Skin To Skin Contact pada BBLR terhadap Waktu, Durasi dan Dampaknya

  • Eva Perawaty Sitinjak Universitas Indonesia
  • Siti Chodidjah Universitas Indonesia
  • Imami Nur Rachmawati Universitas Indonesia
Keywords: BBLR, Bayi Prematur, Skin To Skin Contact, Perawatan Metode Kanguru

Abstract

This research aims to examine the implementation of skin-to-skin contact for LBW, which includes an analysis of when it is fastest to start, how long it lasts, and what the impact is. The research method used was a systematic review through searches in electronic databases, namely Proquest, Scopus, EBSCOhost, Clinical Key, and Clinical Key for Nursing from 2013 to 2023. The study results showed that early skin-to-skin contact for LBW was safe from eight research articles. Starting in the first 24 hours of life, including mild to moderate unstable conditions, still using a breathing apparatus and IV line (umbilical or central). The initial duration starts from 40 minutes to 16 hours per day. The impact is in the form of a higher rate of weight gain, reduced need for parenteral nutrition, longer duration of breastfeeding, better immunological function and lung function, better sleep patterns, lower prolonged crying patterns, lower markers of stress in babies and mothers, and mortality rates. In the first month, it was quieter. In conclusion, skin-to-skin contact for LBW is safe to do from an early age, including for unstable LBW in the mild to moderate category; the duration starts from 40 minutes and is increased gradually according to the baby's tolerance and has been proven to have many positive impacts on both the baby and the mother.

 

Keywords: LBW, Premature Babies, Kangaroo Method Treatment, Skin To Skin Contact

References

Amelia, T., Pratomo, H., Adisasmita, A. C., Martha, E., Rustina, Y., Murty, A. I., Susilowati, I. H., Tambunan, E. S., & Hasanah, I. J. (2021). Feasibility of Kangaroo Mother Care (KMC) Implementation in Depok City, Indonesia. Global Pediatric Health, 8. https://doi.org/10.1177/2333794X211012390

Arya, S., Naburi, H., Kawaza, K., Newton, S., Anyabolu, C. H., Bergman, N., Rao, S. P. N., P.Mittal, Assenga, E., Gadama, L., Larsen, R., Reindorf, K, O., Linnér, Y, S., Chopra, N., Ngarina, M., Msusa, A., Boakye Yiadom, B., & Mas Sawe, A. (2021). Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight. New England Journal of Medicine, 384(21), 2028–2038. https://doi.org/10.1056/NEJMoa2026486

Bedetti, L., Lugli, L., Bertoncelli, N., Spaggiari, E., Garetti, E., Lucaccioni, L., Cipolli, F., & Berardi, A. (2023). Early Skin-to-Skin Contact in Preterm Infants: Is It Safe? An Italian Experience. Children, 10(3), 1–10. https://doi.org/10.3390/children10030570

Brotherton, H., Gai, A., Kebbeh, B., Njie, Y., Walker, G., Muhammad, A. K., Darboe, S., Jallow, M., Ceesay, B., Samateh, A. L., Tann, C. J., Cousens, S., Roca, A., & Lawn, J. E. (2021). Impact of Early Kangaroo Mother Care Versus Standard Care on Survival of Mild-Moderately Unstable Neonates <2000 Grams: A Randomised Controlled Trial. EClinicalMedicine, 39(2021). https://doi.org/10.1016/j.eclinm.2021.101050

Cañadas, D. C., Carreño, T. P., Borja, C. S., & Perales, A. B. (2022). Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care. International Journal of Environmental Research and Public Health, 19(12). https://doi.org/10.3390/ijerph19127183

Cho, Y. C., Gai, A., Diallo, B. A., Samateh, A. L., Lawn, J. E., Martinez-Alvarez, M., & Brotherton, H. (2022). Barriers and Enablers to Kangaroo Mother Care Prior to Stability From Perspectives of Gambian Health Workers: A Qualitative Study. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.966904

Darmstadt, G. L., Al Jaifi, N. H., Arif, S., Bahl, R., Blennow, M., Cavallera, V., Chou, D., Chou, R., Comrie-Thomson, L., Edmond, K., Feng, Q., Riera, P. F., Grummer-Strawn, L., Gupta, S., Hill, Z., Idowu, A. A., Kenner, C., Kirabira, V. N., Klinkott, R., & Yunis, K. (2023). New World Health Organization Recommendations for Care of Preterm or Low Birth Weight Infants: Health Policy. EClinicalMedicine, 63, 1–13. https://doi.org/10.1016/j.eclinm.2023.102155

