PMID- 37543716 OWN - NLM STAT- MEDLINE DCOM- 20231010 LR - 20231010 IS - 1651-2227 (Electronic) IS - 0803-5253 (Linking) VI - 112 IP - 11 DP - 2023 Nov TI - The beneficial effect of early and prolonged kangaroo mother care on long-term neuro-developmental outcomes in low birth neonates - A cohort study. PG - 2400-2407 LID - 10.1111/apa.16939 [doi] AB - AIM: Kangaroo mother care (KMC) has immense short-term benefits, but data on long-term outcomes are scarce. Hence, this study aimed to compare the neurodevelopmental outcomes at 12 months of corrected age (CA) in infants <2000 g receiving early and prolonged KMC to a control group. METHODS: This was a cohort study that was conducted from January 2017 to November 2018. All neonates<2000 g were eligible for the study. Neonates that received early initiation (<72 h of life) and prolonged KMC comprised the intervention group and were compared to neonates without the intervention. Bayley Scales of Infant and Toddler Development, Third edition (BSID-III) was done at 12 months of CA, and this was analysed using t-test and multi-linear regression analysis. RESULTS: There were 75 neonates in the intervention and 69 in the control group. Baseline characteristics were comparable. We found higher composite scores for cognition (110.38 +/- 9.89 vs. 105.44 +/- 8.77, p value = 0.023), language (107.51 +/- 10.72 vs. 101.05 +/- 12.06, p value = 0.014) and adaptive behaviour (87.97 +/- 9.97 vs. 80 +/- 9.1, p value<0.001) in the early and prolonged KMC group in comparison to the control group. CONCLUSION: Infants with early and prolonged KMC have better neurodevelopmental outcomes in terms of cognition, language and adaptive behaviour at 12 months of CA. CI - (c) 2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. FAU - Bisanalli, Shridevi AU - Bisanalli S AUID- ORCID: 0000-0002-2062-4529 AD - Department of Neonatology, St. John's Medical College Hospital, Bangalore, Karnataka, India. FAU - Balachander, Bharathi AU - Balachander B AD - Department of Neonatology, St. John's Medical College Hospital, Bangalore, Karnataka, India. FAU - Shashidhar, A AU - Shashidhar A AD - Department of Neonatology, St. John's Medical College Hospital, Bangalore, Karnataka, India. FAU - Raman, Vijaya AU - Raman V AD - Department of Psychiatry, St. John's Medical College Hospital, Bangalore, Karnataka, India. FAU - Josit, Pavitra AU - Josit P AD - St.John's Research Institute, Bangalore, Karnataka, India. FAU - Rao, Suman Pn AU - Rao SP AUID- ORCID: 0000-0002-9721-0308 AD - Department of Neonatology, St. John's Medical College Hospital, Bangalore, Karnataka, India. LA - eng PT - Journal Article DEP - 20230815 PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 SB - IM MH - Infant, Newborn MH - Infant MH - Child MH - Humans MH - *Kangaroo-Mother Care Method MH - Infant, Low Birth Weight MH - Cohort Studies MH - Weight Gain MH - Length of Stay OTO - NOTNLM OT - cognition OT - kangaroo mother care OT - language OT - low birth weight OT - neurodevelopmental outcome EDAT- 2023/08/06 05:42 MHDA- 2023/10/10 06:41 CRDT- 2023/08/05 23:43 PHST- 2023/07/31 00:00 [revised] PHST- 2023/04/06 00:00 [received] PHST- 2023/08/03 00:00 [accepted] PHST- 2023/10/10 06:41 [medline] PHST- 2023/08/06 05:42 [pubmed] PHST- 2023/08/05 23:43 [entrez] AID - 10.1111/apa.16939 [doi] PST - ppublish SO - Acta Paediatr. 2023 Nov;112(11):2400-2407. doi: 10.1111/apa.16939. Epub 2023 Aug 15.