Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta‑analysis of randomized controlled trials
نویسندگان
1 Department of Midwifery, Zanjan University of Medi
2 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Department of Health Services Management, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Health Services Management, School of Health Management and Information Sciences, International Campus (IUMS-IC), Iran University of Medical Sciences, Tehran, Iran
5
doi
چکیده
Results of previous studies about the effect of Kangaroo Mother Care (KMC) on hospital managementindicators (HMIs) (length of stay [LOS], readmission to hospital, parent satisfaction, and parent’spreference for same postdelivery care) had high confusions. The aim of this study was to conduct asystematic review and meta‑analysis of randomized controlled trials on the effect of KMC on HMI incomparison with the conventional neonatal care (CNC). In this systematic review and meta‑analysisstudy, required data were collected by searching the following keywords: “length of stay,” “readmissionto hospital,” satisfaction,” same post‑delivery,” “hospital management,” indicators, “skin‑to‑skin,”“Kangaroo Mother Care,” randomized trial. The following databases were searched: Google Scholar,PubMed, EMBASE, Scopus, and Cochrane. To estimate the hospital management indicators,computer software Comprehensive Meta‑Analysis 2 was used. Finally, 18 articles were includedto analysis. The overall LOS standard different between groups (KMC vs. CNC) was − 0.91 days(95% confidence interval [CI], −2.14–0.32, Q = 25.6, df = 10, P = 0.004, I2 = 60.98). The overallreadmission to hospital standard different between groups was − 1.78% (95% CI, −1.21%–0.86%,Q = 0.024, df = 1, P = 0.87, I2 = 0.00). The overall parent satisfaction standard different betweengroups was 5.3% (95% CI, −32.4%–43%, Q = 0.052, df = 2, P = 0.97, I2 = 0.00). The overall standarddifferent between groups was 16.2% (95% CI, −24.7%–57.1%, Q = 0.040, df = 1, P = 0.84, I2 = 0.00).KMC improves HMI but not significantly. According to the current study result and other studies thatreport positive effect of KMC on health status of the newborns and parents, implemented of KMC inlow‑ and middle‑income countries recommended.
