Uppsala Sweden 1 st EUROPEAN CONFERENCE ON KMC

Uppsala, Sweden 1 st EUROPEAN CONFERENCE ON KMC Our hosts Pr Uwe Ewald Dr Kertsin Hedberg Nyqvist

October 6 Th Oral Presentations Abstract/Conclusions/S ummary 1. KMC IN UPPSALA Uwe Ewald, MD, Professor, Medical Director Dept. of Women’s and Children’s Health, Uppsala University, and Neonatal unit 95 F, University Children’s Hospital, Uppsala, Sweden. Summary The NICU was completely rebuilt in order to achieve more space for mothers/fathers, which enables them to stay 24 hours/d bedside or in single family rooms. Great efforts were made to change the NICU in to a more inviting, friendly, and less noisy and stressful environment. By preventing/ minimizing separation, by active involvement of siblings and the families’ social network we facilitate bonding – attachment and empowerment of the parents. INFANT CARE AMONG GATHERERS AND HUNTERS – LESSONS FOR THE FUTURE FROM THE PAST Melvin Konner, MD Ph. D, professor Dept. of Anthropology and Program in Neuroscience and Behavioral Biology, Emory University, Atlanta, USA. Summary Considering the evolutionary background among higher primates, we can reasonably conclude that this pattern existed for many millions of years, and has been departed from only recently in human history. We do not know the consequences, if any, of this change. ” The beautiful Inaugural song …

October 6 Th Oral Presentations Abstract/Conclusions/Summary 3. INFANTS’ PHYSIOLOGIC AND NEUROPHYSIOLOGIC RESPONSES TO KMC Susan Ludington, RN, Professor of Pediatric Nursing Case Western Reserve University, Frances Payne Bolton Scholl of Nursing, Cleveland, Ohio, USA. Summary 4. KMC IN INDUSTRIALIZED COUNTRIES FROM THE PERSPECTIVE OF THE WORLD HEALTH ORGANIZATION Jelka Zupan, MD, Severin von Xylander, MD Dept. of Reproductive Health and Research, World Health Organization, Geneva, Switzerland. Summary …

October 7 th Oral Presentations Abstract/Conclusions/Summary 5. SKIN-TO-SKIN CARE WITH THE FATHER AND ITS EFFECT ON NEWBORN CRYING AND PREFEEDING BEHAVIOR Kerstin Erlandsson, RNM, MNurs. Sci Department of Caring and Public Health Sciences, Mälardalen University, Västerås Sweden. Summary The increasing rate of cesarean birth would indicate the importance of investigating further the influence of methods of care. The father can facilitate the development of the infant’s prefeeding behavior in this important period of the newborn infants’ life and should thus be regarded as the primary caregiver for the infant during the separation of mother and baby. 6. COEXISTENCE PROJECT Leslie Wolff 1 and Aisha Saifi 2 1 Kibbutz Hazorea, Israel, 2 Beit Banina East Jerusalem Summary Two midwives, Israeli Leslie Wolff and Palestinian Aisha Saifi, are piloting this project focusing on improving skin-to -skin methods with newborns in both Palestine and Israel, as a shared initiative under the auspices of Circle of Health International (COHI) in Palestine and Israel. COHI has a unique understanding of the relationship midwives across cultures share, and believes that supporting the midwives in this region not only promotes a sustainable model of peace building, but also reduces maternal and infant mortality. …

October 7 th Oral Presentations Abstract/Conclusions/Summary 7. EFFECT OF KMC INTERVENTION IN AN EGYPTIAN NEONATAL INTENSIVE CARE UNIT ON THE DEPRESSION SCORES OF MOTHERS AND HEALTH OUTCOMES OF NEONATES Azza Abul-Fadl, MD, MPH, IBCLC, Professor and Head of Pediatric Department Benha Faculty of Medicine, Benha University, Egypt, 26 B, El. Gezira Al. Wosta. Summary Egypt has had tremendous success with the reduction of its infant mortality rates over the past decades, yet neonatal mortality and morbidity remain a challenge particularly among preterms and low birth weights (LBW). Kangaroo Mother Care (KMC) for newborns is a globally accepted and recommended method for caring for all newborns due to its proven benefits to mother and child. However in Egypt this method is as yet not commonly used 8. EFFECT ON VITAL SIGNS OF PREMATURE NEWBORNS IN MECHANICAL VENTILATION, IN KANGAROO MOTHER CARE Vívian M. G. O Azevedo Sofia Feldman Hospital 1, Federal University of Minas Gerais 2, Brazil. Summary Kangaroo Mother Care (KMC) has expanded all over the world. However, studies evaluating the early use of this method in seriously premature newborns (PN) is scarce. The results show that KMC can be safe in the conditions of this study. Therefore, its use is promising in terms of encouraging mother-child bonding.

