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Effect of Kangaroo Mother Care on successful breastfeeding

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eMediNexus    06 October 2018

Assessment of the effect of Kangaroo Mother Care (KMC) on breastfeeding success has yielded conflicting results. A systematic review and meta-analysis of randomized controlled trials on the effect of KMC on the success of breastfeeding was recently published in Reviews on Recent Clinical Trials. The following key words were searched breastfeeding, Breast-Feeding, "skin-to-skin", "Kangaroo Mother Care", randomized clinical trial. The databases searched included Google Scholar, PubMed, EMBASE, Scopus, and Cochrane Central Register of Controlled Trials. Data were extracted by two authors independently. In all, 20 articles were included in the analysis. In the KMC and CNC groups, 1,432 and 1,410 neonates were assessed. Breastfeeding success rate was found to be higher in the KMC group within different time slots; however, the difference was not statistically significant (RR=1.11(95CI, 0.93-1.34) and RR=1.13(95%CI, 0.92-1.34) based on the time slot and birth weight, respectively). The between-groups difference in the mean scores of Infant Breast-Feeding Assessment Tool (IBFAT) were statistically significant (P<0.05). Breastfeeding was initiated sooner in the KMC group, pointing to a statistically significant between-group difference -0.72 (95%CI, from -0.92 to -0.53) (P<0.05). Majority of studies appeared to have a high risk of bias. The results suggested a superiority of KMC over CNC in terms of breastfeeding success.

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