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Journal of Tropical Pediatrics Advance Access published online on September 19, 2007
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmm076
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care

Elizeu Coutinho de Macedoa, Fernando Cruvinelb, Katerina Lukasovac and Maria Eloisa Famá D’Antinoa

aUniversidade Presbiteriana Mackenzie, Sao Paulo, Brazil
bIrmandade da Santa Casa de Misericordia de Sao Paulo, Brazil
cUniversidade Cruzeiro do Sul, Brazil

Correspondence: Elizeu Coutinho de Macedo, Universidade Presbiteriana Mackenzie, Disturbios de Desenvolvimento, Rua da Consolacao 896, Consolacao, Sao Paulo-S.P., Brazil, cep: 01302-907. E-mail < elizeumacedo{at}uol.com.br>.


  Abstract

Preterm babies are more prone to develop disorders and so require immediate intensive care. In the conventional neonatal intensive care, the baby is kept in the incubator, separated from the mother. Some actions have been taken in order to make this mother–child separation less traumatic. One of these actions is the Kangaroo mother care (KMC) characterized by skin-to-skin contact between a mother and her newborn. The objective of this study was to compare the mood variation of mothers enrolled in the KMC program to those in the conventional incubator care. In one general hospital in Sao Paulo, Brazil, 90 mothers were evaluated before and after contact with the baby in the Neonatal Intensive Care Unit. The participants were divided into three groups: 30 mothers of term newborns (TG), 30 mothers of preterm infants included in KMC program (PGK) and 30 preterms with incubator placement (PGI). The Brazilian version of the Visual Analogue Mood Scale (VAMS) was used for the assessment before and after the infant's visit. Results showed that TG mothers reported fewer occurrences of depressive states than PGK and PGI mothers. A significant mood variation was observed for PGK and PGI after the infant's visit. PGK mothers reported feeling calmer, stronger, well-coordinated, energetic, contented, tranquil, quick-witted, relaxed, proficient, happy, friendly and clear-headed. The only variation showed by PGI mothers was an increase in feeling clumsy. This study shows a positive effect of the KMC on the mood variation of preterm mothers and points to the need of a more humane experience during the incubator care.


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