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.
Abstract

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