DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20181544

The effect of Kangaroo Mother Care (KMC) on breast feeding at the time of NICU discharge

Tharashree C. D., Shravani M. R., Srinivasa S.

Abstract


Background: The WHO has defined KMC as early, continuous, and prolonged skin-to-skin contact between the mother and preterm babies. Exclusive breastfeeding is one of the most important essential components of Kangaroo Mother Care in preterm babies

Methods:   This a cross sectional study, 265 consecutive premature newborns admitted to neonatal intensive care unit (NICU) between May 2015 and May 2016 in KIMS NICU Hospital in Bengaluru were evaluated. All of candidate mothers were educated for KMC and compared with a CMC group.

Results: In this study 159 mothers performed kangaroo mother care (KMC group) versus 106 in conventional method care (CMC group). In KMC group exclusive breast feeding was 99 (65.2%) versus 40 (37.7%), and P = .00 in CMC group, at the time of hospital discharge. Receiving KMC, and gestational age were the only effective factors predicting exclusive breastfeeding. Present result indicated that there was a 2.7 time increase in exclusive breastfeeding by KMC, and also weekly increase in gestational age increased it 0.9 times, but maternal age, birth weight, mode of delivery, and 5-minute Apgar score had no influence.

Conclusions:  KMC is more effective, and increases exclusive breast feeding successfully. It can be a good substitution for CMC (conventional methods of   care). It is a safe, effective, and feasible method of care for LBWI even in the NICU settings.


Keywords


Kangaroo mother care, Conventional method care, Low birth weight infant, Neonatal intensive care unit, Kempegowda Institute of Medical sciences, World Health Organisation

Full Text:

PDF

References


World Health Organization. Kangaroo mother care: a practical guide. WHO Library. Geneva: World Health Organization. 2003. Available at http://apps.who.int/iris/bitstream/handle/10665/42587/9241590351.pdf;jsessionid=E6131BD7070548969BF28BB84FC2C7A3?sequence=1

Chateau DP. The influence of early contact on maternal and infant behaviour in primiparae. Birth Family J. 1976;3:149-55.

Thomson ME, Hartsock TG, Larson C. The importance of immediate postnatal contact: its effect on breastfeeding. Can Fam Physician. 1979;25:1374-8.

Kangaroo Mother Care. Kangaroo Mother care-support for parents and staff of premature babies. Available at http://www.kangaroomothercare.com/ Accessed 10th March 2017.

Charpak N, Ruiz J, Zupan J, Cattaneo A, Figueroa Z, Tessier R, et al. Kangaroo mother care: 25 years after. Acta Paediatr. 2005;94(5):514-22.

Charpak N, Ruiz-Pelaez JG, Figueroa de Calume Z. Current knowledge of Kangaroo Mother Intervention. Curr Opin Pediatr. 1996;8(2):108-12.

Neu M, Robinson J. Maternal holding of preterm infants during the early weeks after birth and dyad interaction at six months. J Obstet Gynecol Neonatal Nurs. 2010;39:401-14.

Helth, TD, Jarden, M. Fathers’ experiences with the skin-to-skin method in the NICU: Competent parenthood and redefined gender roles. J Neonatal Nur. 2013;19:114-21.

Helth TD, Jarden M. Fathers’ experiences with the skin-to-skin method in the NICU: Competent parenthood and redefined gender roles. J Neonatal Nursing. 2013;19:114-21.

Blacke J, Gregson S. Kangaroo care in pre-term or low birth weight babies in a postnatal ward. Br J Midwifery. 2011;19(9):568-77.

Protocol AB. ABM clinical protocol# 23: Non-pharmacologic management of procedure-related pain in the breastfeeding infant. Breastfeeding Med. 2010;5(6).

Zadeh HM, Habibolahi A, Khazaei S, Vakilian R, Jafari H, Nazari M, et al. Kangaroo mother care. Tehran: Eideh pardazan fan va honar. 2009.

Hake-Brooks SJ, Anderson GC. Kangaroo care and breastfeeding of mother-preterm infant dyads 0-18 months: a randomized, controlled trial. Neonatal Netw. 2008;27(3):151-9.

Boo NY, Jamli FM. Short duration of skin-to-skin contact: effects on growth and breastfeeding. J Paediatr Child Health. 2007;43(12):831-6.