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Shinde, Sanjay S. "Kangaroo Mother Care (KMC)." International Journal of Nursing Education and Research 4, no. 1 (2016): 61. http://dx.doi.org/10.5958/2454-2660.2016.00011.9.
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Endyami, Bernie, Rosalina D. Roeslani, Rinawati Rohsiswatmo, and Soedjatmiko Soedjatmiko. "Mothers' response on Kangaroo Mother Care intervention for preterm infants." Paediatrica Indonesiana 49, no. 4 (August 31, 2009): 224. http://dx.doi.org/10.14238/pi49.4.2009.224-8.
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Background The low birth weight still remains the main causeof neonatal deaths. Kangaroo Mother Care (KMC) program canprovide a better care for low birth weight newborn infants throughskin-to-skin contact.Objective The aim of this study was to assess factors andresponses from mothers that would influence the re-introductionand re-implementation of KMC at neonatology ward, CiptoMangunkusumo Hospital, Jakarta.Methods This was a prospective preliminary study usingquestionnaires, to mothers oflow birth weight infants who wouldundergo KMC in neonatal ward.Results Most mothers felt sad, guilty, worried, afraid and notconfident when they first saw their babies, thus, they were initiallydoubtful and afraid in the beginning of KMC. But, after KMCwas implemented, most of the mothers found positive effectson mother-infant bonding, maternal affection in love or touch,breastfeeding and mother's confidence in newborn care.Conclusions KMC provides benefits for mothers. Most mothersyield positive response when implementing KMC program to theirinfants.
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Roberts, Kathryn, Christine Paynter, and Beryl McEwan. "A Comparison of Kangaroo Mother Care and Conventional Cuddling Care." Neonatal Network 19, no. 4 (June 2000): 31–35. http://dx.doi.org/10.1891/0730-0832.19.4.31.
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Purpose: To compare kangaroo mother care (KMC) and conventional cuddling care (CCC) in premature and smallfor-gestational-age infants.Design and Sample: Thirty mother-infant dyads in two Australian neonatal nurseries were randomly assigned to the KMC group or the CCC group. Both groups of mothers cuddled their babies for a minimum of two hours a day, five days a week while in the study, with the KMC group having skin-to-skin contact while the CCC group had contact through normal clothing.Main Outcome Variable: The main outcome variables were infant weight gain, temperature maintenance during KMC and CCC, and length of hospital stay.Results: The results showed no difference between groups on the Parental Stress Scale (NICU) or the Parental Expectations Survey. Infants in both groups experienced equivalent maintenance of or rise in temperature while out of the incubators, equal weight gain, equal length of stay in the hospital, and equal duration of breastfeeding.
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Jain, Ashish, Jerin C. Sekhar, Nisha Kumari, and Nidhi Jain. "Innovative need-based low-cost kangaroo mother care (KMC) chair." BMJ Innovations 6, no. 4 (June 25, 2020): 220–24. http://dx.doi.org/10.1136/bmjinnov-2018-000322.
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ObjectivesLow birthweight neonates contribute substantially to mortality and morbidity. Their management in low-income countries is difficult due to shortage of skilled staff and limited resources. Kangaroo mother care (KMC) is an effective way of providing warmth, stimulation and protection against infection, thereby decreasing mortality. We intended to perform a need-based survey among mothers and to develop an economic and comfortable chair to facilitate and optimise KMC. We also evaluated the level of satisfaction among mothers using the developed chair.DesignIterative product development.SettingA tertiary teaching hospital having level 3 neonatal intensive care and KMC ward.MethodsAn initial design for KMC chair was developed based on the structured response of 40 mothers to a need-based questionnaire. The prototype was reviewed by experts, including nursing staff, and a comfortable chair with minimum logistics was developed. A formative assessment of satisfaction was done using a questionnaire after introducing it in clinical practice.Results67.5% of mothers were satisfied with the head rest, inclination and height, while 72.5% were satisfied with the in-built KMC cloth and platform for placing utensils. 86.6% of nurses found the chair helpful to mothers; 83.3% were satisfied with the length of in-built KMC cloth; and 80% expressed their overall satisfaction in the KMC chair. 70% of nurses found the chair to facilitate safe position for the baby and to improve breast feeding.ConclusionThis innovative and need-based KMC chair would help mothers of different builds perform KMC comfortably. This might prolong the duration of KMC, thereby having beneficial effects on the neonate.
