Autonomically organized infants can maintain stability in the presence of environmental disturbances (such as loud noises or changes in lighting). Kangaroo Care, according to several experiment, creates respiratory and cardiac stability. When infants are in an upright position, the content of the abdominal cavity shifts away from the lungs and creates a negative subdiaphragmatic pressure, which favors expansion of the lungs. As you can see from the table below and the picture, infants' heart and respiratory rates remained within normal limits during Kangaroo care, which is unlike premature infants in regular conditions. Also, as shown below, during Kangaroo care, there is less bradycardia (slow heart rate) and fewer and shorter episodes of apnea (cessation of breathing) (Ludington-Hoe and Swinth 1996).


Adapted from Ludington-Hoe & Swinth 1996.

 

 

  Source Findings
Heart Rate    
  Ludington-Hoe et al., 1991 Increased significantly by 9 beats/min, remained within normal limits (WNL)
  Bier et al., 1995 Significantly lower in Kangaroo Care (KC), remained WNL
  Ludington-Hoe et al., 1992 Less variability during KC than in crib
Respiratory Rate    
  Ludington, Swinth et al., 1995 Remained WNL
  de Leeuw et al,. 1991 KC and incubator care statistically similar
Apnea    
  Hadeed, Ludington, & Siegel, 1995 Frequency and duration of apnea reduced during KC
  Hamelin & Ramachandran, 1993 Less frequent episodes during KC
Bradycardia    
  Acolet et al., 1989 No serious bradycardia during KC
  Hamelin & Ramachandran, 1993 Less frequent episodes during KC
   

Adapted from Ludington-Hoe & Swinth 1996.

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