Background: Preterm newborn birth is usually a challenge for the mother and the family. The mother feels inadequate for the care of her newborn and her self-esteem decreases. In this regard, this study aimed to determine the effect of Kangaroo other Care (KMC) on the self-esteem of mothers of preterm newborns.
Methods: This quasi-experimental study was conducted on 46 pairs of mothers and newborns admitted to neonatal intensive care unit (NICU) at the Social Security and Shahid Sadoughi hospitals of Yazd City, Iran. We used available sampling; samples were placed in 2 groups of intervention and control. In the intervention group, the mother held the newborn in an upright position at the middle of her chest to establish skin to skin contact. KMC was performed for 30 minutes each day after feeding, for a period of 4 weeks. However, the control group received the regular process of care from NICU. The mothers’ self-esteem in both groups before and after KMC was evaluated and compared by Rosenberg questionnaire. Data analysis was performed by using the Fisher exact test, paired t test, and independent t-test.
Results: The mean(SD) self-esteem score of the mothers in the intervention group was 25.826(2.480) after the study. However, in the control group, it was 9.609(2.016) (P˂0.001). The average self-esteem scores of mothers in both groups showed a significant difference prior to intervention (P=0.014); however, in the control group, it was reduced after performing routine nursing cares. Also a significant difference was observed between the self-esteem of mothers in the intervention group before and after intervention (P˂0.001).
Conclusion: Kangaroo care increases the self-esteem of preterm infants’ mothers. Therefore, we recommended it to be performed for preterm infants.

Background: The birth of a preterm infant is a stressful experience for parents. The nurse’s support for the family of such newborns seems to be important and necessary. This study aimed to examine the social support received by the fathers as compared with the mothers of preterm infants hospitalized in the neonatal intensive care unit (NICU).

Methods: This was a comparative, descriptive study. The study population included all parents of preterm infants hospitalized in the NICUs of 3 educational treatment centers affiliated to Tehran University of Medical Sciences during the first 6 months of the year 2014. Study sample consisted of 130 couples selected through the convenient sampling method, and data collection tool was Tarkan et al. social support questionnaire. Then, the obtained data were analyzed using the Independent t test by SPSS version 20.

Results: The results showed that the most social support with the mean(SD) score of 69.0(6.3) was received by the mothers, and 57.0(2.3) for fathers was emotional support and the least level of social support with the mean score of 80.0(3.3) for the mothers and 65.0(16.3) for fathers was tangible support, and mothers with mean score 65.0(52.3) as compared with fathers 56.0(21.3), received more support in all 3 aspects of social support, i.e. affirmative, tangible, and emotional.

Conclusion: Our findings indicate that parents are desirous of more social support, especially with regard to the tangible support. Therefore, planning is required for promotion and creation of opportunities for the nurses to provide more supports to parents at NICUs, especially to fathers who usually receive less support. It is recommended that nurses improve their effective and mutual communication and interaction with parents.