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A., Bhowmik, Gargi G., and Nandy M. "The evaluation of effectiveness of separate kangaroo mother care ward on implementation of kangaroo mother care in tertiary care hospital: a before and after study." International Journal of Contemporary Pediatrics 6, no. 3 (April 30, 2019): 1239. http://dx.doi.org/10.18203/2349-3291.ijcp20192019.
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Background: Kangaroo mother care (KMC) is a standard of care for preterm and low birth weight babies. To implement KMC in institutional care it was often practiced inside intensive care unit and also in separate ward. In present study authors have tried to evaluate effect of separate kangaroo mother care ward on implementation of kangaroo mother care in tertiary care hospital.Methods: Uncontrolled study before and after establishment of separate kangaroo mother care ward comparing kangaroo mother care in sick new-born care unit versus kangaroo mother care in separate ward.Results: In separate ward, as compared to kangaroo mother care practice in sick newborn care unit, mean (SD) duration of kangaroo mother care increased from 5.3 (1.6) to 11.4 (7.4) hours/day (95%CI 5.0-7.1, p value <0.0001). Mean (SD) weight gain increased from 10.7 (7.0) g/day to 13.7 (11.1) g/day (95% CI 1.0-4.8, p value <0.0024). Incidence of sepsis diminished from 14.0% to 28.9% (95% CI 6.4-23, p value <0.0006). Exclusive breast-feeding rate at discharge (42.3% vs. 57.3%) (95% CI 4.8- 24.9, p value <0.0041) and follow up (49.4% vs. 65.0%) (95% CI 1-29.4, p value <0.0378) increased. Mortality also decreased in this group of patients (8.6% vs.2.3%) (95% CI-1.6-11.4, p value <0.0082).Conclusions: Kangaroo mother care ward is better place than sick new born care unit for providing kangaroo mother care in tertiary care hospital.
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Mekle, Dinesh, Amit Kumar Kumar Singh, and Jagdamba Dixit. "Kangaroo mother care for low birth weight babies: supportive factors and barriers." International Journal of Contemporary Pediatrics 6, no. 4 (June 27, 2019): 1737. http://dx.doi.org/10.18203/2349-3291.ijcp20192786.
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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.
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John, Renjana Rebecca, Sabitha Nayak, and Shiney Paul. "Comparison of Radiant Warmer Care and Kangaroo Mother Care Shortly after Birth on the Neurobehavioral Responses of the Newborn." Journal of South Asian Federation of Obstetrics and Gynaecology 3, no. 1 (2011): 53–55. http://dx.doi.org/10.5005/jp-journals-10006-1127.
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ABSTRACT Background of the study In 1978, kangaroo mother care (KMC) was proposed as a caring alternative for low birth weight infants. The method of skin to skin contact has shown physiologic, cognitive and emotional gains for preterm infant, however, kangaroo mother care has not been studied adequately in term newborns. The present study reporting early outcomes of comparing the kangaroo mother care to radiant warmer care. Objectives of the study: • To assess the neurobehavioral response of the newborn during radiant warmer care (RWC) and kangaroo mother care • The effect of radiant warmer care and kangaroo mother care on neurobehavioral response of the newborn. Methods A quasi-experimental post-test design was used in this study to compare the effect of kangaroo mother care and radiant warmer care on neurobehavioral response of term newborn. A total of 40 subjects who met the inclusion criteria were randomized—20 to KMC and 20 to RWC by simple random sampling technique. The data was collected by using the following tools: 1. Observational check list 2. Modified Brazelton Behavioral Assessment Scale. Results Both study groups were similar regarding all physiologic state variables. There is a slight difference in the behavioral state, the mean behavioral response scores of the RWC and KMC were 5.6500 and 5.9500 respectively, and the mean difference was 0.300. Interpretation and conclusion: The findings of the study showed that kangaroo mother care seems to influence state organization and physiologic state regulation of the newborn infant shortly after birth.
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Mudiyah, Siti, Hadi Pratomo, and Besral Besral. "Hubungan antara Kepercayaan dan Keterpaparan Informasi dengan Pengetahuan dan Sikap terhadap Perawatan Metode Kanguru pada Bidan di Kabupaten Musi Rawas Sumatera Selatan Tahun 2016." Jurnal Kesehatan Reproduksi 3, no. 2 (August 28, 2016): 130. http://dx.doi.org/10.22146/jkr.35951.
