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. 2016 Aug 23;2016(8):CD002771. doi: 10.1002/14651858.CD002771.pub4

Comparison 1. Kangaroo mother care versus conventional neonatal care.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Mortality at discharge or at 40 to 41 weeks' postmenstrual age 8   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 All studies 8 1736 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.39, 0.92]
1.2 Intermittent KMC 5 619 Risk Ratio (M‐H, Fixed, 95% CI) 0.59 [0.19, 1.81]
1.3 Continuous KMC 3 1117 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.38, 0.96]
1.4 Duration of KMC < 2 hours/d 2 188 Risk Ratio (M‐H, Fixed, 95% CI) 1.32 [0.22, 7.73]
1.5 Duration of KMC between 6 and 15 hours/d 3 431 Risk Ratio (M‐H, Fixed, 95% CI) 0.34 [0.07, 1.64]
1.6 Duration of KMC ≥ 20 hours/d 3 1117 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.38, 0.96]
1.7 Infant age ≤ 10 days at initiation of KMC 5 1412 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.36, 0.88]
1.8 Infant age > 10 days at initiation of KMC 3 324 Risk Ratio (M‐H, Fixed, 95% CI) 1.32 [0.22, 7.73]
1.9 Low/middle‐income countries 7 1676 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.37, 0.89]
1.10 High‐income countries 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 1.64 [0.16, 17.09]
1.11 infant entered into trial before stabilization 1 123 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.33, 1.00]
1.12 infant entered into trial after stabilization 7 1613 Risk Ratio (M‐H, Fixed, 95% CI) 0.63 [0.32, 1.23]
2 Mortality at 6 months of age or 6 months' follow‐up 2 354 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.48, 2.02]
2.1 Intermittent 1 71 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.15, 6.90]
2.2 Continuous 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.46, 2.12]
3 Mortality at 12 months' corrected age 1 693 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.27, 1.17]
3.1 Intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
3.2 Continuous 1 693 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.27, 1.17]
4 Mortality at latest follow‐up 12   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 All studies 12 2293 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.48, 0.95]
4.2 Intermittent KMC 8 909 Risk Ratio (M‐H, Fixed, 95% CI) 0.68 [0.26, 1.77]
4.3 Continuous KMC 4 1384 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.46, 0.98]
4.4 Duration of KMC < 2 hours/d 3 259 Risk Ratio (M‐H, Fixed, 95% CI) 1.18 [0.32, 4.30]
4.5 Duration of KMC between 6 and 15 hours/d 5 650 Risk Ratio (M‐H, Fixed, 95% CI) 0.34 [0.07, 1.64]
4.6 Duration of KMC ≥ 20 hours/d 4 1384 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.46, 0.98]
4.7 Infant age ≤ 10 days at initiation of KMC 6 1489 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.37, 0.85]
4.8 Infant age > 10 days at initiation of KMC 5 678 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.53, 2.00]
4.9 Low/middle‐income countries 10 2162 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.45, 0.93]
4.10 High‐income countries 2 131 Risk Ratio (M‐H, Fixed, 95% CI) 1.25 [0.29, 5.42]
4.11 Infant entered into trial before stabilization 1 123 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.33, 1.00]
4.12 Infant entered into trial after stabilization 11 2170 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.47, 1.13]
5 Severe infection/sepsis at latest follow‐up ‐ stabilized infants 8 1463 Risk Ratio (M‐H, Fixed, 95% CI) 0.50 [0.36, 0.69]
5.1 Intermittent 7 800 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.24, 0.60]
5.2 Continuous 1 663 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.43, 1.12]
6 Severe illness at 6 months' follow‐up ‐ stabilized infants 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.14, 0.67]
6.1 intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 Continuous 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.14, 0.67]
7 Nosocomial infection/sepsis at discharge or at 40 to 41 weeks' postmenstrual age ‐ stabilized infants 5 1239 Risk Ratio (M‐H, Fixed, 95% CI) 0.35 [0.22, 0.54]
7.1 Intermittent 4 576 Risk Ratio (M‐H, Fixed, 95% CI) 0.27 [0.15, 0.50]
7.2 Continuous 1 663 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.25, 0.93]
