Feeding Practices of Preterm Low Birthweight Infants Up to 6 Months: A Comparison Between Kangaroo and Conventional
Rejane Sousa Romão1, Rayany Cristina Souza1, Eliziane Santos Medeiros1
1From the Graduate Program in Health Sciences, Universidade Federal de Uberlandia, Uberlandia, Minas Gerais, Brazil.
Insights
Kangaroo Care (KC) significantly improved exclusive breastfeeding rates in low birthweight (LBW) infants compared to Conventional Care (CC). KC also led to higher rates of mixed breastfeeding over six months post-discharge.
Area of Science:
- Neonatal care
- Infant nutrition
- Pediatrics
Background:
- Low birthweight (LBW) infants require specialized feeding practices for optimal growth and development.
- Kangaroo Care (KC) is a method of care that involves skin-to-skin contact, aiming to improve infant outcomes.
- Comparing feeding practices between KC and Conventional Care (CC) is crucial for evidence-based infant feeding guidelines.
Purpose of the Study:
- To compare the feeding practices of low birthweight (LBW) infants receiving Kangaroo Care (KC) versus Conventional Care (CC).
- To evaluate the impact of KC on breastfeeding exclusivity, mixed breastfeeding, and introduction of complementary foods.
Main Methods:
- A prospective cohort study involving 65 LBW infants (≤ 1800g) in Brazil (2019-2021).
- Infants were divided into KC (n=46) and CC (n=19) groups, with KC including breastfeeding support.
- Feeding data (exclusive breastfeeding, mixed breastfeeding, food introduction) collected at hospital discharge, 4, and 6 months corrected gestational age (CGA).
Main Results:
- Kangaroo Care (KC) group showed significantly higher rates of exclusive breastfeeding (EBF) at hospital discharge (47.8% vs 5.3%).
- Mixed breastfeeding rates were higher in the KC group at 4 months (35.0% vs 5.6%) and 6 months (24.4% vs 0.0%) CGA.
- Introduction of liquid and solid foods was similar between KC and CC groups at 4 and 6 months CGA.
Conclusions:
- Kangaroo Care (KC) is associated with improved exclusive breastfeeding rates at discharge and higher mixed breastfeeding rates up to six months corrected gestational age.
- The early introduction of formula, liquids, and solids did not differ significantly between the KC and CC groups.
- KC demonstrates a positive impact on breastfeeding outcomes for low birthweight infants.
Objective:
The objective of this study is to compare feeding practices of low birthweight (LBW) infants, according to type of care received during and after hospital discharge: Kangaroo Care (KC) and Conventional Care (CC).
Methods:
Prospective cohort study was conducted at a university hospital (Brazil) between 2019 and 2021. The sample consisted of 65 LBW infants (weight ≤ 1800 g)-46 in KC and 19 in CC. KC includes breastfeeding (BF) guidance and support to parents at hospital and after discharge. Data collection was performed at hospital discharge, and at the 4th and 6th month of corrected gestational age (CGA). Consumption of 27 foods was analyzed in the last 2 periods of the follow-up and expressed in relative frequency. Three indicators were analyzed: exclusive breastfeeding (EBF), mixed BF, and introduction of liquid and solid foods.
Results:
Groups had similar health characteristics, except for the weight at hospital discharge and the Score for Neonatal Acute Physiology - Perinatal (SNAPPE II) score that were lower in KC group. We found higher frequency of EBF among KC at hospital discharge (CC = 5.3% vs KC = 47.8%; P = 0.001). The higher frequency of mixed BF was observed in KC at 4 months of CGA (CC = 5.6% vs KC = 35.0%; P = 0.023), and at 6 months of CGA (CC = 0.0% vs KC = 24.4%; P = 0.048). Consumption of solid foods (4th month of CGA = 25.9%, 6th month of CGA = 91.2%) and liquids (4th month of CGA = 77.6%, 6th month of CGA = 89.5%) were similar between groups.
Conclusions:
In KC, SNAPPE II scores were lower and frequency of EBF was higher at hospital discharge and frequency of mixed BF was higher over 6 months. Early supply of infant formula, liquid and solid foods were similar in both groups.
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