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Background: Infant and Neonatal mortality in Musi Rawas District is the highest in Southern Sumatera in 2014. Implementation of kangaroo mother care as Low Birth Weight treatment is still limited in the provincial general hospital Dr. Mohammad Hoesin, Palembang. At the present time, midwives as maternal and child health service provider, can access many information including Kangaroo Mother Care from various media.Objectives: This study aimed to analyze the relationship between belief in the myth of LBW care and exposure information with the knowledge and attitudes toward kangaroo mother care on midwives in Musi Rawas District of Southern Sumatra 2016.Method: Cross sectional study design used on 197 midwives with purposive sampling.Result and Discussion: The results showed that midwives who have relatifely good knowledge about KMC As much as 50,8% and having relatively positive attitude towards KMC as much as 40.1%. There are a significant relationship between belief of LBW care (ρ=0,001; OR: 3,1; 95% CI: 1,6 – 5,8), exposure information from scientific media (ρ=0,039; OR: 2,4; 95% CI: 1,0 – 5,4), training (ρ=0,001; OR: 3.5; 95% CI: 1.7 – 7,5) with knowledge about KMC on midwives.Conclusion: A significant relationship also demonstrated between exposure information from training with attitude towards KMC on midwives (ρ=0,003; OR: 2,8; 95% CI: 1,4 – 5,6). Improving quality of the midwives in Kangaroo Mother Care is very important so midwives can provide counseling, information, and education to mother since detected with LBW.Keywords: Kangaroo Mother Care, Midwife, Belief, Attitude, Knowledge of KMC
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C. D., Tharashree, Shravani M. R., and Srinivasa S. "The effect of Kangaroo Mother Care (KMC) on breast feeding at the time of NICU discharge." International Journal of Contemporary Pediatrics 5, no. 3 (April 20, 2018): 1068. http://dx.doi.org/10.18203/2349-3291.ijcp20181544.
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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 babiesMethods: 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.
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Akhtar, Khursheda, Musarrat Haque, and Soofia Khatoon. "Kangaroo Mother Care: A Simple Method to Care for Low-Birth-Weight Infants in Developing Countries." Journal of Shaheed Suhrawardy Medical College 5, no. 1 (August 27, 2013): 49–54. http://dx.doi.org/10.3329/jssmc.v5i1.16256.
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Kangaroo Mother Care (KMC) is an effective way to meet baby's needs for warmth, breastfeeding, protection from infection, stimulation, safety and love. Mother acts as an incubator as kangaroo and put low birth infant vertically in between the chest for warming. The term kangaroo care is derived from practical similarities to marsupial care-giving. The premature infant is kept warm in the maternal pouch and is close to the breasts for unlimited feeding. It provides an alternative to incubator care, without separation from the mother. The importance of KMC in low- and middle-income countries has been highlighted as a contributing factor to the achievement of the Millennium Development Goal 4 that targets a reduction by two-thirds of under-five mortality rates from 1990 to 2015. This programme is mediated by humoral, autonomic and somatic behaviours, expressed ultimately as innate competency in breastfeeding behaviours. It is simple, acceptable to mothers and can be continued at home.DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16256 J Shaheed Suhrawardy Med Coll, 2013;5(1):49-54
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Rasul, Noreen, Madeeha Rashid, Aqeela Abbas, and Rubina Sohail. "First Experience of Implementation of Kangaroo Mother Care in Punjab- Pakistan to Reduce Morbidity and Mortality in Preterm Infants." Annals of King Edward Medical University 23, no. 4 (February 21, 2018): 496–502. http://dx.doi.org/10.21649/akemu.v23i4.2197.
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The study was planned to assess the effect of Kangaroo Mother Care on preterm and stable neonates in reducing neonatal morbidity and mortality. This is a case series design of 121preterm and low birth weight neonates, weighing less than 2500 gram, enrolled from 1 August 2016 till31 January 2017.Kangaroo Mother Care is initiated after birth, after performing early essential newborn care practices. Weight gain of 20-30 gram for three consecutive days, establishment of breast-feeding for 20-30 minutes every two hourly and maintenance of body temperature at 37 degree centigrade is the discharge criteria. During the periodof six months, total number of deliveries was 6459, out of them spontaneous vaginal deliveries were 52.2% (3372) and caesarean sections were 47.7% (3087). In 55.4%neonate’s(both preterm and term)early essential newborn care was practiced.Total preterm were 290 (4.5%), out of them 121 (2%) neonates were kept inKangaroo Mother Care position and 129 (44%) were shifted to neonatal intensive care unit. 14% parents refused for KMC position and discharged. Mortality in preterm newborn in neonatal unit was 29.4% (without KMC) but no mortality occurred after 3 months follow up in KMC babies. All the neonates from KMC unitwere discharged in satisfactory condition and called for follow up investigations. All Kangaroo Mother Care babies had exclusive breast-feeding. Taken together, the results indicate that prolonged skin-to-skin contact and exclusive breast feeding reduces neonatal mortality and morbidity in birth weight 1.5 to 2.5 kg in stable neonates in hospital. However KMC is limited to SHL at present. Workshops are being conducted to teach other doctors and nurses for early essential newborn care and kangaroo mother care. They are still facing controversies and challenges in initiation of KMC in many hospitals. However it is essential to strengthen KMC services in healthcare facilities as it significantly reduces neonatal mortality.
