Evidence map›Paper›PMID 34493519›Full record

ArticleBMJ open2021

Maternal experience of intermittent kangaroo mother care for late preterm infants: a mixed-methods study in four postnatal wards in China.

Bo Zhang, Jieya Yue, Zhiying Duan, Yingxi Zhao, Sarah Williams, Limin Huang, Xiaoqin Zhang, Wenli Wu, Lin Zhang, Jun Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

11 authors at 6 institutions in 2 countries.

Bo ZhangPeking University First Hospital, Beijing, China.
Jieya YuePeking University First Hospital, Beijing, China.
Zhiying DuanPeking University First Hospital, Beijing, China.
Yingxi ZhaoNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-4937-4703
Sarah WilliamsSave the Children UK, London, UK.
Limin HuangHunan Provincial Maternal and Child Health Hospital, Hunan, China.
Xiaoqin ZhangNorthwest Women & Children Hospital Department of Obstetrics, Shaanxi, China.
Wenli WuLinyi Maternity and Child Health Hospital, Shandong, China.
Lin ZhangSave the Children, Chengdu, China.
Jun LiuPeking University First Hospital, Beijing, China.
Gengli ZhaoPeking University First Hospital, Beijing, China zhaogengli@sina.com.ORCID 0000-0001-8070-9690
Peking University · CNChengdu Women's and Children's Central Hospital · CNHunan Provincial Maternal and Child Health Hospital · CNNorthwest Women's and Children's Hospital · CNSave the Children · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe how mothers of late preterm infants experienced the provision of intermittent kangaroo mother care (KMC) in four postnatal wards in different hospitals in China, under a pilot KMC project.

designA concurrent mixed-methods approach incorporating quantitative maternal questionnaires and qualitative semistructured interviews.

settingFour postnatal wards in level-III hospitals based in different provinces of Southeast and Northwest China.

participantsAll 752 mothers who provided intermittent KMC to their late preterm newborns in the four participating postnatal wards consented to participate in the study (quantitative component), as well as six nurses, two obstetricians and two mothers from two of the participating postnatal wards (qualitative component). OUTCOME MEASURES: Maternal KMC experiences during a hospital stay, patients' perceptions of KMC initiation, processes, benefits and challenges.

resultsMost mothers had not heard of KMC before being introduced to it in the postnatal ward. On average, mothers and newborns stayed in postnatal wards for 3.6 days; during their stay, mothers provided an average of 3.5 KMC sessions, which is an average of 1.1 sessions a day. Each KMC session lasted an average of 68 min, though there was much variation in the length of a session. Common reasons given for discontinuing a KMC session included restroom use, infant crying and perceived time limitations. Some mothers would have preferred to provide KMC for longer periods of time and nurses encouraged this. Most mothers experienced no difficulty providing KMC, received support from family and medical staff and intended to continue with KMC postdischarge.

conclusionIn order to improve the maternal experience of KMC, it is recommended that raising awareness of KMC should be included in antenatal care and after birth. Longer periods of KMC provision should be encouraged, greater privacy should be provided for mothers providing KMC in postnatal wards and family members should be encouraged to support KMC.

Indexed as

Kangaroo-Mother Care MethodAftercareChinaFemaleHospitalsHumansInfant, NewbornInfant, PrematureMothersPatient DischargePregnancyneonatologyqualitative researchquality in healthcare

Identifiers

PMID34493519
PMCPMC8424842
OpenAlexW3197340517

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.