The effect of Kangaroo Mother Care on Gastric Residual Volume Gavages in Preterm Infants: A Cross over Clinical Trial.

Abstract

Abstract: Background and Objective: Feeding intolerance in preterm infants is a major concern. Nurses with the appropriate positions in preterm infants fed causes' tolerance. The aim of the study is determine the effect of kangaroo mother care on gastric residual volume gavages in preterm infants. Materials and Methods: Cross over randomized clinical trial on 100 cases in Al –Zahra Teaching and 29 Bahman hospitals in 2012. The infant of first group, at first gavage twice placed in kangaroo mother care position and subsequent twice placed in supine position. The infant of second group, at first gavage twice placed in supine position and subsequent gavage twice placed in kangaroo other care position. Then gastric residual measured at 1 and 2 hours after initiation of feeding and compared in both groups. Questionnaire was used for data entry. Data analysis with Chi –square test, Fisher, Mann Whitney, T –test, mixed models and software SPSS 19. Results: In group I, the mean weight 1558/3±202/7, gestational age 30/2±4/6 and volume of milk 20/8±6/0 in group II, respectively, 1547/5±168/8, 30/6±1/8 and 20/8±5/5 was. Two groups in terms of demographic variables, weight, gestational age, the amount of milk given, chronological age difference was not statistically significant. Gastric residual volume average two hours later feeding of the kangaroo mother care position (0/9±1/6) was lower than the supine position (2/0±2/3) (p<0.001). Conclusion: The finding suggest that feeding preterm infants of the kangaroo mother care position reduce the gastric residual volume. Nurses to promote tolerance in preterm infants fed can be put in this position.