Sally Furniss
Well-known member
This is a thread for the discussion of Pregnancy, Childbirth and Breastfeeding.
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EVALUATIONS AND REFERENCES ON KMC
From 1986 to date: Evaluations of some of the components of Kangaroo
Mother Care:
? Limited skin-to-skin contact.
? In-hospital kangaroo position for a few hours.
? Breastfeeding
? Early discharge
In 1991, Gene Anderson produced an exhaustive review of published and unpublished evidences mainly about responses and effects of limited skin-to-skin contact in hospitalized patients in developed countries. Reviewed studies included true Randomized Controlled Trials, observational controlled studies and case series. Outcomes varied from survival to specific physiologic parameters. Papers were classified according to their designs and to the overall quality of the evidence.
Regarding infants under skin-to-skin contact, Anderson?s major findings were:
1. Temperature regulation is at least as good as that obtained inside an incubator. Some pieces of evidence suggest that it is even better.
2. Regular breathing patterns, with a decrease of apneic episodes and periodic respiration are more frequent than in non exposed infants.
3. Transcutaneous O2 levels do not decrease.
4. Improved regulation of infant?s behavioral state: longer alertness periods, less crying, etc.
5. No additional risk for infection.
6. Higher rates and higher duration of breast feeding.
Regarding parents:
1. Mothers reported self-confidence, feeling of fulfillment and less stress.
2. Mothers had more confidence in breast feeding.
When reviewing some of the papers quoted by Anderson, it can be found statements about a reduction of hospital stay associated with limited skin-to-skin contact and a positive change of attitude among health personnel.
Reading through this thread, I was reminded that I once heard that mothers of adopted children can breastfeed their child. I am curious about the implications for breastfeeding older children or orphaned babes, during a pandemic or post pandemic world. Does someone know if the calories required to produce quality breastmilk would be less, more or equivalent to calories needed for the child's nutrition? Would starting to breastfeeding during a pandemic (assuming baby/child is not currently breastfed) simply a trade off of caloric intake? Would there be any other therapeutic benefits (ie antibodies passed through milk)? Just wondering...