Kangaroo Holding and Maternal Stress

Not Applicable

Completed

• Conditions: Maternal Stress; Premature Birth
• Interventions: Behavioral: Kangaroo Holding

• Registration Number: NCT00271115
• Lead Sponsor: Christiana Care Health Services

Brief Summary

The primary objective is to determine if kangaroo holding in the first week after birth influences the stress levels of mothers who have delivered their infants prematurely and who require admission to the Special Care Nursery (SCN).

Hypothesis: There will be a decrease in maternal stress levels as perceived by mothers and as reflected in their blood pressures and heart rates after kangaroo holding their premature infants in the SCN.

Detailed Description

This study builds on known observations by previous researchers that the birth and hospitalization of premature infants creates stressful events in the lives of parents (Shields-Poe \& Pinelli, 1997). The challenge for health care workers is to provide for the physical and psychological needs of infants within a highly technological setting such as the SCN. It is necessary to facilitate effective bonding between parents and infants. Effective bonding is linked with successful parenting role development. Stress can alter the development of a positive parental role.

Kangaroo holding, or skin-to-skin holding, involves placing a diaper clad infant vertical and prone between a mother's breasts (Affonso, 1993). As evidenced by the literature, stress can have an altering effect on the maternal attachment role psychologically and place physical demands on the cardiovascular system. Kangaroo care is one variable that may change the perception of maternal stress during preterm hospitalization by assisting mothers to gain control of the parental role, permitting maternal bonding and reducing maternal separation as well as potentially decreasing the allostatic load as associated with physiologic stress.

This study will compare maternal perceived stress levels before and after kangaroo holding during the first week of life. Mothers who are enrolled in this study will be asked to Kangaroo hold their infants at least two times during the first week of life. The first kangaroo hold will take place with the first 48 hours of life. The second kangaroo hold will take place between day of life five and seven. Mothers may kangaroo hold their infants more than two times, however this study will only examine the kangaroo holding sessions that take place at the two times specified above. This study includes both physiologic and psychologic measurements. Mothers will have their blood pressure and heart rate measured before and after each of the two kangaroo holding sessions. These mothers will also be asked to complete a self-report stress inventory scale prior to the first kangaroo holding session (first 48 hours of infant's life) and again after the second kangaroo holding session (infant's day of life five to seven).

Study Timeline

• Study Start: 2005-09
• Study First Submitted: 2005-12-21
• Study First Submitted QC: 2005-12-29
• Study First Posted: 2005-12-30
• Primary Completion: 2007-10
• Study Completion: 2008-01
• Status Verified: 2012-02
• Last Update Submitted: 2012-02-16
• Last Update Posted: 2012-02-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 20

Inclusion Criteria

Mothers:

• Delivered a premature infant between 30 0/7 and 33 6/7 weeks gestation
• 20 to 40 years old
• English speaking

Infants:

• Admitted to Special Care Nursery and on a monitor
• Medically stable enough to be held (determined by health care team)

Exclusion Criteria

Mothers:

• Multiple birth
• Eclampsia
• Pre-existing hypertension or at risk (BP above 140/90)
• Pre-existing cardiac disease
• HELLP syndrome, or uncontrolled medical condition during pregnancy
• Use of magnesium sulfate for blood pressure control prior to delivery
• Known depression or treatment with antidepressants

Infants:

• Congenital anomalies
• Use of NCPAP or mechanical ventilation
• medically unstable (as determined by health care team)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Moms w/preterm infants	Kangaroo Holding	Mothers of preterm infants who are admitted to the newborn intensive care unit.

Primary Outcome Measures

Name	Time	Method
Change in perceived maternal stress after kangaroo holding.	1 week

Trial Locations

Locations (1)

Christiana Hospital - Special Care Nursery; 🇺🇸 Newark, Delaware, United States