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Sohail, Rubina, Noreen Rasul, Ammara Naeem, and Humayun Iqbal Khan. "Kangaroo mother care: need of the day." BMJ Case Reports 12, no. 12 (December 2019): e228402. http://dx.doi.org/10.1136/bcr-2018-228402.
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Each year approximately 20 million low birthweight babies are born globally. Prematurity is a leading cause of neonatal mortality in developing countries and results in 60%–80% of neonatal deaths. Neonatal mortality is the major contributor to under-5 mortality. According to Pakistan Demographic and Health Survey 2017–2018, neonatal mortality in Pakistan is 42 per 1000 live births and under-5 mortality is 74 per 1000 live births. One out of every 22 newborns dies in Pakistan, which is an alarming figure. Majority of these deaths are preventable. They can be prevented by well-trained midwives, safe delivery, early initiation of breast feeding within an hour after birth and skin-to-skin contact. Pakistan is among the top 10 countries with the highest number of preterm births and with limited resources to manage the burden. Kangaroo mother care (KMC) is a safe and economical alternative to provide preterm care in developing countries. In babies at gestational age less than 37 weeks or with neonatal weight less than 2.5 kg, skin-to-skin contact prevents hypothermia and infection. Neonatal mortality and morbidity can be reduced by providing preterm care through KMC. This case report is of a preterm baby who was delivered at 33 weeks of gestation with a weight of 1.3 kg and was saved by KMC in the paediatric department of Services Hospital in Lahore.
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Ramesh, Shanthi, and S. Sundari. "Effect of kangaroo mother care on the growth and morbidity pattern of low birth weight infants: a hospital based cross sectional study." International Journal of Contemporary Pediatrics 7, no. 4 (March 21, 2020): 728. http://dx.doi.org/10.18203/2349-3291.ijcp20200583.
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Background: Kangaroo mother care provides Low birth weight babies with warmth, protection from infection and increases the success of breast feeding. Babies who had received KMC care were found to have better neurologic outcome. The aim of the study is to compare the outcome of Kangaroo mother care and conventional method of care among Low birth weight babies in terms of growth and reduction of morbidities such as length of hospital stay, hypothermia and hypoglycemia.Methods: This cross-sectional study included 48 neonates with a birth weight of <2000 grams. Out of them 24 babies received KMC and the other 24 babies were given conventional care with a radiant warmer. The weight gain, length of hospital stay, occurrence of hypothermia and hypoglycaemia were monitored for all babies till discharge.Results: Babies who received KMC had a better weight gain (21.11±2.8 grams/day) versus (15.61±2.6 grams/day) those who received conventional care, and this was found to be statistically significant (p=0.001). Kangaroo mother care provided a statistically significant reduction in the risk of having hypothermia (p=0.03) and hypoglycemia (p=0.04). The babies who received Kangaroo mother care had a shorter length of hospital stay and this was found to be statistically significant (p=0.03).Conclusions: Kangaroo mother care improved the growth and reduced the problems of low birth weight babies such as hypothermia, hypoglycaemia and prolonged hospital stay. Hence, it should be recommended in the care of all these high-risk neonates.
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Jahan, Nishat, Md Mahbubul Hoque, and MAK Azad Chowdhury. "Effects of Intermittent Kangaroo Mother Care in Preterm Low Birth Weight Babies: A Randomized Controlled Trial." Dhaka Shishu (Children) Hospital Journal 36, no. 2 (June 29, 2021): 107–13. http://dx.doi.org/10.3329/dshj.v36i2.54388.
