Kangaroo mother care for low birth weight babies: supportive factors and barriers
Keywords:Barriers, HCP, KMC, LBW, Supportive factors
Background: Kangaroo mother care (KMC) is skin-to-skin contact between mother and low birth weight (LBW) baby. It keeps the baby warm, increases accessibility to breast feeding, and protects the baby from infections. This study was done to identify supportive factors and barriers in practicing KMC as perceived by mothers of LBW babies and health care personnel (HCP).
Methods: It was a questionnaire based descriptive study. Mothers of LBW babies and HCP were enrolled in study. Mothers and HCP were sensitized regarding KMC and after practicing KMC for 3 days, mothers were interviewed with the help of a predefined proforma. Feedback from the HCP was also taken. Data analysis was performed by using IBM SPSS ver. 20 software.
Results: Most common factor in initiation and practice of KMC were, knowledge regarding KMC after training (100%), environmental factors (privacy and resources) (87.27%) and support from HCP (94.54%). Most common barriers perceived during performance of KMC were lack of knowledge about KMC during pregnancy (80%), pain due to LSCS/episiotomy (64.54%) and lack of support from family members (51.81%). Majority of the HCP strongly agree that parents must be encouraged to adopt KMC (82.92%), KMC is hampered due to presence of visitors in the ward (73.17%). KMC needs separate room (68.29%) and it is difficult due to LSCS (51.21%).
Conclusions: To increase KMC practice, mother’s knowledge about KMC can be improved by educating them in antenatal clinics and all HCP should receive training on KMC.
Nguah SB, Priscilla NL Wobil, Regina O, Ayi Y, Kerber KJ, Joy E. Lawn and Low birth weight. A tabulation of available information. Geneva, World Health Organization; 1992.
Gogoi N. Maternal and neonatal risk factors of low birth weight in Guwahati Metro, Assam, Northeast India. Acad J Ped Neonatol. 2018;6(5):1-6.
Pattinson R, Woods D, Greenfield D, Velaphi S. Improving survival rates of newborn infants in South Africa. Reprod Heal. 2005;2(1):1-8.
Charpak N, Ruiz JG, Zupan J, Cattaneo A, Figueroa Z, Tessier R, et al. Kangaroo mother care: 25 years after. Acta Paedia. 2005;94(5):514-22.
Liyanage G. Kangaroo mother care. Sri Lanka J Child Heal. 2005;34:13-5.
Roberts KL, Paynter C, McEwan B. A comparison of kangaroo mother care and conventional cuddling care. Neonatal Netw. 2000;19(4):31-5.
Hall D, Kirsten G. Kangaroo mother care- a review. Transfus Med.2008;18(2):77-82.
Solomons N, Rosant C. Knowledge and attitudes of nursing staff and mothers towards kangaroo mother care in the eastern sub-district of Cape Town. S Afr J Clin Nutr. 2012;25(1):33-9.
Seidman G, Unnikrishnan S, Kenny E, Myslinki S, Smith CS, Mulligan B, et al. Barriers and enablers of kangaroo m other care practice: a systematic review. PLoS One. 2015;10(5):e0125643.
Shah RK, Sainju NK, Joshi SK. Knowledge, attitude and practice towards kangaroo mother care. J Nepal Heal Res Council. 2018;15(3):275-81.
Nirmala P, Rekha S, Washington M. Kangaroo mother care: effect and perception of mothers and health personnel. J Neonatal Nurs. 2006;12(5):177-84.
Johnson AN. The maternal experience of kangaroo holding. J Obstet Gynecol Neonatal Nurs. 2007;36(6):568-73.
Engler AJ, Ludington-Hoe SM, Cusson RM, Adams R, Bahnsen M, Brumbaugh E, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Maternal/Child Nurs. 2002;27(3):146-53.
Eichel P. Kangaroo care: expanding our practice to critically ill neonates. Newborn Infant Nurs Rev. 2001;1(4):224-8.
Vonderweid U, Forleo V, Petrina D, Sanesi C, Fertz C, Leonessa ML, et al. Neonatal developmental care in Italian Neonatal Intensive Care Units. Ital J Pediatr. 2003;29(3):199-205.