Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight

Arya, Sugandha; Naburi, Helga; Kawaza, Kondwani; Newton, Sam; Anyabolu, Chineme Henry; Bergman, Nils; Rao, Suman; Mittal, Pratima; Assenga, Evelyne; Gadama, Luis; Larsen-Reindorf, Roderick; Kuti, Oluwafemi; Linnér, Agnes; Yoshida, Sachiyo; Chopra, Nidhi; Ngarina, Matilda; Msusa, Ausbert Thoko; Boakye-Yiadom, Adwoa Pokua; Kuti, Bankole Peter; Morgan, Barak; Minckas, Nicole; Suri, Jyotsna; Moshiro, Robert; Samuel, Vincent; Wireko-Brobby, Naana; Rettedal, Siren; Jaiswal, Harsh Vardhan; Sankar, M. Jeeva; Nyanor, Isaac; Tiwary, Hiresh; Anand, Pratima; Manu, Alexander; Nagpal, Kashika; Ansong, Daniel; Saini, Isha; Aggarwal, Kailash Chandra; Wadhwa, Nitya; Bahl, Rajiv; Westrup, Björn; Adejuyigbe, Ebunoluwa A.; Plange‐Rhule, Gyikua; Dube, Queen; Chellani, Harish; Massawe, Augustine

doi:10.1056/nejmoa2026486

Cited by 184 publications

(120 citation statements)

References 16 publications

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“…As we see from the results of this study – the implementation of a holistic approach has been left behind in order to minimise personal contacts and thus the spread of COVID-19. The parents’ role regarding the care of their newborn is, however, of paramount importance and separation cannot be justified considering the available evidence and risk of transmission and could even be harmful [40] . This study should therefore provide a strong impetus for public health experts, and policy makers to advocate and ensure that parents and their newborns remain together in accordance with the Charter of the European Association for Children in Hospital (EACH) [41] and the United Nations Convention on the Rights of the Child [42] .…”

Section: Discussionmentioning

confidence: 99%

Neonatal care during the COVID-19 pandemic - a global survey of parents’ experiences regarding infant and family-centred developmental care

Kostenzer¹,

Hoffmann²,

Rosenstiel-Pulver³

et al. 2021

EClinicalMedicine

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Background The COVID-19 pandemic restrictions affect provision and quality of neonatal care. This global study explores parents’ experiences regarding the impact of the restrictions on key characteristics of infant and family-centred developmental care (IFCDC) during the first year of the pandemic. Methods For this cross-sectional study, a pre-tested online survey with 52 questions and translated into 23 languages was used to collect data between August and November 2020. Parents of sick or preterm infants born during the pandemic and receiving special/intensive care were eligible for participation. Data analysis included descriptive statistics and statistical testing based on different levels of restrictive measures. Findings In total, 2103 participants from 56 countries provided interpretable data. Fifty-two percent of respondents were not allowed to have another person present during birth. Percentages increased with the extent of restrictions in the respondents’ country of residence ( p = 0·002). Twenty-one percent of total respondents indicated that no-one was allowed to be present with the infant receiving special/intensive care. The frequency ( p < 0·001) and duration ( p = 0·001) of permitted presence largely depended on the extent of restrictions. The more restrictive the policy measures were, the more the respondents worried about the pandemic situation during pregnancy and after birth. Interpretation COVID-19 related restrictions severely challenged evidence-based cornerstones of IFCDC, such as separating parents/ legal guardians and their newborns. Our findings must therefore be considered by public health experts and policy makers alike to reduce unnecessary suffering, calling for a zero separation policy. Funding EFCNI received an earmarked donation by Novartis Pharma AG in support of this study.

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Section: Discussionmentioning

confidence: 99%

Neonatal care during the COVID-19 pandemic - a global survey of parents’ experiences regarding infant and family-centred developmental care

Kostenzer¹,

Hoffmann²,

Rosenstiel-Pulver³

et al. 2021

EClinicalMedicine

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“…Our rate is much lower than a study conducted in eastern Uganda which found 80.7% [10]. The best practice to prevent newborn mortality is to promote skin-to-skin practice just after birth especially for newborn less than 2500 g. Recent study reveals that among infants with a birth weight between 1.0 and 1.799 kg, those who received immediate kangaroo mother care had lower mortality at 28 days than those who received conventional care with kangaroo mother care initiated after stabilization [11,12].…”

