Impact of intermittent kangaroo mother care on weight gain of neonates in NICU: randomized control trial

Rehman, Muhammad Obaid Ur; Hayat, Sikandar; Gul, Rafia; Waheed, Khawaja Ahmad Irfan; Victor, Gideon; Khan, Mahzar Qadir

doi:10.5455/jpma.45123

Cited by 7 publications

(6 citation statements)

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“…12 A local study in NICU settings revealed that intermittent KMC was effective in improving weight-gain among neonates in addition to conventional care (average weight gain in grams per kg per day as 10.22±1.65 grams in KMC groups versus 7.87±1.71 grams among controls) but one of the limitation of that study was that body weight among neonates of KMC group was significantly higher at the start of the study period in comparison to controls (2.56±0.8 kg in KMC group versus 2.13±0.70 kg in controls). 13 A randomized controlled trial from India by Suman RP et al evaluating KMC care among LBW babies revealed average weight gain of 23.99 grams among KMC group in comparison to 15.58 gram among controls. 14 Vahidi RG et al from India also found KMC to be significantly effective among LBW neonates when compared to conventional care.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

Jamil¹,

Rehman²,

Shahman³

et al. 2021

PJMHS

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Objective: To find out the outcome of intermittent Kangaroo Mother Care KMC) in terms of weight-gain among low birth weight (LBW) neonates in Neonatal Intensive Care Unit (NICU). Study Design: A randomized controlled trial. Place and Duration of the Study: This study was conducted at Department of Pediatrics Gulab Devi Hospital, Lahore from March 2020 to February 2021. Methodology: A total of 226 (113 KMC Group and 113 controls) neonates of both genders with birth weight between 1500 grams to 2499 grams admitted to NICU with their mothers available for KMC application were enrolled. KMC Groups received KMC whereas controls were given conventional care. KMC was started from 8th post-natal day and a separate block of NICU was dedicated for the implementation of KMC. Body weight of all the neonates was measured from day-zero (8th post-natal day) up to day-7 (15th post-natal day). Results: Out of a total of 226 neonates, 121 (53.5%) were boys and 105 (46.5%) girls, Overall, mean gestational age was calculated to be 34.8±2.6 weeks. Most frequent main diagnosis at the time of admission was pneumonia, 64 (28.3%) neonates. Mean body weight was significantly increased among neonates of KMC Group in comparison to control at day-4, day-6 and day-7 (p<0.05). Total weight gain from day-0 to day-7 was found to be 0.24±0.1 kg in KMC groups and 0.15±0.1 kg among controls (p<0.0001). Mean duration of hospital stay was noted to be 17.5±2.9 days in KMC Group versus 20.7±3.4 days among controls (p<0.0001). Conclusion: In comparison to conventional care, intermittent KMC was found to significantly more effective in terms of improvement in weight gain and reduction in duration of hospitalization. Keywords: Exclusive breast-feeding, Kangaroo mother care, neonatal intensive care unit, pneumonia.

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Section: Discussionmentioning

confidence: 99%

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

Jamil¹,

Rehman²,

Shahman³

et al. 2021

PJMHS

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“…Studies have confirmed the benefits of SSC in low birth weight NBs, such as the reduction of nosocomial infections [4][5][6] , greater weight gain 7 , reduction of stress levels 8 , in addition to promoting breastfeeding [9][10][11] . Systematic reviews and multicenter studies corroborate the results of the SSC in the reduction of neonatal morbidity and mortality [12][13][14][15] .…”

Section: Introductionmentioning

confidence: 89%

Factors associated with skin-to-skin contact less than 180 min/day in newborns weighing up to 1,800 g: multicenter study

Souza

Lamy

Goudard

et al. 2023

Ciênc. saúde coletiva

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This article aims to evaluate the factors associated with a skin-to-skin contact time <180 min/day in newborns weighing up to 1,800 g during neonatal hospitalization. Prospective observational cohort study conducted in neonatal units of reference for the Kangaroo Method in Brazil. Data from 405 dyads (mother/child) were analyzed from May 2018 to March 2020. Maternal and neonatal explanatory variables were collected from medical records and interviews. Skin-to-skin contact was recorded in forms posted at the bedside, filled out by parents and staff. The outcome variable was the mean time of skin-to-skin contact < 180 min/day. Hierarchical modeling was performed by Poisson regression with robust variance. The variables associated with the outcome were “without easy access to the hospital”, “without previous knowledge of the kangaroo method” and “having had morbidities during pregnancy”. Mothers without easy access to the hospital and who are unaware of the kangaroo method should be priority targets for health policies to develop strategies that promote greater exposure to skin-to-skin contact during the hospitalization period of their children.

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“…No Efficacy [25]. Other researchers from Pakistan have also proposed strengthening of KMC services in local healthcare settings as it can possibly reduce neonatal morbidity and mortality among preterm infants [26,27].…”

Section: (299%) Efficacymentioning

confidence: 99%

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

Shaikh¹,

Sangi

Raza

et al. 2022

JPRI

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Aim: To assess the efficacy of Kangaroo Mother Care (KMC) among low birth weight neonates at a tertiary care hospital Study Design: A cross-sectional study Place and Duration. The Kangaroo mother care ward, CMC Children Hospital, Larkana from August 2019 to February 2020. Methodology: Total 345 low birth weight patients were included. Newborns were kept in KMC position. Axillary temperature was measured during KMC position. Stratification of study variables was done while post-stratification chi-square test or independent sample student t-test was employed to see the impact of effect modifiers on the outcome (efficacy) considering p-value ≤0.05 as significant. Results: Out of a total of 345 LBW neonates, there were 198 (57.4%) boys and 147 (42.6%) girls. The mean age of neonates was 12.01\(\pm\)7.68 days while majority 177 (51.3%) were aged less than or equal to 10 days. The mean body weight was 1997.22\(\pm\)243.48 grams. The mean gestational age was noted to be 35.35\(\pm\)1.37 weeks. There were 104 (30.1%) neonates who belonged to rural areas while 241 (69.9%) were from urban areas. The mean mother’s temperature was 37.58\(\pm\)0.98 C. The mean room temperature was 33.11\(\pm\)2.59 C. The mean initial temperature was 35.40\(\pm\)0.48 C. The efficacy of KMC was observed to be in 242 (70.1%) cases. Conclusion: The KMC was found to be effective and useful in caring LBW neonates. Further advantages of KMC are low cost, promotion of exclusive breast-feeding and increased mother’s confidence in handling LBW babies.

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Impact of intermittent kangaroo mother care on weight gain of neonates in NICU: randomized control trial

Cited by 7 publications

References 0 publications

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

Factors associated with skin-to-skin contact less than 180 min/day in newborns weighing up to 1,800 g: multicenter study

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

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