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Background: Prematurity is the largest cause of neonatal mortality. They need incubators or radiant warmers which are expensive and very difficult to arrange in a resource constraint country. Kangaroo mother care (KMC) had been proposed as an alternative to conventional neonatal care for low birthweight (LBW) babies.
Objectives: To observe the benefits of Kangaroo mother care in preterm low birth weight babies.
Methods: This randomized controlled trial was conducted over 6 months in Dhaka Shishu Hospital. Neonates who were <1800 gm and hemodynamically stable were enrolled. Total 80 neonates were enrolled and divided into 2 groups: Kangaroo mother care group and conventional method care group (incubator/warmer). The mother or caregiver were taught for KMC, supervised by trained nurses round the clock. KMC was given at least 2 hours at a time and at least 12 hours in a day. When the baby was not in KMC at that time the baby was placed in cot with adequate coverings. During hospital stay both the groups were monitored.
Results: In KMC group 25% and conventional care group 40% neonates became hypothermic. Among the study population 35% neonates in KMC and 65% neonates in conventional care groups developed sepsis (p= 0.007). More KMC babies were exclusively breastfed at the end of the study (95% vs 60%). The KMC babies had shown better growth: weight gain per day (18.35±7.81 grams vs 13.55±4.89 p<0.001) and length (0.99±0.70 vs 0.71±0.44 cm, p = 0.03). KMC babies were discharged earlier than conventional care baby.
Conclusion: KMC provides significant improvement in exclusive breast feeding, reduction of infection, decrease hospital stay and gaining weight of the babies. It also helps in maintaining temperature better than conventional care.
DS (Child) H J 2020; 36(2): 107-113
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Chowdhury, Rumpa Mani, Mohammod Sahidullah, Md Abdul Mannan, MA Azad Chowdhury, Bidhan Chandra Biswas, and Krishna Priya Das. "Comparison between Kangaroo Mother Care with Standard Care in Preterm Neonate Management." Bangladesh Medical Journal 47, no. 3 (October 10, 2019): 1–8. http://dx.doi.org/10.3329/bmj.v47i3.43491.
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Preterm low birth weight (LBW) babies are unable to control their body temperature and are at greater risk of illness. Kangaroo Mother Care (KMC) is special ways of caring for low birth weight babies. KMC provide thermal care through continuous skin to skin contact, support for exclusive breast feeding and early recognition and response to complication. The aim of the study is to assess thermal control, morbidities feeding pattern of baby getting KMC in comparison to conventional care. The study also give estimation about duration and cost during hospital stay and growth between the babies of two groups. This Randomized Controlled Trial was conducted in the Department of Neonatology, BSMMU, Dhaka from December 2012 to October 2013. Fifty neonate with birth weight 1250 to 1800 gm, gestational age >30 weeks to <37 weeks, Hemodynamically stable after birth were selected. Twenty five of them were randomly allocated to KMC(Group-I) and 25 of them to Standard Method Care (Group-II). The mother or care giver provided KMC at least 12hours/day in Group-I. Those in Group-II were managed under radiant warmer. During hospital stay both the groups were monitored and after discharge, the neonates were followed weekly till 40 weeks of corrected gestational age. There were no differences in birth weight, gestational age, number of male/female neonates, places of delivery and mode of delivery between two groups. During hospital stay hypothermia (Group-I 4% vs Group-II 24%) and hyperthermia (Group I 8% vs Group II 32%) were significantly low in KMC group. Late onset neonatal sepsis (LONS) developed significantly in Group-II. Though incidence of culture negative LONS did not differ in two groups but incidence of blood culture positive LONS was significantly high in standard care neonates (36% vs.0%; p=0.001). Neonates with KMC care required significantly shorter time to reach full feeding and to start direct breast feeding; also incidence of feeding intolerance was significantly lower in this group. After initial loss, weight gain started earlier as well as achieved the birth weight earlier in KMC group. Morbidities like hyperglycaemia and apnoea were significantly higher in standard care group. Neonates who received standard care stayed significantly longer in the hospital and total cost during hospital stay was also significantly higher in this group. At 40 weeks corrected gestational age, KMC infants showed significantly higher daily weight gain than standard care group. This study concluded that Kangaroo Mother Care provides effective thermal control, decreases the incidence of sepsis, improves feed tolerance, helps to achieving full enteral feeding and birth weight earlier in preterm LBW neonates. KMC enhances growth during postnatal period. KMC also found to reduce hospital stay and treatment cost. Proper implementation of KMC for the management of preterm low birth weight babies is safe and effective care.