October 7 th Oral Presentations Abstract/Conclusions/Summary 9. APPLICATION OF KMC FROM BIRTH IN LOW INCOME AND HIGH TECH SETTINGS Nils Bergman, MD Ph. D School of Child and Adolescent Health, University of Cape Town, South Africa. Summary The application of “KMC from birth”, and avoiding separation at all costs, is therefore not so much about low tech and high tech settings. Rather, it is about the application of evidence based science. The potential for improved neonatal survival in low tech settings is immense; as is the potential for better quality outcomes in high tech settings. 10. KANGAROO MOTHER CARE IN SOWETO Mantoa Mokhachane Neonatal Unit, Chris Hani Baragwanath Hospital (CHBH) University of the Witwatersrand, Johannesburg, South Africa. Summary Kangaroo Mother Care in Soweto is faced with a multitude of challenges, which does not only affect the premature baby but the family as a whole. We need to have a holistic approach and we therefore need to look at it as Kangaroo Family Care. The AIDS epidemic in Soweto or South Africa is a prime example of why we should be going this route. Despite all the challenges there a lot of successes.

October 7 th Oral Presentations Abstract/Conclusions/Summary 11. John Lind lecture WHY KMC IS ALSO IMPORTANT FOR INDUSTRIALIZED COUNTRIES? Nathalie Charpak, MD Kangaroo Foundation, Bogota, DC, Colombia. www. fundacioncanguro. co/encuentros/7 encuentro/Nathali e%20 Charpak. pdf In high income countries the norm was (is? ) to place sick and/or immature newborn infants in the efficient but sometimes inhuman hands of medical technology, away from their parents. Separation of the mother and her newborn infant is an undesired but sometimes necessary step when caring for an immature, fragile and/or sick neonate. Parents feel like stone guests, spectators of a drama that deeply concern them but whose development they are not able to fully understand, less modify. 12. REGULATOIN, AUTHORITY AND LOVE. A FEMINIST HISTORY OF THE BREAST-FEEDING MOTHER Kajsa Ohrlander, Ph. D Department of Education, Stockholm University. www. fundacioncanguro. co/encuentros/7 encuentro/Kajsa% 20 Ohrlander. pdf From a feminist point of view, the female subject can be part of an ongoing ”liberation” by deconstructing those dualisms, understanding how different ideas about breast feeding are inscribed in them - act on you, have power on you – and how they also create you as a person. This does not mean, from a feminist perspective, that it is unimportant which form ofadvice you follow. Some of these take the activities and wellbeing of the mother into account: the relations between mother and child, a dynamic which makes the acts of both mother and child important, and also therefore the role of the father

October 7 th Oral Presentations Abstract/Conclusions/Summary 13. DIFFERENT POLICIES REGARDING THE INVOLVEMENT OF PARENTS IN THE NICU: A SURVEY IN EIGHT EUROPEAN COUNTRIES. Carmen Pallás, MD Neonatal Unit, Hospital 12 de Octubre, Madrid, Spain. Summary The role of parents in neonatal intensive care units (NICUs) can be very different, ranging from a fundamentally passive to a much more active one where both parents are involved in the care provided to their baby. Most units actively involve parents in their babies’ care and offer routinely kangaroo care, but frequencies are lower in UK, Italy and Spain. 14. KANGAROO MOTHER CARE AND FATHER INVOLVEMENT: A FAMILY PERSPECTIVE Réjean Tessier, Ph. D École de psychologie, Université Laval, Québec, Canada. www. fundacioncanguro. co/encuentros/7 encuentro/Rejean %20 Tessier. pdf Based on several investigations that bear evidence of home characteristics effects on children abilities, we tested hypothesis that Kangaroo Mother Care (KMC) creates a climate in the family which enhances nfants’ performance on developmental quotient (DQ). Results indicate 1) that KMC mothers created a more stimulating context and a more optimal care giving environment; 2) that care giving environment is more optimal when father is more involved in child care; and, 3) that KMC infants who were neurologically at risk at 6 months of (corrected) age live in a more optimal home context than Traditional Care infants group. Conclusion: KMC have a positive impact on home environment especially when father is involved.

