{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:09:52Z","timestamp":1753888192147,"version":"3.41.2"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: This research investigates the impact of kangaroo mother care restrictions on feeding and physiological parameters in preterm newborns during the COVID-19 pandemic.  METHODS: A retrospective cohort design was used, including 169 preterm neonates born at 30\u201334 weeks of gestation, recruited from a Neonatal Intensive Care Unit in Denizli, Turkiye. The study compared a kangaroo mother care group (n=78) and a kangaroo mother care-restricted group (n=91). Data analysis was conducted using the chi-square test, Fisher's exact test, and t-test.  RESULTS: The average duration until the initiation of full oral feeding was shorter in the kangaroo mother care group (mean difference=4.58, 95%CI 0.61\u20138.43, p=0.020). Newborns in the kangaroo mother care-restricted group had a higher likelihood of reverting to gavage feeding (OR 6.59, 95%CI 2.98\u201314.58, p=0.000), and higher withdrawal rates (OR 3.36, 95%CI 1.59\u20137.09, p=0.001). Newborns in the kangaroo mother care group experienced significantly lower rates of apnea attacks (OR 3.29, 95%CI 1.52\u20137.09, p=0.002), tachycardia (OR 4.43, 95%CI 1.54\u201312.76, p=0.004), and desaturation (OR 3.43, 95%CI 1.70\u20136.93, p=0.000).  CONCLUSION: This study highlights the positive effects of kangaroo mother care on preterm newborns\u2019 feeding and physiological parameters. It is recommended that kangaroo mother care be consistently provided to all newborns, even during exceptional circumstances such as pandemics.<\/jats:p>","DOI":"10.1590\/1806-9282.20240864","type":"journal-article","created":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T07:29:25Z","timestamp":1742628565000},"source":"Crossref","is-referenced-by-count":0,"title":["Effects of kangaroo mother care restrictions during the COVID-19 pandemic on feeding and physiological parameters in preterm neonates: a cohort study"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8181-6172","authenticated-orcid":false,"given":"Z\u00fchal","family":"\u00c7amur","sequence":"first","affiliation":[{"name":"Karab\u00fck University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8548-0485","authenticated-orcid":false,"given":"Deniz","family":"Akyildiz","sequence":"additional","affiliation":[{"name":"Kahramanmara\u015f S\u00fct\u00e7\u00fc \u0130mam University,  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"year":"2022","series-title":"Born too soon: decade of action on preterm birth","key":"ref1"},{"year":"2021","series-title":"Immediate kangaroo mother care for preterm and low birthweight babies requires dedicated mother-newborn \u0131ntensive care units","key":"ref2"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"103771","DOI":"10.1016\/j.midw.2023.103771","article-title":"The effect of kangaroo mother care or skin-to-skin contact on infant vital signs: a systematic review and meta-analysis","volume":"125","author":"Durmaz A","year":"2023","journal-title":"Midwifery"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1590\/1678-9865202235e220054","article-title":"Influence of kangaroo mother care on breastfeeding, the introduction of complementary feeding and diet quality in the first year of life","volume":"35","author":"Ciochetto CR","year":"2022","journal-title":"Rev Nutr"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1891\/11-T-748","article-title":"Skin-to-skin contact (Kangaroo Care) during the COVID-19 pandemic","volume":"40","author":"Ludington-Hoe SM","year":"2021","journal-title":"Neonatal Netw"},{"issue":"3","key":"ref6","article-title":"Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers\u2019 voices and experiences","volume":"6","author":"Rao SPN","year":"2021","journal-title":"BMJ Glob Health"},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.18203\/2349-3291.ijcp20212053","article-title":"Kangaroo mother care in COVID-19 pandemic, accepting the new normal","volume":"8","author":"Nayyar S","year":"2021","journal-title":"Int J Contemp Pediatrics"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"100733","DOI":"10.1016\/j.eclinm.2021.100733","article-title":"Preterm care during the COVID-19 pandemic: a comparative risk analysis of neonatal deaths averted by kangaroo mother care versus mortality due to SARS-CoV-2 infection","volume":"33","author":"Minckas N","year":"2021","journal-title":"EClinicalMedicine"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"101056","DOI":"10.1016\/j.eclinm.2021.101056","article-title":"Neonatal care during the COVID-19 pandemic - a global survey of parents\u2019 experiences regarding infant and family-centred developmental care","volume":"39","author":"Kostenzer J","year":"2021","journal-title":"EClinicalMedicine"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2333794X231213472","DOI":"10.1177\/2333794X231213472","article-title":"Challenges faced by mothers practicing kangaroo mother care (KMC) in a resource-limited setting during the COVID-19 pandemic: insights from the voices of mothers of preterm babies and their suggested solutions","volume":"10","author":"Afande Mukhola B","year":"2023","journal-title":"Glob Pediatr Health"},{"issue":"9596","key":"ref11","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"Elm E","year":"2007","journal-title":"Lancet"},{"key":"ref12","series-title":"Doctoral Thesis","volume-title":"The effect of kangaroo care on nutrition and development of low birth weight preterm newborns","author":"Y\u0131ld\u0131r\u0131m G","year":"2009"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1038\/s41390-019-0558-6","article-title":"Longer duration of kangaroo care improves neurobehavioral performance and feeding in preterm infants: a randomized controlled trial","volume":"87","author":"El-Farrash RA","year":"2020","journal-title":"Pediatr Res"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"fmad015","DOI":"10.1093\/tropej\/fmad015","article-title":"Effects of kangaroo mother care on feeding intolerance in preterm infants","volume":"69","author":"\u00c7aka SY","year":"2023","journal-title":"J Trop Pediatr"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/j.pedn.2017.02.006","article-title":"The impact of kangaroo care on premature infant weight gain","volume":"34","author":"Evereklian M","year":"2017","journal-title":"J Pediatr 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Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302025000100609&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T07:30:30Z","timestamp":1742628630000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302025000100609&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0104-42302025000100609"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20240864","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"type":"electronic","value":"1806-9282"},{"type":"print","value":"0104-4230"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240864"}}