8 Mild/moderate infection or illness at latest follow‐up ‐ stabilized infants 4 1266 Risk Ratio (M‐H, Random, 95% CI) 1.28 [0.87, 1.88]
8.1 Intermittent 2 320 Risk Ratio (M‐H, Random, 95% CI) 1.52 [0.43, 5.38]
8.2 Continuous 2 946 Risk Ratio (M‐H, Random, 95% CI) 1.42 [0.53, 3.79]
9 Lower respiratory tract disease at 6 months' follow‐up ‐ stabilized infants 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.15, 0.89]
9.1 Intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.2 Continuous 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.15, 0.89]
10 Diarrhea at 6 months' follow‐up ‐ stabilized infants 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.35, 1.20]
10.1 Intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 Continuous 1 283 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.35, 1.20]
11 Hypothermia at discharge or at 40 to 41 weeks’ postmenstrual age ‐ stabilized infants 9 989 Risk Ratio (M‐H, Random, 95% CI) 0.28 [0.16, 0.49]
11.1 Intermittent 9 989 Risk Ratio (M‐H, Random, 95% CI) 0.28 [0.16, 0.49]
11.2 Continuous 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
12 Hyperthermia at discharge or at 40 to 41 weeks' postmenstrual age ‐ stabilized infants 4 448 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.59, 1.05]
12.1 Intermittent 4 448 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.59, 1.05]
12.2 Continuous 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
13 Length of hospital stay (days) ‐ stabilized infants 11 1057 Mean Difference (IV, Random, 95% CI) ‐1.61 [‐3.41, 0.18]
13.1 Intermittent 11 1057 Mean Difference (IV, Random, 95% CI) ‐1.61 [‐3.41, 0.18]
13.2 Continuous 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
14 Re‐admission to hospital at latest follow‐up ‐ stabilized infants 2 946 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.34, 1.06]
14.1 Intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
14.2 Continuous 2 946 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.34, 1.06]
15 Weight at discharge or at 40 to 41 weeks' postmenstrual age (g) ‐ stabilized infants 5 1233 Mean Difference (IV, Fixed, 95% CI) 16.07 [‐20.54, 52.68]
15.1 Intermittent 3 285 Mean Difference (IV, Fixed, 95% CI) 41.84 [‐19.19, 102.87]
15.2 Continuous 2 948 Mean Difference (IV, Fixed, 95% CI) 1.59 [‐44.16, 47.34]
16 Weight at 6 months' corrected age (g) ‐ stabilized infants 1 591 Mean Difference (IV, Fixed, 95% CI) 78.19 [‐52.26, 208.64]
16.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
16.2 Continuous 1 591 Mean Difference (IV, Fixed, 95% CI) 78.19 [‐52.26, 208.64]
17 Weight at 12 months' corrected age (g) ‐ stabilized infants 1 596 Mean Difference (IV, Fixed, 95% CI) 31.46 [‐135.08, 198.00]
17.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
17.2 Continuous 1 596 Mean Difference (IV, Fixed, 95% CI) 31.46 [‐135.08, 198.00]
18 Weight gain at latest follow‐up (g/d) ‐ stabilized infants 11 1198 Mean Difference (IV, Random, 95% CI) 4.08 [2.30, 5.86]
18.1 Intermittent 10 913 Mean Difference (IV, Random, 95% CI) 4.13 [2.19, 6.07]
18.2 Continuous 1 285 Mean Difference (IV, Random, 95% CI) 3.60 [0.78, 6.42]
19 Length at discharge or at 40 to 41 weeks' postmenstrual age (cm) ‐ stabilized infants 3 856 Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.69, 0.48]
19.1 Intermittent 2 193 Mean Difference (IV, Random, 95% CI) ‐0.24 [‐1.51, 1.04]
19.2 Continuous 1 663 Mean Difference (IV, Random, 95% CI) 0.0 [‐0.36, 0.36]
20 Length at 6 months' corrected age (cm) ‐ stabilized infants 1 590 Mean Difference (IV, Fixed, 95% CI) 0.23 [‐0.18, 0.64]
20.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
20.2 Continuous 1 590 Mean Difference (IV, Fixed, 95% CI) 0.23 [‐0.18, 0.64]
21 Length at 12 months' corrected age (cm) ‐ stabilized infants 1 586 Mean Difference (IV, Fixed, 95% CI) 0.31 [‐0.17, 0.79]
21.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
21.2 Continuous 1 586 Mean Difference (IV, Fixed, 95% CI) 0.31 [‐0.17, 0.79]
22 Length gain at latest follow‐up (cm/wk) ‐ stabilized infants 3 377 Mean Difference (IV, Random, 95% CI) 0.21 [0.03, 0.38]
22.1 Intermittent 3 377 Mean Difference (IV, Random, 95% CI) 0.21 [0.03, 0.38]
22.2 Continuous 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
23 Head circumference at discharge or at 40 to 41 weeks' postmenstrual age (cm) ‐ stabilized infants 3 856 Mean Difference (IV, Random, 95% CI) 0.17 [‐0.33, 0.66]
