{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:33:06Z","timestamp":1788496386165,"version":"build-2803163510"},"reference-count":39,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:00:00Z","timestamp":1684454400000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2023,3,14]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Kangaroo Mother Care (KMC) is an evidence-based intervention focused on premature and low-birth-weight (LBW) infants. In different healthcare systems, outpatient KMC programmes (KMCPs) have been pioneers in the follow-up of these high-risk newborns.<\/jats:p>\n                  <jats:p>Here, we describe an overview analysis performed in an unprecedented data set comprising Colombian infants and spanning 28 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cohort study of 57\u2009154 infants discharged home in kangaroo position (KP) for follow-up in four KMCPs between 1993 and 2021.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>At birth and at hospital discharge to a KMCP, median gestational age and weight were 34.5 and 36 weeks, 2000\u2009g and 2200\u2009g, respectively. Chronological age at admission was 8\u2009days. Over time, anthropometric measures at birth and somatic growth during follow-up improved; on the other hand, percentages of mechanical ventilation, intraventricular haemorrhage and need for intensive care decreased as neuropsychomotor, sensory disorders and bronchopulmonary dysplasia incidence at 40 weeks. Risk of cerebral palsy and teenage mothers\u2019 frequency was higher in the poorest population. Early home discharge in KP in less than 72 hours was possible in 19% of the cohort. During the COVID-19 pandemic, we observed a more than twofold increase in exclusive breast feeding at 6\u2009months and a reduction in readmission rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study provides a general overview of KMCPs follow-up during the last 28 years within the Colombian healthcare system. These descriptive analyses have allowed us to structure KMC as an evidence-based method. KMCPs allow close monitoring with regular feedback about preterm or LBW infants\u2019 perinatal care, quality of care over time and health status during their first year of life. Monitoring these outcomes is challenging but guarantees access to high-risk infants\u2019 care with equity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjgh-2022-011192","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T08:05:20Z","timestamp":1684483520000},"page":"e011192","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Follow-up of Kangaroo Mother Care programmes in the last 28 years: results from a cohort of 57 154 low-birth-weight infants in Colombia"],"prefix":"10.1136","volume":"8","author":[{"given":"Nathalie","family":"Charpak","sequence":"first","affiliation":[{"name":"Research Group, Kangaroo Foundation, Bogota DC, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Montealegre-Pomar","sequence":"additional","affiliation":[{"name":"Research Group, Kangaroo Foundation, Bogota DC, Colombia"},{"name":"Facultad de Medicina, Departamento de Pediatr\u00eda, Pontificia Universidad Javeriana, Bogota, Colombia"},{"name":"Neonatal Unit, Hospital Universitario San Ignacio, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"key":"2025073014325460000_8.5.e011192.1","doi-asserted-by":"publisher","DOI":"10.1080\/08035250510027381"},{"key":"2025073014325460000_8.5.e011192.2","unstructured":"Charpak N , Villegas J . Actualizaci\u00f3n de Los lineamientos t\u00e9cnicos para La implementaci\u00f3n de programas madre canguro en Colombia, Con \u00e9nfasis en La nutrici\u00f3n del neonato prematuro O de bajo peso al nacer. Minist Heal Soc Prot Colomb 2017:1\u2013191. Available: https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/DE\/implementacion-programa-canguro.pdf"},{"key":"2025073014325460000_8.5.e011192.3","first-page":"297","article-title":"M\u00e9todo madre canguro-manejo ambulatorio del prematuro","volume":"40","author":"Rey-Sanabria","year":"1986","journal-title":"Rev La Fac Med Univ Nac Colomb"},{"key":"2025073014325460000_8.5.e011192.4","unstructured":"Ruiz-Pel\u00e1ez JG , Charpak N . Evidence-Based Clinical Practice Guidelines for an Optimal Use of the Kangaroo Mother Method in Preterm and\/or Low Birth Weight Infants. Colombia, 2007."},{"key":"2025073014325460000_8.5.e011192.5","unstructured":"Charpak N , Ruiz-Pelaez JG , Angel MI , et al . Lineamientos T\u00e9cnicos Para La Implementaci\u00f3n De Programas Madre Canguro En Colombia; Bogot\u00e1,Colombia. 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