De Ocampo, F. S., & Villanueva-Uy, M. E. T. (2021). A Randomized Controlled Trial of Intermittent Kangaroo Mother Care versus Conventional Care in Increasing the Rate of Weight Gain among Low-Birth-Weight Neonates. Acta Medica Philippina, 55(9), 873–879. https://doi.org/10.47895/AMP.V55I9.3757

Emiria, W. N., Rustina, Y., & Rachmawati, I. N. (2023). Perawatan Metode Kanguru terhadap Kenaikan Berat Badan Bayi. Journal of Telenursing (JOTING), 5(1), 1032–1039. https://doi.org/10.31539/joting.v5i1.5999

Goudard, M. J. F., Lamy, Z. C., Marba, S. T. M., Cavalcante, M. C. V., dos Santos, A. M., Azevedo, V. M. G. de O., Costa, R., Guimarães, C. N. M., & Lamy-Filho, F. (2022). Skin-to-Skin Contact and Deaths in Newborns Weighing Up to 1800 Grams: A Cohort Study. Jornal de Pediatria, 98(4), 376–382. https://doi.org/10.1016/J.JPED.2021.09.001

Kristoffersen, L., Bergseng, H., Engesland, H., Bagstevold, A., Aker, K., & Støen, R. (2023). Skin-to-Skin Contact in the Delivery Room for Very Preterm Infants: A Randomised Clinical Trial. BMJ Paediatrics Open, 7(1). https://doi.org/10.1136/bmjpo-2022-001831

Kucukoglu, S., Yılmaz Kurt, F., Aytekin Ozdemir, A., & Ozcan, Z. (2021). The Effect of Kangaroo Care on Breastfeeding and Development in Preterm Neonates. Journal of Pediatric Nursing, 60(2021), e31–e38. https://doi.org/10.1016/j.pedn.2021.02.019

Lode-Kolz, K., Hermansson, C., Linnér, A., Klemming, S., Hetland, H. B., Bergman, N., Lilliesköld, S., Pike, H. M., Westrup, B., Jonas, W., & Rettedal, S. (2023). Immediate Skin-to-Skin Contact after Birth Ensures Stable Thermoregulation in Very Preterm Infants in High-Resource Settings. Acta Paediatrica, International Journal of Paediatrics, 112(5), 934–941. https://doi.org/10.1111/apa.16590

Mathias, C. T., Mianda, S., Ohdihambo, J. N., Hlongwa, M., Singo-Chipofya, A., & Ginindza, T. G. (2021). Facilitating Factors and Barriers to Kangaroo Mother Care Utilisation in Low- and Middle-Income Countries: A Scoping Review. African Journal of Primary Health Care and Family Medicine, 13(1), 1–15. https://doi.org/10.4102/PHCFM.V13I1.2856

Narciso, L. M., Beleza, L. O., & Imoto, A. M. (2022). The Effectiveness of Kangaroo Mother Care in Hospitalization Period of Preterm and Low Birth Weight Infants: Systematic Review and Meta-Analysis. Jornal de Pediatria, 98(2), 117–125. https://doi.org/10.1016/J.JPED.2021.06.004

Pandya, D., Kartikeswar, G. A. P., Patwardhan, G., Kadam, S., Pandit, A., Patole, S., Ankula, G., Kartikeswar, P., Patwardhan, G., & Kadam, S. (2021). Early Human Development Effect of Early Kangaroo Mother Care on Time to Full Feeds in Preterm Infants - A Prospective Cohort Study. Early Human Development, 154(January 2021), 105312. https://doi.org/10.1016/j.earlhumdev.2021.105312

UNICEF. (2022). Low birthweight - UNICEF DATA. Data.Unicef.Org. https://data.unicef.org/topic/nutrition/low-birthweight/

World Health Organization. (2022). WHO Recommendations for Care of the Preterm or Low-Birth-Weight Infant. World Health Organization. https://apps.who.int/iris/handle/10665/363697

Yang, J., Guo, Y., & Dai, Y. (2022). Impact of Kangaroo Mother Care Intervention on Immunological and Pulmonary Functions of Preterm Infants during Breastfeeding. Evidence-Based Complementary and Alternative Medicine, 2022. https://doi.org/10.1155/2022/3180871
Published
2024-02-23
Abstract viewed = 28 times
pdf downloaded = 18 times