23.1 Intermittent 2 193 Mean Difference (IV, Random, 95% CI) 0.24 [‐0.84, 1.31]
23.2 Continuous 1 663 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.14, 0.34]
24 Head circumference at 6 months' corrected age (cm) ‐ stabilized infants 1 592 Mean Difference (IV, Fixed, 95% CI) 0.34 [0.11, 0.57]
24.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
24.2 Continuous 1 592 Mean Difference (IV, Fixed, 95% CI) 0.34 [0.11, 0.57]
25 Head circumference at 12 months' corrected age (cm) ‐ stabilized infants 1 597 Mean Difference (IV, Fixed, 95% CI) 0.39 [‐0.00, 0.78]
25.1 Intermittent 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
25.2 Continuous 1 597 Mean Difference (IV, Fixed, 95% CI) 0.39 [‐0.00, 0.78]
26 Head circumference gain at latest follow‐up (cm/wk) ‐ stabilized infants 4 495 Mean Difference (IV, Random, 95% CI) 0.14 [0.06, 0.22]
26.1 Intermittent 4 495 Mean Difference (IV, Random, 95% CI) 0.14 [0.06, 0.22]
26.2 Continuous 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
27 Psychomotor development (Griffith quotients) at 12 months' corrected age 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
27.1 Locomotion 1 579 Mean Difference (IV, Fixed, 95% CI) 2.25 [‐0.45, 4.95]
27.2 Personal, social 1 579 Mean Difference (IV, Fixed, 95% CI) 0.97 [‐1.27, 3.21]
27.3 Hand‐eye coordination 1 579 Mean Difference (IV, Fixed, 95% CI) 0.57 [‐1.25, 2.39]
27.4 Audition, language 1 579 Mean Difference (IV, Fixed, 95% CI) 1.29 [‐0.98, 3.56]
27.5 Execution 1 579 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐1.50, 2.10]
27.6 All criteria 1 579 Mean Difference (IV, Fixed, 95% CI) 1.05 [‐0.75, 2.85]
28 Cerebral palsy at 12 months' corrected age 1 588 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.21, 2.02]
29 Deafness at 12 months' corrected age 1 588 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.03, 2.90]
30 Visual impairment at 12 months' corrected age 1 588 Risk Ratio (M‐H, Fixed, 95% CI) 0.91 [0.53, 1.56]
31 Exclusive breastfeeding at discharge or at 40 to 41 weeks' postmenstrual age ‐ stabilized infants 6 1453 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [1.07, 1.25]
31.1 Intermittent 4 511 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [1.11, 1.35]
31.2 Continuous 2 942 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [1.00, 1.24]
32 Exclusive breastfeeding at 1 to 3 months' follow‐up ‐ stabilized infants 5 600 Risk Ratio (M‐H, Random, 95% CI) 1.20 [1.01, 1.43]
32.1 Intermittent 3 221 Risk Ratio (M‐H, Random, 95% CI) 1.36 [1.12, 1.65]
32.2 Continuous 2 379 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.96, 1.10]
33 Exclusive breastfeeding at 6 to 12 months' follow‐up ‐ stabilized infants 3 810 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [0.95, 1.76]
33.1 Intermittent 1 75 Risk Ratio (M‐H, Fixed, 95% CI) 1.52 [1.10, 2.10]
33.2 Continuous 2 735 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.66, 1.86]
34 Any breastfeeding at discharge or at 40 to 41 weeks' postmenstrual age ‐ stabilized infants 10 1696 Risk Ratio (M‐H, Random, 95% CI) 1.20 [1.07, 1.34]
34.1 Intermittent 8 754 Risk Ratio (M‐H, Random, 95% CI) 1.23 [1.07, 1.41]
34.2 Continuous 2 942 Risk Ratio (M‐H, Random, 95% CI) 1.14 [0.93, 1.40]
35 Any breastfeeding at 1 to 2 months' follow‐up ‐ stabilized infants 6 538 Risk Ratio (M‐H, Random, 95% CI) 1.33 [1.00, 1.78]
35.1 Intermittent 4 159 Risk Ratio (M‐H, Random, 95% CI) 1.89 [1.30, 2.75]
35.2 Continuous 2 379 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.96, 1.10]
36 Any breastfeeding at 3 months' follow‐up ‐ stabilized infants 5 924 Risk Ratio (M‐H, Fixed, 95% CI) 1.14 [1.06, 1.23]
36.1 Intermittent 4 261 Risk Ratio (M‐H, Fixed, 95% CI) 1.35 [1.15, 1.59]
36.2 Continuous 1 663 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [1.00, 1.17]
37 Any breastfeeding at 1 to 3 months' follow‐up ‐ stabilized infants 9 1394 Risk Ratio (M‐H, Random, 95% CI) 1.17 [1.05, 1.31]
37.1 Intermittent 6 352 Risk Ratio (M‐H, Random, 95% CI) 1.39 [1.18, 1.64]
37.2 Continuous 3 1042 Risk Ratio (M‐H, Random, 95% CI) 1.05 [1.00, 1.11]
38 Any breastfeeding at 6 months' follow‐up ‐ stabilized infants 5 952 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.98, 1.29]
38.1 Intermittent 3 143 Risk Ratio (M‐H, Fixed, 95% CI) 1.50 [1.08, 2.08]
38.2 Continuous 2 809 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.92, 1.24]
