3 years ago

Kangaroo supported diagonal flexion positioning: Positive impact on maternal stress and postpartum depression risk and on skin-to-skin practice with very preterm infants

Aude Buil, Laurence Caeymaex, Sophie Mero, Carol Sankey, Gisèle Apter, Emmanuel Devouche

Publication date: Available online 8 November 2018

Source: Journal of Neonatal Nursing

Author(s): Aude Buil, Laurence Caeymaex, Sophie Mero, Carol Sankey, Gisèle Apter, Emmanuel Devouche


To test the effects of a new skin-to-skin Supported Diagonal Flexion (SDF) positioning on maternal stress, postpartum depression risk and skin-to-skin daily practice, in comparison with the usual Kangaroo Care in Upright positioning, during the first weeks after very premature birth.


Thirty-four mothers and their very preterm infants were assigned to one of the two Kangaroo Care positioning, either the Upright (n = 17) or the SDF positioning (n = 17). Maternal risk for depression and stress feelings were assessed through questionnaires before the first kangaroo care, 15 days later and at 40 weeks and 3 months corrected age. Data on daily kangaroo care practice was collected during 15 consecutive days starting from the very first skin-to-skin session.


The depression risk score was significantly lower in SDF positioning mothers after 15 days of skin-to-skin practice and at 40 weeks and 3 months corrected age. In the SDF group, mothers chose to practice Kangaroo Care during a significantly longer period of time per session.


Our results support the hypothesis of a positive impact of SDF Kangaroo positioning on maternal postpartum risk of depression and skin-to-skin practice.

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