DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20202540

Effect of kangaroo mother care in terms of hospital stay among preterm infants in a tertiary health care center

Adarsh E., Bindu Shri D. B., Sahana G.

Abstract


Background: Hypothermia, infections and ineffective breastfeeding are some of the commonest cause of deaths among premature and low birth weight infants. Kangaroo mother care is a well-known intervention to address the issues related to preterm births, such as hypothermia, infection and prolonged hospitalisation.

Methods: This study was carried out in a tertiary care centre in Bengaluru on all preterm neonates of birth weight less than 2500 grams with stable hemodynamic conditions over a period of 18 months. Gestational age assessed by the new Ballard's score, within 24 hours of life and anthropometry details of the neonate were recorded at 24 hours of life by the single observer. Kangaroo mother care was given for a minimum of one hour at a stretch per day and the effect on the preterm neonate in terms of hospital stay was assessed.

Results: Kangaroo mother care has positive effects on the infants growth, neurodevelopmental outcome, reduction in the morbidities associated with preterm infants, and breastfeeding practices in mothers of preterm neonates.

Conclusions: The study promotes awareness of KMC on preterm neonates considering all the benefits and positive effects of KMC on the infant as well as baby, and to the family and nation amongst the health care personnel as well as the society.


Keywords


Birth weight, Gestational age, KMC, Kangaroo mother care

Full Text:

PDF

References


WHO. Low birth weight. A tabulation of available information. Maternal Health and Safe Motherhood Programme (WHO/MCH/92.2). Geneva: 1992.

Kondapalli CS, Kadiyala C. Effect of kangaroo mother care on outcome in preterm and low birth weight neonates. J Evid Based Med Healthc. 2017; 4(78):4597-4601.

Rey ES, Martinez HG. Manejo racional del niño prematuro. Universidad Nacional, Curso de Medicina Fetal, Bogotá, Universidad Nacional. 1983 Mar 17:23-5.

Whitelaw A, Sleath K. Myth of the marsupial mother: home care of very low birth weight babies in Bogota, Colombia. Lancet. 1985 May 25;325(8439):1206-8.

World Health Organization. Available at: https://www.who.int/elena/titles/formula_infants/en/ Accessed 11 February 2019.

Anderson GC. Current knowledge about skin-toskin (kangaroo) care for preterm infants. J Perinatol. 1991;11:216-26.

Conde‐Agudelo A, Díaz‐Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane database of systematic Reviews. 2016(8).

Lawn JE, Mwansa-Kambafwile J, Horta BL, Barros FC, Cousens S. ‘Kangaroo mother care’to prevent neonatal deaths due to preterm birth complications. Int J Epidemiol. 2010 Apr 1;39(suppl_1):i144-54.

Acolet D, Sleath K, Whitelaw A. Oxygenation, heart rate and temperature in very low birth weight infants during skin-to-skin contact with their mothers. Acta Pediatr Scand. 1989;78(2):189-93.

Bier JA, Ferguson AE, Morales Y, Liebling JA, Archer D, Oh W, et al. Comparison of skin-to-skin contact with standard contact in low-birth-weight infants who are breast-fed. Arch Pediatr Adolescent Med. 1996 Dec 1;150(12):1265-9.

Fohe K, Kropf S, Avenarius S. Skin-to-skin contact improves gas exchange in premature infants. J Perinatol. 2000;20(5):311-5.