Evidence map›Paper›PMID 26815798›Full record

Trial reportJournal of obstetric, gynecologic, and neonatal nursing : JOGNN

A Test of Kangaroo Care on Preterm Infant Breastfeeding.

Kristin P Tully, Diane Holditch-Davis, Rosemary C White-Traut, Richard David, T Michael O'Shea, Victoria Geraldo

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Third stage of the kangaroo method: exclusive breastfeeding and growth of preterm and/or low birth weight newborns.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Article
  9. Article
  10. Review
  11. Review
  12. Winging it: maternal perspectives and experiences of breastfeeding newborns with complex congenital surgical anomalies.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kristin P Tully
Diane Holditch-Davis
Rosemary C White-Traut
Richard David
T Michael O'Shea
Victoria Geraldo

Funding

Human Development: Interdisiplinary Research TrainingT32HD007376 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL, PROPPER, CATHI BARBRA · 1988 to 2020
$8.0M
Mother-Administered Interventions for VLBW InfantsR01NR009418 · NINR · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI HOLDITCH-DAVIS, DIANE L · 2005 to 2009
$2.9M
NICHD NIH HHS 2T32HD007376NICHD NIH HHS T32 HD007376NINR NIH HHS NR009418NINR NIH HHS R01 NR009418
6 · The paper itself

Abstract

objectiveTo test the effects of kangaroo care (KC) on breastfeeding outcomes in preterm infants compared with two control groups and to explore whether maternal-infant characteristics and the mother's choice to use KC were related to breastfeeding measures.

designSecondary analysis of a multisite, stratified, randomized three-arm trial. The treatment groups used KC, auditory-tactile-visual-vestibular (ATVV) intervention, or received preterm infant care information.

settingNeonatal intensive care units from 4 hospitals in the United States from 2006 to 2011.

participantsRacially diverse mothers (N = 231) and their preterm infants born weighing less than 1,750 g.

methodsMothers and their infants were enrolled once the infants were no longer critically ill, weighed at least 1,000 g, and could be safely held outside the incubator by parents. Participants were instructed by study nurses; those allocated to the KC or ATVV groups were asked to engage in these interactions with their infants for a minimum of 3 times a week in the hospital and at home until their infants reached age 2 months adjusted for prematurity.

resultsFeeding at the breast during hospitalization, the duration of postdischarge breastfeeding, and breastfeeding exclusivity after hospital discharge did not differ statistically among the treatment groups. Regardless of group assignment, married, older, and more educated women were more likely to feed at the breast during hospitalization. Mothers who practiced KC, regardless of randomly allocated group, were more likely to provide their milk than those who did not practice KC. Breastfeeding duration was greatest among more educated women.

conclusionAs implemented in this study, assignment to the KC group did not appear to influence the measured breastfeeding outcomes.

Indexed as

Breast FeedingKangaroo-Mother Care MethodAdultEducational StatusFemaleHumansInfantInfant, Low Birth WeightInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMaleMaternal BehaviorMother-Child RelationsStatistics as TopicUnited Statesinfant feedingkangaroo caremassagemothersneonatal intensive care unitNICUpreterm infants

Identifiers

PMID26815798
PMCPMC4730116
OpenAlexW2231070327

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.