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The effect of early kangaroo care on...

Wilhelm, Patricia A.

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The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants./
Author:	Wilhelm, Patricia A.
Description:	179 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3065.
Contained By:	Dissertation Abstracts International66-06B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3178994
ISBN:	0542188023

The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants.
Wilhelm, Patricia A.

The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants. - 179 p.

Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3065.

Thesis (Ph.D.)--University of Nebraska Medical Center, 2005.

The primary purpose of this dissertation study was to explore the effect of early Kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants. An additional objective was to describe the experiences of mothers who participated in early KC. The expected outcome of this study was to demonstrate that early Kangaroo care is an effective intervention to improve milk production in mothers of premature infants by stimulating both the psychologic and physiologic triggers to the production of oxytocin and the 'let-down' reflex, specifically increasing breast skin temperature and decreasing maternal distress.

ISBN: 0542188023Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants.
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100 1 $a Wilhelm, Patricia A. $3 1908615
245 1 4 $a The effect of early kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants.
300 $a 179 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3065.
500 $a Supervisor: Margaret E. Wilson.
502 $a Thesis (Ph.D.)--University of Nebraska Medical Center, 2005.
520 $a The primary purpose of this dissertation study was to explore the effect of early Kangaroo care on breast skin temperature, distress, and breastmilk production in mothers of premature infants. An additional objective was to describe the experiences of mothers who participated in early KC. The expected outcome of this study was to demonstrate that early Kangaroo care is an effective intervention to improve milk production in mothers of premature infants by stimulating both the psychologic and physiologic triggers to the production of oxytocin and the 'let-down' reflex, specifically increasing breast skin temperature and decreasing maternal distress.
520 $a A two treatment, three period, two sequence experimental cross-over repeated measures design (ABB, BAA) was used. This 3-period design was conducted on day 4, 5, and 6 postpartum and allowed each mother to act as her own control and participate in the intervention. Participants were randomly assigned to act as their own control (B) or receive the KC intervention (A) for the first day of the study. The convenience sample consisted of 25 mothers who delivered prematurely at three major medical centers in the Midwest, and whose infants were <33 weeks gestation and/or <2000 grams.
520 $a Participation in early Kangaroo care had a significant effect (p < 0.0001) on breast skin temperature, no significant effect on change in cortisol, and a significant effect on breastmilk production (p = 0.009), however the effect was in a negative direction and was not considered clinically significant. Interviews conducted with mothers who participated in early KC gave rich descriptions of their experience not only during KC, but during the time leading up to the birth. A preliminary conceptual map was constructed with six categories (1) "Did I Really Have a Baby?", (2) "Early KC Experience", (3) "Sensory Stimulation", (4) "Intimacy", (5) "Role Recognition", and (6) "Reality of Motherhood". The results of this study provide beginning evidence of effects on mothers who participated in early KC with their premature infants; however, more research is needed.
590 $a School code: 0367.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Obstetrics and Gynecology. $3 1020690
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710 2 0 $a University of Nebraska Medical Center. $3 1021714
773 0 $t Dissertation Abstracts International $g 66-06B.
790 1 0 $a Wilson, Margaret E., $e advisor
790 $a 0367
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3178994