39 Any breastfeeding at 12 months' follow‐up ‐ stabilized infants 1 589 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.65, 1.21]
39.1 Intermittent 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
39.2 Continuous 1 589 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.65, 1.21]
40 Onset of breastfeeding (days) ‐ stabilized infants 2 295 Mean Difference (IV, Random, 95% CI) 0.03 [‐1.64, 1.70]
40.1 Intermittent 2 295 Mean Difference (IV, Random, 95% CI) 0.03 [‐1.64, 1.70]
40.2 Continuous 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
41 Parental and familial satisfaction (continuous KMC) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
41.1 Mother satisfied with method 1 269 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [1.05, 1.30]
41.2 Father satisfied with method 1 269 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.91, 1.14]
41.3 Family satisfied with method 1 269 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.83, 1.13]
42 Mother‐infant attachment: mother's feelings and perceptions according to interval between birth and start of intervention, and infant admission to NICU 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
42.1 Sense of competence ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.41 [0.14, 0.68]
42.2 Sense of competence ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) 0.25 [‐0.08, 0.58]
42.3 Sense of competence ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.21 [‐0.17, 0.59]
42.4 Sense of competence ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) 0.54 [0.07, 1.01]
42.5 Sense of competence ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.24 [0.05, 0.43]
42.6 Worry and stress ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.31 [0.04, 0.58]
42.7 Worry and stress ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) 0.09 [‐0.20, 0.38]
42.8 Worry and stress ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) ‐0.29 [‐0.70, 0.12]
42.9 Worry and stress ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.1 [‐0.60, 0.40]
42.10 Worry and stress ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.12 [‐0.06, 0.30]
42.11 Social support ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) ‐0.06 [‐0.35, 0.23]
42.12 Social support ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) ‐0.06 [‐0.34, 0.22]
42.13 Social support ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) ‐0.47 [‐0.84, ‐0.10]
42.14 Social support ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.05 [‐0.52, 0.42]
42.15 Social support ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) ‐0.2 [‐0.39, ‐0.01]
43 Mother‐infant attachment: mother's responses to the infant according to interval between birth and start of intervention, and infant admission to NICU 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
43.1 Mother's sensitivity ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.02, 0.06]
43.2 Mother's sensitivity ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.05, 0.03]
43.3 Mother's sensitivity ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.06 [0.01, 0.11]
43.4 Mother's sensitivity ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.04, 0.08]
43.5 Mother's sensitivity ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.00, 0.04]
43.6 Mother's response to child's distress ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.08, 0.02]
43.7 Mother's response to child's distress ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐0.03, 0.05]
43.8 Mother's response to child's distress ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐0.04, 0.06]
43.9 Mother's response to child's distress ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) 0.05 [‐0.01, 0.11]
43.10 Mother's response to child's distress ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) ‐0.02 [‐0.05, 0.01]
43.11 Mother's response to child's socioemotional growth fostering ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐0.04, 0.06]
43.12 Mother's response to child's socioemotional growth fostering ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) ‐0.02 [‐0.06, 0.02]
43.13 Mother's response to child's socioemotional growth fostering ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.05 [‐0.00, 0.10]