October 7 th Oral Presentations Abstract/Conclusions/Summary 15. EARLY ESTABLISHMENT OF BREASTFEEDING IS POSSIBLE IN VERY PRETERM INFANTS Kerstin Hedberg Nyqvist, RN Ph. D, Associate Professor. Dept. of Women’s and Children’s Health, Uppsala University, and neonatal unit 95 F, University Hospital, Uppsala. Summary Preterm infants’ immadure sucking behaviour and physiologic sensitivity are often mentioned as a barrier in early introduction and establishment of breastfeeding in these infants, and reports of a low incidence and short duration of breastfeeding in these infants are common. Very preterm infants have the capacity for early development of oral motor competence that it sufficient for establishment of full breastfeeding at a low postmenstrual age. 16. Care of the newborn infant : Challenges and recent knowledge Ann-Marie Widström, Nurse Midwife, Associate Professor Dept. of Woman and Child Health, Karolinska Institute, Stockholm, Sweden. Summary To explore if delivery ward routines do influence physiology and behavior of the mother infant dyad, in particular if they involve different amounts of closeness versus separation we designed a randomized longitudinal study in St Petersburg. The main findings were that infants not rooming in at the maternity and with the breastfeeding frequency standardized to 7 feeds per day, were given supplementary formula feeds while in the nursery they ingested the lowest amount of milk on day four after birth compared to rooming in and on demand fed infants

October 7 th Oral Presentations Abstract/Conclusions/Summary 17. KANGAROO MOTHER CARE FOR PAIN IN PRETERM NEONATES: RESULTS OF THREE STUDIES Céleste Johnston, RN Ph. D, Professor School of Nursing, Mc. Gill University, Montreal, Canada. Summary KMC in and of itself is efficacious in significantly decreasing pain response from heel lance and shortening time to recover from the procedure. The scores were similar to the magnitude of change found in sucrose studies. Further study to see if the effect remains over time is required before suggesting its implication for painful procedures. 18. KANGAROO CARE(KC) AND ITS EFFECTS ONMOTHERS OF PRETERM INFANTS IN A UK SETTINGS Maria A Tallandini, Professor Department of Psychology, University College, London, and University of. Trieste Psychology Department, Trieste, Italy. Summary The literature on the psychological impact of Kangaroo Care (KC) in developed countries reports contradictory findings. Our aims are: 1) to verify the effects of KC on maternal stress, anxiety, depression, and mother-preterm infant relationship in UK; and 2) to investigate its impact in relation to its procedural modality (length per day and days of application). In a developed country KC has a beneficial effect on materna. L stress and on mothers’ perception of their infant, but only when applied consistently as in the case of the Intervention Group.

October 7 th Oral Presentations Abstract/Conclusions/Summary 19. EFFECTS OF SKIN TO SKIN CONTACT ON MATERNAL RESPONSIVENESS TO INFANT BEHAVIOR Ann E. Bigelow, Ph. D Psychology Department, St. Francis Xavier University, Antigonish, Nova Scotia, Canada. Summary Maternal contingent responsiveness facilitates infants’ emerging sense of self efficacy and enhances interactions between mothers and infants. Skin to skin contact (SSC) may promote maternal sensitivity, increasing maternal responsiveness. SSC promotes mothers’ responsiveness to infants’ behavior, which facilitates infants’ early self understanding and enhances the developing relationship. 20. TOUCH: EFFECTS ON INFANTS AND PARENTS: RELEASE AND FUNCTION OF OXYTOCIN DURING LABOUR, SUCKLING AND SKIN-TO-SKIN CONTACT Kerstin Uvnäs Moberg, Professor Dept. of Animal Environment and Health, Swedish University of Agricultural Sciences, Skara, Sweden. Summary During suckling oxytocin is released into the Circulation in pulses with 90 -second intervals to induce milk ejection. Oxytocin is also released during skin-to-skin contact but the pulses occur with longer and irregular intervals. Oxytocin is also released into the brain from oxytocinergic neurons to influence behavioural, neuroendocrine and physiological parameters. 21. PARENTS TESTIMONY

Poster presentations • P 1. BFHI AND BREASTFEEDING PROMOTION IN EGYPT Azza Abul-Fadl, MD, MPH, IBCLC, Professor and Head of Pediatric Department Benha Faculty of Medicine, Benha University, Egypt, 26 B, El. Gezira Al. Wosta • Summary • P 2. MATERNAL RELAXATION DURING SKIN-TO-SKIN CONTACT (KMC) Sheau-Huey Chiu 1, Gene Cranston Anderson 1 College of Nursing, University of Florida, Gainesville 1 • Summary • P 3. HOW TO MOTIVATE FAMILY TO CONTINUE KANGAROO MOTHER CARE (KMC) AT HOME IN MADAGASCAR D. Andrianarimanana 1, S. Nagai 1, 2, N. Rabesandratana 1, R. Mori 2, 3, N. Yonemoto 3, A. Ramarijaona 1, M. E. Razafanomezanjanahary 1, T. Nakayama 2 University hospital of Mahajanga, Madagascar 1, Kyoto University, School of Public Health, Japan 2, Osaka Medical Center and Research Institute for Maternal and Child Health, Japan 3. Summary • P 4. . EARLIER IS BETTER? RANDOMIZED CONTROLLED TRIAL (RCT) OF KANGAROO MOTHER CARE (KMC) IN MADAGASCAR S. Nagai 1, 2, D. Andrianarimanana 2, N. Rabesabdratana 2, R. Mori 1, 3, N. Yonemoto 3, A. Ramarijaona 2, M. E. Raza-fanomezanjanahary 2, T. Nakayama 1 Kyoto University, School of Public Health, Department of Health Informatics, Japan 1, University hospital of Mahajanga, Madagascar 2, Osaka Medical Center and Research Institute for Maternal and Child Health, Japan 3. Summary • 5. THE OBSTACLES TO IMPLEMENT CONTINUOUS KANGAROO MOTHER CARE (KMC) AT HOSPITAL IN MADAGASCAR N. Rabesandratana 1 , S. Nagai 1, 2, D. Andrianarimanana 1, R. Mori 2, 3, N. Yonemoto 3, A. Ramarijaona 1, M. E. Raza -fanomezanjanahary 1, T. Nakayama 2 University hospital of Mahajanga, Madagascar 1, Kyoto University, School of Public Health, Japan 2, Osaka Medical Center and Research Institute for Maternal and Child Health, Japan 3. Summary • 6. AMBULATORY MANAGEMENT AND OUTCOMES AT ONE YEAR OF 2092 PRETERM/LBW INFANTS DISCHARGED HOME WHILE RECEIVING OXYGEN. THE EXPERIENCE OF THE KANGAROO FOUNDATION IN BOGOTA, 2003 -2008 Maria Isabel Angel, RN 1, Nathalie Charpak, MD 1, 2 on behalf of the KMCP research group 1. Kangaroo Foundation, Bogota, Colombia. 2. Integral Kangaroo Mother Care Program, San Ignacio teaching hospital, Javeriana University, Bogota, Colombia Summary

Poster presentations • P 7. ESTABLISHING A CENTER OF EXCELLENCE FOR KMC IN RWANDA: MUHIMA DISTRICT HOSPITAL Baribwira C 1, Aissatou Lo A. 2, de Graft – Johnson J 2 , Mwebesa W 2 , Mac Dowell J 2 Kigali Teaching Hospital/Belgium Technical Cooperation, Rwanda 1, ACCESS 2 Summary • P 8. The Morbidity and Mortality of Low Birth Weight Infants in Mongolia Bayasgalantai Bavuusuren, Z. Gerelmaa NICU, Maternal and Child Health Research Center of Mongolia Summary • • P 9. SKIN TO SKIN CONTACT REDUCES POSTPARTUM DEPRESSION AND INCREASES MATERAL SENSITIVITY DURING FEEDING Ann E. Bigelow 1, Michelle Power 1, Marion Alex 1, Janis Mac. Lellan. Peters 1, Judith Cormier 1, Penny Fuller 2, Terry Penny 2, Magdy Fouad 3, Ann Marie Murdock 3, Doris Gillis 1, Claudette Mc. Donald 4, Kim Mac. Lean 1, Clare Fawcett 1, Sherry Bowman 1 St. Francis Xavier University, Antigonish, Nova Scotia, Canada 1, St. Martha’s Regional Hospital, Antigonish, Nova Scotia, Canada 2, Aberdeen Regional Hospital, New Glasgow, Nova Scotia, Canada 3, Colchester East Hants Health Authority, Truro, Nova Scotia, Canada 4. Summary • P 10. A COMPARISON OF NURSE AND MOTHER ATTITUDES REGARDING MATERNAL SKIN-TO-SKIN CARE AS A PAIN RELIEVING STRATEGY DURING HEEL LANCE FOR PRETERM NEONATES Campbell-Yeo, Marsha 1, Johnston, Celeste 2, Filion, Francoise 2, Mc. Naughton, Kate 2 IWK Health Centre Halifax, Nova Scotia 1, Mc. Gill University Montreal, Quebec 2 CANADA Summary • P 11. OXYGEN DEPENDENT INFANTS: SAVED AT THE NEONATAL UNIT, FORGOTTEN AFTER DISCHARGE. THE PARADOX OF ACCESS TO TECHNOLOGY IN RESOURCE CONSTRAINED SETTINGS Nathalie Charpak, MD 1 and Juan G Ruiz, MD MMed. Sci 1, 2 1 Research group, Kangaroo Foundation, Bogota, DC, Colombia 2 Clinical Epidemiology, Universidad Javeriana, Bogota, DC, Colombia Summary • P 12 CLINICAL COURSE AND PROGNOSIS AT ONE YEAR OF 827 COLOMBIAN INFANTS BORN BEFORE 31 WEEKS AND DISCHARGED HOME IN KANGAROO POSITION. Nathalie Charpak, MD 1, 2, Maria Isabel Angel RN 1 on behalf of the KMCP research group 1 Kangaroo Foundation, Bogota, Colombia 2 Integral Kangaroo Mother Care Program, San Ignacio teaching hospital, Javeriana University, Bogota, Colombia Summary

Poster presentations • P 13. MASSAGE THERAPY DURING THE NICU PERIOD: A PILOT STUDY Vo Thi Thanh Tra 1, Laurie Dubois 2, Luong Kim Chi 3, Réjean Tessier 4 1 -Tu Du Hospital, Ho Chi Minh City, Vietnam; 2 - School of psychology , Université Laval, Québec, Canada, ; 3 - Tu Du Hospital, Ho Chi Minh City, Vietnam; 4 - School of psychology, Université Laval, Québec, Canada Summary • P 14. MOTHERS’ RESPONSE ON KANGAROO MOTHER CARE (KMC): AN ASSESSMENT IN ESTABLISHING KMC PROGRAM IN INDONESIA Bernie Endyarni, Rosalina Roeslani, Soedjatmiko, Rinawati Rohsiswatmo Department of Child Health, Faculty of Medicine, University of Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia Summary • P 15. PROMOTING KANGAROO CARE –INTERVENTION USED AT LEVEL 3 NICU Aino Ezeonodo RN, CEN (Certified Emergency Nurse), CPN (Certified Pediatric Nurse), CNICN (Certified Neonatal Intensive Care Nurse), MHC (Master of Health Care), Päivi Luukkainen MD, Ph. D, Pediatrician, Neonatologist Helsinki University Central Hospital (HUCH), Children’s Hospital, Dept for Neonatology, Neonatal Intensive Care Unit, K 7 Summary • P 16. SKIN-TO-SKIN CONTACT FOR PAINFUL PROCEDURES: THE EXPERIENCE OF MOTHERS OF PRETERM INFANTS Ananda Fernandes 1, Elvira Santos 1, Céleste Johnston 2 1 Coimbra College of Nursing, Coimbra, Portugal 2 Mc. Gill University Summary • P 17. PHYSICAL, NEUROLOGICAL AND COGNITIVE DEVELOPMENT OF PRETERM INFANTS AT 5 YEARS OLD Martha Cristo, MSc , Psychologist, 1, 2 & Zita Figueroa MD, Pediatrician 1, 2 1 Kangaroo Mother Care Program, Hospital San Ignacio, Bogotá, Colombia. 2 Kangaroo Foundation, Bogotá Summary

Poster presentations • P 18. STAKES OF A PILOT CENTER FOR THE DIFFUSION OF THE KANGAROO MOTHER CARE METHOD IN AFRICA: THE CASE OF THE LAQUINTINIE HOSPITAL IN DOUALA (CAMEROON) Odette N. Guifo, MD 1 ; Beatrice Moudze-Kaptué, MD 2 ; Kevine - Laure Nkaghere, MD 3 1: Paediatrician, Chief of Paediatric Department, Kangaroo Mother Care Unit, HLD, 2: Pediatrician, kangaroo mother care Unit HLD, Email, ; 3: General practitioner, Kangaroo Mother Care Unit, Laquintinie Hospital of Douala Summary • P 19. KANGAROO MOTHER CARE (KMC) IN LBW INFANTS: A WESTERN RAJASTHAN EXPERIENCE Mukesh Gupta (1), Rakesh Jora (2), Chandra K Singhal (3) 1. Prof. Pediatrics 2. Ass. Prof. Pediatrics 3. Prof. & Head Obs. & Gyn. Medical College, Jodhpur (Rajasthan). India Summary • P 20. BFI ASSESSMENT TOOL: A QUEBEC METHODOLOGY TO ASSESS COMPLIANCE WITH BREASTFEEDING-RELATED POLICIES AND PRACTICES IN HEALTH CARE FACILITIES Laura N. Haiek 1, Lydia Rochealeau 2 1, 2 Direction de santé publique de la Montérégie, 1 Institut national de santé publique du Québec, 1 Department of Family Medicine, Mc. Gill University, Québec, Canada Summary • P 21. ACADEMIC DETAILING TO ENHANCE BREASTFEEDING COUNSELLING AND BABYFRIENDLY COMPLIANCE IN A LOCAL SERVICES NETWORK IN QUEBEC Stéphane Groulx, Laura N. Haiek, Céline Lafrenière, Christian Viens 1, 2 Direction de santé publique de la Montérégie, 1 Institut national de santé publique du Québec, 1 Department of Family Medicine, Mc. Gill University, Québec, Canada Summary • P 22. THE EFFECT OF KANGAROO MOTHER CARE (KMC) ON BREASTFEEDING AT THE TIME OF NICU DISCHARGE. M. Heidarzadeh 1, MB. Hosseini 2, M Ershadmanesh 3, M Gholamitabar 4 Neonatal health office, ministry of health, Iran 1, Department of Pediatrics, Tabriz Medical Science University, Tabriz, Iran 2, Neonatal research center, Tabriz Medical Science University, Iran 3, Department of midwifery, Tabriz midwifery center, Tabriz, Iran 4 Summary

Poster presentations • P 23. BREASTFEEDING PRETERM INFANTS IN NINE STEPS Yvonne Kasim Ragab-olders, lactation consultant IBCLC Leiden University Medical Center, Obstetrics, Leiden, The Netherlands Summary • P 24. KANGAROO FEEDING AND NUTRITION Roshanak, Vakilian-Health adviser, Midwife, Master science, Bibi Malihe Nazarie, Public health expert, Dr. Soheila Khazaei, MD, Professor, Super specialist of pediatric infectious diseases, Medical assistant professor, Health adviser Iran Ministry of health, Teheran, Iran Summary • P 25. DESCRIPTIVE ANALYSIS OF THE PROGRAM KANGAROO IN THE MATERNITY CONCEPTION PALACES (2002 -2007) CARACAS, VENEZUELA Eunice Lample, MD*, Maria E* Torres, Freddy Bello ** * Department Neonatology, **Department Obstetrics, Maternity Conception Palaces, Caracas, Venezuela Summary • P 26. EXTREMELY PREMATURE INFANTS’ REACTIONS TO SKIN-TO-SKIN CONTACT Ragnhild Maastrup, RN Knowledge Centre for Breastfeeding Infants with Special Needs, Rigshospitale, Copenhagen, Denmark Summary • P 27. INFORMATION TO PARENTS ABOUT SKIN-TO-SKIN CONTACT IN THE NICU Ragnhild Maastrup, RN Knowledge Centre for Breastfeeding Infants with Special Needs, Rigshospitalet, Copenhagen, Denmark Summary • P 28. KNOWLEDGE CENTRE FOR BRESTFEEDING INFANTS WITH SPECIAL NEEDS, RIGSHOSPITALET, DENMARK Ragnhild Maastrup, RN Knowledge Centre for Breastfeeding Infants with Special Needs, Rigshospitalet, Copenhagen, Denmark Summary

Poster presentations • P 29. THE “SOFT” EXPERIENCE: FROM ACONYM TO ACCOMPLSHMENTS Carol Lopez Melcher, RNC, CLE, MPH, Clinical Director Perinatal Services Network of Loma Linda University Children’s Hospital, Loma Linda, California, USA Summary • P 30. BEST PRACTICE GUIDELINES FOR MOTHERINFANT ATTACHMENT IN THE HOSPITAL Carol Lopez Melcher, RNC, CLE, MPH, Clinical Director Perinatal Services Network of Loma Linda University Children’s Hospital, Loma Linda, California, USA Summary • P 31. IMPLEMENTING BIRTH KANGAROO CARE FOR FULL-TERM INFANTS: A TRANSLATIONAL RESEARCH PROJECT IN THE U. S. Barbara Morrison, Ph. D, CNM, FNP; Susan Ludington-Hoe, Ph. D, CNM, FAAN Case Western Reserve University, Cleveland, Ohio, Frances Payne Bolton School of Nursing, Cleveland, Ohio, USA Summary • P 32. IMPLEMENTING BIRTH KANGAROO CARE FOR FULL-TERM INFANTS: A TRANSLATIONAL RESEARCH PROJECT IN THE U. S. Barbara Morrison, Ph. D, CNM, FNP; Susan Ludington-Hoe, Ph. D, CNM, FAAN Case Western Reserve University, Cleveland, Ohio, Frances Payne Bolton School of Nursing, Cleveland, Ohio, USA Summary • P 33. A CRITICAL ASSESSMENT OF THE KANGAROO MOTHER CARE UNIT’S ACTIVITY IN THE LAQUINTINIE HOSPITAL (HLD) IN DOUALA (CAMEROON) Beatrice Moudze-Kaptué, MD 1; Odette N. Guifo, MD 2 ; Edwige Ndap, MD 3 ; Mireille Happi Fossi, MD 4 ; Olive Etogo, NP 5 ; Angelique Tchagou, NP 6 ; Bertine Wakia, NP 7 1: Paediatrician, kangaroo mother care Unit HLD, 2: Paediatrician, Chief of the Paediatric Department, Kangaroo Mother Care Unit, HLD, 3, 4, 5, 6, 7: (Kangaroo Mother Care Unit, Laquintinie Hospital of Douala) Summary

Poster presentations • P 34. CLINICAL PRACTICE GUIDELINE DEVELOPMENT FOR KANGAROO CARE IN JAPAN –JAPANESE CONSENSUS UPON AVAILABLE EVIDENCE– Kangaroo Care Guideline Working Group Yoriko Nishizawa 1, Shuko Nagai 1, Shigeru Ohki 2, Rintaro Mori 1, Kenji Shirai 2, Shinichi Watabe 3 Osaka Medical Center and Research Institute for Maternal and Child Health, Japan 1, Seirei Hamamatsu General Hospital 2, Kurashiki Central Hospital 3. Summary • P 35. PSYCHOAFFECTIVE EXPERIENCE OF PREMATURITY AND KANGAROO MOTHER CARE: A CONTEXTUAL STUDY IN THE LAQUINTINIE HOSPITAL OF DOUALA (CAMEROON). Erero F. Njiengwé Ph. D 1; Odette N. Guifo MD 2 ; Hilaire Ngoumela 3; Medical and Paramedical staff of the Premature Unit 1: Psychopathologist, Clinical Psychologist, Laboratory of Behavioural Sciences and Applied Psychology (LAPSA) The University of Douala / Kangaroo Mother Care Unit HLD; 2: Paediatrician, Chief of the Paediatric Department, Kangaroo Mother Care Unit, HLD; 3: Clinical Psychology Student (Residency), Kangaroo Mother Care Unit, HLD Summary • P 36. EVALUATION OF THE KANGAROO MOTHER CARE (KMC) STUDY TOUR FOR INDONESIAN HEALTH PROFESSIONALS TO SOUTH AFRICA Hadi Pratomo 1, Ella N. Hadi 2, and Berni Endyarti 3 1 Professor of the Faculty of Public Health, the University of Indonesia and Health Service Program (HSP)/USAID Consultant; 2) Department of Health Promotion, Faculty of Public Health, the University of Indonesia; 3 The Indonesian Pediatric Society (IDAI) and also Chairperson of the Participants of the Study Tour Summary • P 37. EVALUATION OF A 2 DAY KANGAROO MOTHER CARE (KMC) TRAINING BY THE INDONESIAN PERINATAL SOCIETY (PERINASIA) Hadi Pratomo 1, Uud Uhudiah 2, and Hesti Tobing 3 1 Professor of the Faculty of Public Health, the University of Indonesia, Chairman of the Board of Planning Program, Perinasia, 1) Vice-Chairperson for KMC Training Team, Perinasia; 3 Research Staff of Perinasia Summary

Poster presentations • P 38. THE OBSTACLES TO IMPLEMENT CONTINUOUS KANGAROO MOTHER CARE (KMC) AT HOSPITAL IN MADAGASCAR N. Rabesandratana 1 , S. Nagai 2, D. Andrianarimanana 1, R. Mori 2, 3, N. Yonemoto 3, A. Ramarijaona 1, M. E. Raza-fanomezanjanahary 1, T. Nakayama 2 1 University hospital of Mahajanga, Madagascar, 2 Kyoto University, School of Public Health, Japan, 3 Osaka Medical Center and Research Institute for Maternal and Child Health, Japan Summary • P 39. KANGAROO BABY IN TROTRO AN-KODITRA PROGRAM Yvonne Ranaivoson, G. Ramahandridona, A. Sambany CHU Befelatanana Maternity, Antananarivo, Madagascar Summary • P 40. KANGAROO MOTHER CARE FOR LOW BIRTH WEIGHT INFANTS: A ANDOMIZED-CONTROLLED TRIAL Suman Rao, MD, Associate Professor of Neonatology, Rekha Udani MD: Professor & HOD, Ruchi Nanavati MD, Associate Professor St. John’s Medical College & Hospital, Bangalore; Seth GS Medical College & KEM Hospital, Mumbai; D Y Patil Medical College & Hospital, Navi Mumbai, India Summary • P 41. THE IMPLEMENTATION OF CONTINUOUS KANGAROO MOTHER CARE (KMC) AT THE NATIONAL TOP REFERRAL HOSPITAL (RSCM) IN JAKARTA Yeni Rustina, BN, MApp. Sc. , Ph. D¹, Rosalina D Roeslani 2 , Nining aswini 3, Mimin Mintarsih 4 ¹Faculty of Nursing, the University of Indonesia/Perinatology Division, Depok Campus, West Java, and dr Cipto Mangunkusumo Hospital (RSCM), Jakarta; ², 3 Perinatology Division, dr Cipto Mangunkusumo Hospital (RSCM), Jakarta; Department of Obstetric and Gynecology, dr Cipto Mangunkusumo Hospital (RSCM) Summary • P 42. EVIDENCE-BASED GUIDELINES FOR THE USE OF THE KANGAROO MOTHER CARE (KMC) METHOD IN STABLE LBW INFANTS IN COLOMBIA Juan G Ruiz, MD MMed. Sci, Professor 1, 2 and Nathalie Charpak, MD 2. 1 Clinical Epidemiology, Universidad Javeriana, Bogota, DC, Colombia and 2 Research group, Kangaroo Foundation, Bogota, DC, Colombia Summary

Poster presentations • P 43. COMMUNITY KANGAROO MOTHER CARE: THE WAY FORWARD Nancy L. Sloan, 1 Salahuddin Ahmed 2 1 Dept. oc Community Medicine, Mount Sinai School of Medicine, New York; 2 John Hopkins University, Dhaka; Summary • P 44. EVALUATION OF CONTINUOUS KMC IN A HIGH TECH NICU Ylv Thernström Blomqvist, RN, Doct. Cand. , Kerstin Hedberg Nyqvist, RN, Associate Professor of Pediatric Nursing Neonatal unit 95 F, University Hospital, Uppsala, and Dept. of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden Summary • P 45. EVALUATION OF KANGAROO MOTHER CARE DURATION AND ITS OUTCOME Rekha H Udani, Aloke V. R. , Ruchi N Nanavati Seth G S Medical College & KEM Hospital, Mumbai, India D Y Patil Medical college & Hospital, Navi Mumbai, India Summary • P 46. KANGAROO MOTHER CARE AND GROWTH IN HIGH RISK LOW BIRTH WEIGHT BABIES Rekha H Udani, Aloke V. R. , Ruchi N Nanavati Seth G S Medical College & KEM Hospital, Mumbai , India D Y Patil Medical college & Hospital, Navi Mumbai, India. Summary • P 47. AN INTRODUCTION TO TRAINING MANUAL ON KANGAROO MOTHER CARE Rekha H. Udani, Ruchi N. Nanavati, Suman Rao, Naveen Bajaj, Tushar Parikh, Dharmesh Shah, Shrinivas Chinta. Seth G S Medical College & KEM Hospital, Mumbai, India; D Y Patil Medical college & Hospital, Navi Mumbai, India Summary • P 48. ANALGESIC EFFECT OF SKIN - TO – SKIN CONTACT IN KANGAROO POSITION IN PRETERM NEWBORNS Kiran Kumar BV, Rekha H. Udani Seth G S Medical College & KEM Hospital, Mumbai, India D Y Patil Medical college & Hospital, Navi Mumbai, India Summary

Poster presentations • P 49. EFFECT OF EXPRESSED BREAST MILK AND SKIN TO SKIN CONTACT IN KANGAROO POSITION ON PAIN RELATED BEHAVIOR IN PRETERM INFANTS DURING HEEL LANCING Kiran Kumar BV, RH Udani Seth G S Medical College & KEM Hospital, Mumbai, India D Y Patil Medical college & Hospital, Navi Mumbai, India Summary • P 50. KANGAROO MOTHER CARE INITIATIVE IN INDIA YEAR 2005, WHERE ARE WE? Rekha H Udani. Ruchi N Nanavali. , Ashish Satpathy, Tushar Parikh, Suman Rao Department of Neonatology, KEM Hospital and Seth G. S. Medical College, Mumbai – 400012, INDIA Summary • P 51. INNOVATION – K. E. M. KANGAROO BAG FOR KANGAROO MOTHER CARE Rekha H. Udani , Ruchi N. Nanavati, A V Mauskar, Suman Rao, T Kulkarni Department of Neonatolog , Seth GS Medical College & KEM Hospital , Mumbai, India Summary • P 52. EVALUATION OF KANGAROO MOTHER CARE (KMC) TRAINING IN METROPOLITAN OF JAKARTA, INDONESIA Uut Uhudiah 1, Hadi Pratomo 2 and Ely Sawitri 3 1) Vice- hairman for KMC Training Team, Perinasia (The Indonesian Society for Perinatology); 2 Professor of the Faculty of Public Health, University of Indonesia, Chairman of the Board of Planning Program, Perinasia, 3 Research Staff of Perinasia Jakarta, Indonesia Summary • P 53. THE UNDERSTANDING AND PERCEPTIONS OF MOTHERS PRACTICING KANGAROO MOTHER CARE AT KALAFONG HOSPITAL Elise van Rooyen 1, Anne-Marie Bergh 2, Rachel Mkhondo 3 Kalafong hospital, Department of Paediatrics 1, University of Pretoria, The Medical Research Council Unit for Maternal and Infant Health Care Strategies 2 3, South Africa Summary

Poster presentations • P 54. AN ONGOING AUDIT OF KANGAROO MOTHER CARE AT KALAFONG HOSPITAL Elise van Rooyen 1, RC Pattinson 2 Kalafong Hospital, Department of Paediatrics 1, University of Pretoria, The MRC Unit for Maternal and Infant Health Care Strategies 2, South Africa Summary • P 55. THE KANGAROO METHOD IS SAFE FOR PREMATURE INFANTS UNDER 30 WEEKS OF GESTATION DURING VENTILATORY SUPPORT Henriette A. van Zanten, RN Leiden University Medical Centre, Neonatology, Leiden, The Netherlands Summary • P 57. KANGAROO MOTHER CARE WITH TRIPLETS: PARENTS’ EXPERIENCE Mónica Virchez Figueroa, President of the Prematura Spain Summary