Section: Data On the Care Provider (Midwife) And The Newbornmentioning

confidence: 78%

Essential Newborn Care in the Municipality of Kara (North Togo) in 2019

Segbedji¹,

Tchagbele²,

Talboussouma³

et al. 2021

Int J Pediatr Res

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Introduction: Every newborn at birth needs an adequate essential care provided by qualified personnel in order to reduce neonatal morbidity and mortality. The aim of this study was to evaluate the practice of essential newborn care (ENC) in two tertiary hospitals in the City of Kara (North Togo).Methodology: It was a prospective and descriptive study about ENC, carried out from March 1 st to May 30 th of 2019. The study was focused on newborns after their immediate vaginal delivery, their mothers and the hospital personnel's who provided care for them at the hospitals (CHU and CHR) of Kara. Results:The results indicate that 4.0% of skin-to-skin contact was performed; 100% of immediate drying at birth was carried out; 100% of the umbilical cord section was well done; 100% of vitamin K1 well administered; 100% of eye care was given, 49% of early breastfeeding was performed, 85% of the first bath was done 6 hours after childbirth and 15% between 7 and 24 hours of the newborns. Conclusion:Every hospital center has its own way of practicing ENC in the City (Kara). However, in order to decrease newborn mortality, the ENC practices need to be improved in every hospital center in the city.

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“…Contextually appropriate MCPM technologies are particularly needed for the management of clinically unstable neonates to support early and safe initiation of evidence-based interventions such as kangaroo mother care and to monitor emerging complications such as hypothermia during bubble continuous positive airway pressure for respiratory distress [ 10 , 11 ]. This is important because immediate kangaroo mother care of low-birth-weight infants in critical condition has been shown to reduce infant mortality rates compared with conventional kangaroo mother care initiated after stabilization [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Multiparameter Continuous Physiological Monitoring Technologies in Neonates Among Health Care Providers and Caregivers at a Private Tertiary Hospital in Nairobi, Kenya: Feasibility, Usability, and Acceptability Study

Ginsburg¹,

Kinshella²,

Naanyu³

et al. 2021

J Med Internet Res

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Background Continuous physiological monitoring technologies are important for strengthening hospital care for neonates, particularly in resource-constrained settings, and understanding user perspectives is critical for informing medical technology design, development, and optimization. Objective This study aims to assess the feasibility, usability, and acceptability of 2 noninvasive, multiparameter, continuous physiological monitoring technologies for use in neonates in an African health care setting. Methods We assessed 2 investigational technologies from EarlySense and Sibel, compared with the reference Masimo Rad-97 technology through in-depth interviews and direct observations. A purposive sample of health care administrators, health care providers, and caregivers at Aga Khan University Hospital, a tertiary, private hospital in Nairobi, Kenya, were included. Data were analyzed using a thematic approach in NVivo 12 software. Results Between July and August 2020, we interviewed 12 health care providers, 5 health care administrators, and 10 caregivers and observed the monitoring of 12 neonates. Staffing and maintenance of training in neonatal units are important feasibility considerations, and simple training requirements support the feasibility of the investigational technologies. Key usability characteristics included ease of use, wireless features, and reduced number of attachments connecting the neonate to the monitoring technology, which health care providers considered to increase the efficiency of care. The main factors supporting acceptability included caregiver-highlighted perceptions of neonate comfort and health care respondent technology familiarity. Concerns about the side effects of wireless connections, electromagnetic fields, and mistrust of unfamiliar technologies have emerged as possible acceptability barriers to investigational technologies. Conclusions Overall, respondents considered the investigational technologies feasible, usable, and acceptable for the care of neonates at this health care facility. Our findings highlight the potential of different multiparameter continuous physiological monitoring technologies for use in different neonatal care settings. Simple and user-friendly technologies may help to bridge gaps in current care where there are many neonates; however, challenges in maintaining training and ensuring feasibility within resource-constrained health care settings warrant further research. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2019-035184

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Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight

Cited by 184 publications

References 16 publications

Neonatal care during the COVID-19 pandemic - a global survey of parents’ experiences regarding infant and family-centred developmental care

Neonatal care during the COVID-19 pandemic - a global survey of parents’ experiences regarding infant and family-centred developmental care

Essential Newborn Care in the Municipality of Kara (North Togo) in 2019

Multiparameter Continuous Physiological Monitoring Technologies in Neonates Among Health Care Providers and Caregivers at a Private Tertiary Hospital in Nairobi, Kenya: Feasibility, Usability, and Acceptability Study

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