Criteria * Children diagnosed with intraventricular hemorrhages grade III and IV or congenital malformations * Children who have more than one ambulatory kangaroo control * Children who have been at home for more than 3 days without starting the ambulatory kangaroo control * Babies with infections and other pathologies that require hospitalization during the study * Presence of infectious diseases and other pathologies in the mother that require hospitalization * Mother confirmed with positive test for covid 19 at the moment of the randomization * Mothers with cognitive problems or mental disorders.

Outcomes

Primary Outcomes

weight

Weight gain after randomization up to infant doesn´t need to stay in kangaroo position at home.

Time frame: Through study completion, an average of 20 days

Kangaroo position days at home

Number days that the infant needs to stay in kangaroo position at home

Time frame: Through study completion, an average of 20 days

Secondary Outcomes

Alert states

The mother will observe and record YES OR NO the baby woke up during the intervention

Time frame: Through study completion, an average of 20 days

Types of feeding

The mother will report whether or not the baby fed during the intervention and will identify the type of feeding (exclusive breast milk, formula or mixed)

Time frame: Through study completion, an average of 20 days

Perceived maternal parental self-efficacy

The questionnaire contains 20 items with a Likert scale (1. Totally disagree, 2. disagree, 3. agree and 4. totally agree) the minimum value is 20 and the maximum is 80 and the higher scores means a better outcome.

Time frame: Given by a self-report provided by the mother of the perceived maternal parental self-efficacy questionnaire on day 1 before randomization and day 7 and 14 after randomization

Postnatal depression

. This scale contains 10 points of 0, 1, 2 and 3 are given according to the increase in the severity of the symptom. The points for questions 3, 5, 6, 7, 8, 9, 10 are scored in reverse order (3, 2, 1, 0). All points are added together to give the total score. A score of 10+ means worse outcome and shows the probability of depression

Time frame: Given by a self-report provided by the mother of the Edinburgh Postnatal Depression Scale on day 1 before randomization and day 7 and 14 after randomization

Effect of Kangaroo Baby Massage on Mother-infant Interaction at Home

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes