Efeitos do método mãe-canguru sobre o\ndesenvolvimento motor de bebês pré-termo extremos.
Bibliographic record
Abstract
The Kangaroo Mother Care (KMC) has been proposed as a new model of neonatal\nintervention. This study aimed to contribute for the comprehension of the KMC as a\nneonatal intervention to promote the motor development of extremely preterm babies. The\nobjectives of this study were (1) to compare the effects of the KMC in motor development\nbetween extremely preterm babies and preterm babies of larger gestational ages, (2) to\ncharacterize the motor development of extremely preterm babies submitted to the KMC,\ncomparatively of the preterm babies submitted to the traditional routine, (3) to analyze\npossible relations between the motor development of extremely preterm babies and\ncomponents of the KMC, as contact skin-to-skin, maternal breast-feeding and the mothers \ncare of their babies until discharge. Participants were 12 at term babies and 66 preterm\nbabies, allocated in 3 groups: the control group 1 (GC1), subdivided in a group of 15\nbabies with less of 32 weeks of gestational age (GC1<32s) and another of 19 babies with\nage gestational between 32 and 36 weeks (GC1≥32s), the kangaroo-mother group (GMC)\nsubmitted to the KMC during the diurnal period, since the clinical stability up to hospital\ndischarge, subdivided in a group of 15 babies with less of 32 weeks of age gestational\n(GMC<32s) and another of 17 babies with age gestational between 32 and 36 weeks\n(GMC≥32s), and the group control 2 (GC2), with 12 babies at term. The motor\ndevelopment was evaluated longitudinally with the Alberta Infant Motor Scale (AIMS),\nmonthly to the 6 months and afterwards to the 9, 12, 14 and 16 months of age (corrected\nfor the preterm baby). The babies of the GC1<32s presented motor development delay,\nespecially in the first semester of life. The babies of the GC1≥32s, GMC<32s, GMC≥32s\nand GC2 did not present differences in the motor development. The KMC favored the\nmotor development of extremely preterm babies, matching their motor development to the\nat term babies. The breastfeeding correlated positively with larger punctuations in the scale\nAIMS in the extremely preterm babies to the 3 and 6 months of age. The mothers care of\ntheir babies until discharge correlated positively with larger punctuations in the scale\nAIMS in the extremely preterm babies to the 6 months of age. The variability of the\nexposition to the skin-to-skin contact (between 74 and 255 hours) was not associated with\nthe variability of the punctuations in the scale AIMS, in the first year of life. The KMC is\na neonatal intervention model to promote the motor development of extremely preterm\nbabies during the first months of life and contributed to humanize the hospital care, to\ncapacitate the mothers in the care of their babies, and to promote the breastfeeding.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".