In preterm and LBW infants, skin-to-skin contact between the mother and her infant decreases maternal postpartum depressive symptoms and improves self-efficacy and mother-child bonding. However, evidence supporting it is lacking. To evaluate the impact of Kangaroo Mother Care (KMC) on the maintenance of temperature and weight gain of newly born low birth weight babies. Fifty newborn babies weighing less than 1.8 kgs were studied at a tertiary level neonatal intensive care unit (NICU)from August 2013 to August 2014. An equal number of new-borns from the same setting, matched for weight and gestational age received routine care (warmer) and acted as controls. A special bag or kangaroo pouch was designed to keep the baby in close contact with the mother to provide KMC. Weight gain and temperature maintenance were studied. Maximum number of cases and control was 1-10 days old. A maximum number of cases and controls were babies between 1.251 to 1.800 kgs i.e. 70% and 72% respectively. In the KMC group, the majority (52%)had weight gain between 100-200gm, while in the control group 52% of subjects had weight gain between 0-100 gm. Maximum number of babies in KMC group (52%) gained 15.1-20gm/day vs 0-5 gm/day in controls (42%). 70% of the KMC group while 66% of the control group was discharged between 1.25-1.5 kg weight. The pre-intervention mean temperature in neonates of the case group was 35.99 ± 0.59 °F, while the post-intervention mean temperature in the case of group neonates was 37.01 ± 0.22 °F. Thus, the neonates in the case group had gained temperature after the intervention (p<0.001).The babies in the KMC group demonstrated more weight gain and temperature.
Background: Preterm and low birth weight infants are more likely to experience neonatal morbidity including acute respiratory, gastrointestinal, central nervous system, immunologic, hearing and vision problems than both term and normal weight infants who survive the neonatal period. The present study was aimed to evaluate the impact of Kangaroo Mother Care (KMC) on morbidity and mortality of new-borns and duration of hospital stay.Methods: A prospective case control study over a 12 month period was conducted from August 2013 to August 2014 on 50 new-borns weighing less than 1.8 kg. The primary outcome variable was “weight gain”. Secondary measures included morbidity, mortality and duration of hospitalization. Observations were recorded in a proforma specially designed for the study. The results were subjected to statistical analysis.Results: The hospital stay was less amongst neonates who received KMC. Twenty four (48%) out of 50 were discharged within 10 days, another 24 within 11 to 20 days. Neonates who did not received KMC, majority i.e. 27 of the neonates were in the ICU for 11-20 days. There were 3 neonates who stayed beyond 1 month.Conclusions: The study showed that KMC is useful method of caring VLBW baby in respect of early weight gain and decrease morbidity, mortality and hospital stay in our set up. However, there are still insufficient evidences to recommend its routine use in VLBW babies in our country. Well-designed large randomized controlled trail of this intervention are needed.
Background: A universally available and biologically sound method of care for all new-borns, but in particular for premature babies, with three components including skin-to-skin contact, exclusive breastfeeding and support to the “mother infant dyad”. The present study was done to evaluate the role of kangaroo mother care (KMC) on the lactation.Methods: A prospective case control study of KMC was conducted in a teaching institution with a tertiary level neonatal intensive care unit (NICU) over a 12-month period from August 2013 to August 2014 on 50 new-borns weighing less than 1.8 kg. In order to provide KMC, special bag or kangaroo pouch was designed to keep the baby in close contact with mother. The primary outcome variable was “breast feeding”. Mode of feeding at admission to either group was noted down. Before allocating to either group, it was assured that baby was tolerating enteral feeds & there was no regurgitation.Results: Sixty six percent of neonates in case group and eighty percent of control group were on tube feed while 30% of case group and 16% of control group were on spoon feed at the time of enrolment in study. Spoon feeding plus breast feeding was established 28% of KMC group and in 4% control group, while only breast feeding was established in 30% of KMC group and 26% of control group on discharge.Conclusions: More babies in KMC group were shifted to breast-feeding on discharge. In addition to that KMC group demonstrated more weight gain and duration of stay was shorter in them.
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