Kangaroo Care: The Best You Can Do to Help Your Preterm Infant


If you have just given birth to a preterm infant, you and your baby both face special challenges. Parents long to help their baby but often feel isolated and frightened by hospital procedures.
Now there is wonderful news for both babies ...

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Kangaroo Care: The Best You Can Do to Help Your Preterm Infant

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If you have just given birth to a preterm infant, you and your baby both face special challenges. Parents long to help their baby but often feel isolated and frightened by hospital procedures.
Now there is wonderful news for both babies and parents. Kangaroo Care, a technique pioneered in leading neonatal centers worldwide, gives you a unique role: a special way of holding your infant that provides crucial health benefits—including shorter hospital stays.
Based on ground-breaking research, Kangaroo Care is a step-by-step guide to bringing these benefits to your baby—even if your neonatal unit does not yet have a Kangaroo Care program. It explains:
• Why Kangaroo Care enhances your baby’s development
• How to use the technique even if your infant requires a ventilator or an incubator
• How to understand your baby’s signals of distress or comfort—and how to respond
• How you can work with the national staff to provide the best for your baby between your visits
• How to involve fathers as well as mothers
• All the proven results of Kangaroo Care—including a more relaxed, healthier, and contented baby

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Editorial Reviews

Library Journal
Originating in Colombia a decade ago as a means of keeping preterm infants (premies) alive in an unheated hospital, ``kangaroo care'' is a term describing skin-to-skin contact in an upright position. The authors have written a comprehensive book explaining what it is, which premies are suitable and why (not all qualify), the physiological theories behind it, and how it benefits both infants and their parents. They describe a typical neonatal intensive care unit (NICU) stay and how this procedure can complement NICU treatment. For additional information on premies, see Helen Harrison's The Premature Baby Book ( LJ 7/83). Highly recommended for family health collections.-- Anne C. Tomlin, Auburn Memorial Hosp. Lib., N.Y.
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Product Details

  • ISBN-13: 9780553372458
  • Publisher: Random House Publishing Group
  • Publication date: 9/28/1993
  • Pages: 244
  • Sales rank: 700,149
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.75 (d)

Table of Contents

Foreword xiii
Acknowledgments xv
Part 1 What is Kangaroo Care?
1. Today's Revolution in Premature Care 3
What Is a Premature Baby?
The Kangaroo Care Revolution
The Benefits of Kangaroo Care
Why Kangaroo Care Works
Can Twins Be Kangarooed?
What Is the Proof That Kangaroo Care Works?
A Mother's Story: Mary Kangaroos Ben
2. Kangaroo Care Promotes Bonding 14
What Is Bonding?
Premature Birth Alters the Bonding Process
Bonding in the NICU
Bonding During Kangaroo Care
How Kangaroo Care Reduces Parents' Anxiety
The Short- and Long-Term Benefits for Parents
3. The Birth of Kangaroo Care 24
How I Became Involved
4. Life in the Neonatal Intensive Care Unit 31
An Early Arrival
The Medical Team Works on a Premie
So Many Tubes and Wires
Under the Warming Lights
Inching into the Incubator
Graduating to the Open-Air Crib
Your Premie's Tumultuous New World
Nursery Shutdown
5. Understanding Your Premie's Messages 47
The Parent Gender Gap Is Real
How Your Premie
"Talks" to You
Physiological Changes
Behavioral Signs of Distress
What to Do If You Recognize Signs of Distress
Behavioral Signs of Happiness
6. Why You Should Use Kangaroo Care 67
Body Temperature
Heart Rate
Respiratory Rate
Respiratory Distress
Weight and Growth
Behavioral States
Emotional States
Early Discharge from the Hospital
7. Why Kangaroo Care Works 85
The World Within the Womb
A Deja Vu of the Womb
Why Kangaroo Care Works for Fathers
Kangaroo Care Protects Premies
The Contribution of the Prone Position
Kangaroo Care Empowers Premies
8. Is Your Baby Eligible for Kangaroo Care? 95
Is My Baby Ready?
Using APGAR Scores
Requirements for Sicker Babies
Minimal Handling
Ask the Nurse or Doctor
Part 2 How to Kangaroo Your Premie
9. The Best Times to Use Kangaroo Care 105
Your Baby's Feeding Intervals
Treatments Planned for the Day
Your Baby's Diurnal Rhythm
10. Before, During, and After Kangaroo Care 109
Get Yourself Ready
Controlling the Hospital Environment
Get into the Right Position
What to Expect During Kangaroo Care
Keeping Your Infant Flexed
Helping Your Baby Regulate Her Temperature
Taking Care of Yourself
Kangarooing Twins
What to Expect After a Kangaroo Care Session
"Compliant Children" Your Own Reactions
11. Breastfeeding During Kangaroo Care 129
Why Breast Is Best
Your Breastmilk Is Even More Specialized
Breastfeeding a Premie
Kangaroo Care to the Rescue
The Advantages of Breastfeeding During Kangaroo Care
Getting Started
Sucking Patterns
Cues to Watch Out For
Regulating Fluids and Calories
Maintaining Your Milk Supply If Your Baby Is Not Ready to Nurse
Ask for Help
Breastfeeding If You've Had a Cesarean
Fathers and Breastfeeding
Nonnutritive Sucking
12. Especially for Dad: Paternal Kangaroo Care 143
My Research with Fathers in Latin America
Paternal Kangaroo Care Research in the United States
Fathers' Reactions
Fathers' Chest Temperatures
What to Do
13. Shaping the Intensive Care Nursery Experience 153
A Mother Becomes Empowered; A Baby Gets Well
14. Kangaroo Care at Home 163
4,000 Babies Can't Be Wrong
When Is My Baby Ready for Home Kangaroo Care?
How to Kangaroo at Home
How Long Should I Kangaroo at Home?
Kangarooing in Bed
Regression and Sibling Rivalry
Everyone Joins In What to Do If You Must Go Back to Work
Weaning Your Infant and Yourself
Epilogue. Kangaroo Care: Caring and Curing 174
Appendix A. Introducing Kangaroo Care to Your Hospital 176
Appendix B. Current Research on When to Use Kangaroo Care 182
Birth Kangaroo Care
Very Early Kangaroo Care
Early Kangaroo Care
Intermediate Kangaroo Care
Late Kangaroo Care
Appendix C. Metric Conversions 190
Glossary 191
References 195
Index 209
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