Nils Bergman's hospital does not have vents, and only has a few hours 
worth of oxygen available. There is a 50% mortality rate in the premies 
there since kangaroo care after stabilization was initiated, down from 
90% before Kcare. The population starts out the same as US hospitals, 
but the babies who need the most intensive care don't survive. Their 
newest step is immediate kangaroo care at birth, with all needed care 
being provided right on mom. Nils presented the results of a randomized 
controlled trial of immediate skin to skin vs incubator care, and the 
immediate skin to skin babies were all stable by 6 hours, while some of 
the incubator babies never stabilized. Infants under 1200 g were not 
enrolled in the trial, because they have very little chance in a 
low-tech environment. The trial results were published in Acta Ped in 2005.
Catherine Watson Genna, IBCLC  NYC

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