Effect of a Nursing Intervention on the Mother-baby Kangaroo Interaction at Home in Bogotá
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- weight
Study Overview
Brief Summary
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
Detailed Description
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
The infant-mother dyads will not be Know that there are two different interventions in each group. This leads to greater adherence to treatment.
The researchers: there will be two research assistants who will receive capacity regardless of the group of participants they are going to train, the main researcher will not carry out the training to the mothers and will be blinded.
The nursing assistant in charge of weighing the baby and the pediatrician who determines the time of the kangaroo position. They will be blinded.
Eligibility Criteria
- Ages
- 2 Days to 3 Months (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Arms & Interventions
Kangaroo baby Massage
The mother will apply the massage. The baby kangaroo will be exposed to the KBM for 10 minutes once a day during the time that the infant need to stay in kangaroo position at home. If the baby wakes up and wants to eat the KBM will be interrupted immediately and the baby will be fed, The temperature will be measured before and after the intervention. The massage will begin 60 minutes after the feed.
Intervention: Kangaroo Baby Massage (Behavioral)
Kangaroo position
The infant must be in Kangaroo position with the mother semi sitting on bed with elevation of at least 30 degrees during 10 minutes every day until the infant doesn´t need to stay in kangaroo position at home.The temperature will be measured 60 minutes after the feed and 10 minutes after KP. If the baby wakes up and wants to eat the KP will be interrupted immediately and the baby will be fed, then the KP will be completed of time ( 10 minutes) to measure the temperature.
Intervention: Kangaroo Baby Massage (Behavioral)
Outcomes
Primary Outcomes
weight
Time Frame: Through study completion, an average of 20 days
Weight gain after randomization up to infant doesn´t need to stay in kangaroo position at home.
Kangaroo position days at home
Time Frame: Through study completion, an average of 20 days
Number days that the infant needs to stay in kangaroo position at home
Secondary Outcomes
- Alert states(Through study completion, an average of 20 days)
- Types of feeding(Through study completion, an average of 20 days)
- Perceived maternal parental self-efficacy(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(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)
Investigators
Nubia Castiblanco Lopez
student Nursing PhD
Universidad Nacional de Colombia