43.14 Mother's response to child's socioemotional growth fostering ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.05 [‐0.12, 0.02]
43.15 Mother's response to child's socioemotional growth fostering ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.01, 0.05]
43.16 Mother's response to child's cognitive growth fostering ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.04, 0.08]
43.17 Mother's response to child's cognitive growth fostering ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) ‐0.04 [‐0.10, 0.02]
43.18 Mother's response to child's cognitive growth fostering ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.07 [0.00, 0.14]
43.19 Mother's response to child's cognitive growth fostering ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.07 [‐0.17, 0.03]
43.20 Mother's response to child's cognitive growth fostering ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.03 [‐0.01, 0.07]
44 Mother‐infant attachment: infant's responses to the mother according to interval between birth and start of intervention, and infant admission to NICU 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
44.1 Clarity of cues ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐0.04, 0.06]
44.2 Clarity of cues ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.03, 0.07]
44.3 Clarity of cues ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.05, 0.05]
44.4 Clarity of cues ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.07, 0.05]
44.5 Clarity of cues ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.01, 0.05]
44.6 Responsiveness ‐ interval of 1 to 2 days 1 170 Mean Difference (IV, Fixed, 95% CI) ‐0.02 [‐0.06, 0.02]
44.7 Responsiveness ‐ interval of 3 to 14 days 1 177 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.02, 0.06]
44.8 Responsiveness ‐ interval > 14 days 1 141 Mean Difference (IV, Fixed, 95% CI) 0.05 [0.01, 0.09]
44.9 Responsiveness ‐ infant admitted to NICU 1 82 Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.07, 0.05]
44.10 Responsiveness ‐ infant not admitted to NICU 1 406 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.01, 0.05]
45 Mother‐infant attachment at 3 months' follow‐up 1 100 Mean Difference (IV, Fixed, 95% CI) 6.24 [5.57, 6.91]
45.1 Total attachment score at 3 months' follow‐up 1 100 Mean Difference (IV, Fixed, 95% CI) 6.24 [5.57, 6.91]
46 Mother‐infant attachment: stress in NICU 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
46.1 Nursery environment score 1 30 Mean Difference (IV, Fixed, 95% CI) 0.10 [‐0.51, 0.71]
46.2 Infant appearance score 1 30 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.62, 0.62]
46.3 Relationship with the infant score 1 30 Mean Difference (IV, Fixed, 95% CI) 1.00 [0.35, 1.65]
46.4 Staff behavior and communication score 1 30 Mean Difference (IV, Fixed, 95% CI) 0.10 [‐0.95, 1.15]
47 Mother‐infant attachment: parenting skills 1 30 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐0.89, 0.09]
47.1 Total score at discharge 1 30 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐0.89, 0.09]
48 Mother‐infant interaction at 6 months' follow‐up 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
48.1 Symmetrical co‐regulation 1 45 Mean Difference (IV, Fixed, 95% CI) 16.38 [13.61, 19.15]
48.2 Asymmetrical co‐regulation 1 45 Mean Difference (IV, Fixed, 95% CI) ‐18.31 [‐21.42, ‐15.20]
48.3 Unilateral regulation 1 45 Mean Difference (IV, Fixed, 95% CI) 2.12 [‐1.24, 5.48]
49 Infant behavior at 40 to 44 weeks’ postmenstrual age 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
49.1 Attention 1 55 Mean Difference (IV, Fixed, 95% CI) 0.29 [‐0.40, 0.98]
49.2 Autonomic organization 1 55 Mean Difference (IV, Fixed, 95% CI) 0.19 [‐0.41, 0.79]
49.3 Motor 1 55 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐0.22, 0.82]
49.4 Orientation 1 55 Mean Difference (IV, Fixed, 95% CI) ‐0.19 [‐0.72, 0.34]
49.5 Autonomic 1 55 Mean Difference (IV, Fixed, 95% CI) 0.11 [‐0.89, 1.11]
49.6 State regulation 1 55 Mean Difference (IV, Fixed, 95% CI) ‐0.31 [‐0.95, 0.33]
49.7 Robust crying 1 55 Mean Difference (IV, Fixed, 95% CI) ‐0.16 [‐0.90, 0.58]
49.8 State stability 1 55 Mean Difference (IV, Fixed, 95% CI) 0.32 [‐0.93, 1.57]
50 Social and home environment 1 338 Mean Difference (IV, Fixed, 95% CI) 0.79 [0.74, 0.84]
50.1 HOME environment total score at 12 months' corrected age 1 338 Mean Difference (IV, Fixed, 95% CI) 0.79 [0.74, 0.84]