Bangladesh Med J. 2018 Jan; 47 (3): 1-8
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Ludington-Hoe, Susan, and Joan Swinth. "Kangaroo Mother Care During Phototherapy: Effect on Bilirubin Profile." Neonatal Network 20, no. 5 (August 2001): 41–48. http://dx.doi.org/10.1891/0730-0832.20.5.41.
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Purpose: To determine the safety and efficacy of allowing kangaroo mother care (KMC) one hour per day during the course of phototherapy using a fiberoptic phototherapy panel.Sample: Thirty premature infants, 30–35 weeks gestation, <2,500 gm, who required phototherapy. Infants were randomized into three groups: (1) infants who received traditional bank or spotlight phototherapy 24 hours per day, (2) infants who received traditional phototherapy 23 hours per day and for the 24th hour lay prone on a fiberoptic phototherapy panel, and (3) infants who received traditional phototherapy 23 hours per day and for the 24th hour were given KMC with a fiberoptic phototherapy panel held against their back.Outcome Variables: Nonparametric statistics were used for between-group comparisons on number of days of phototherapy, daily bilirubin decrement, and bilirubin profiles over the course of phototherapy.Results: Groups did not differ in the number of days of phototherapy or in daily mean bilirubin decrement. The bilirubin profile for the KMC group showed a more shallow descent than did the profiles for the other groups, but a significant difference in decline was present only on day 4 of treatment (p = .05).Conclusion: This pilot work suggests that KMC using a fiberoptic panel during phototherapy may be safe, but further study is needed.
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E., Adarsh, Bindu Shri D. B., and Sahana G. "Effect of kangaroo mother care in terms of hospital stay among preterm infants in a tertiary health care center." International Journal of Contemporary Pediatrics 7, no. 7 (June 24, 2020): 1488. http://dx.doi.org/10.18203/2349-3291.ijcp20202540.
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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.
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Nayyar, Sidharth, Sandeep Kadam, Rakesh Kumawat, and R. Anusha. "Kangaroo mother care in COVID-19 pandemic, accepting the new normal." International Journal of Contemporary Pediatrics 8, no. 6 (May 25, 2021): 1085. http://dx.doi.org/10.18203/2349-3291.ijcp20212053.
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Background: Kangaroo mother care is an evidence-based, low cost and high impact approach that has shown significant reduction in preterm mortality. Practising KMC in COVID 19 era, is a challenge for mothers and the NICU’s. Aim of the study was to assess the effect of this pandemic on the practice of KMC in our NICU and opine about the possible barriers.Methods: It was a retrospective observational cohort study. Data was collected from the NICU records. Neonates fulfilling the inclusion criteria were classified as pre COVID-19 epoch (January 2020 to March 2020) and post COVID-19 epoch (April 2020 to June 2020). KMC hours provided were compared between the two groups.Results: Forty-six neonates were included in epoch 1 and Forty-two in epoch 2. Outcomes were analysed between the groups for primary measures, cumulative KMC hours reduced significantly in after COVID-19 period compared to the other group (median of 2 hours v/s 17 hours respectively), p value<0.001. Similarly, time to introduce first feeds increased from 6 hours in epoch 1 to 12 hours in epoch 2, p value=0.004.Conclusions: COVID-19 pandemic has affected the duration of KMC inside the NICU. Lack of clear guidelines/training about continuing KMC in COVID times has further lead to decrease in KMC duration as reported in the present study. Training and awareness regarding the benefits of KMC which outweigh its possible risks and proper sanitization and hand hygiene for both healthcare providers and KMC providers need to be enforced to continue this good practice in the NICU’s and the community.
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Vani, Shashi, Narayan Gaonkar, N. B. Dholakia, Uday Shankar Singh, and Rajanikant Solanki. "Assessment of Kangaroo Mother Care Services and identifying its Implementation Bottlenecks: Situational Analysis of Special New Born Care Units in Gujarat State of India." Healthline 11, no. 2 (December 31, 2020): 7–13. http://dx.doi.org/10.51957/healthline_146_2020.
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Introduction: Kangaroo Mother Care (KMC) and optimal feeding in Low Birth Weight (LBW) infants are evidence based cost effective interventions which if properly implemented across all facilities can help to save millions of newborn. The study, focussing on status of KMC services in Gujarat State, has not been conducted so far. Objectives: The intent of present study was to ascertain the infrastructure, facilities, policies and practices related to Kangaroo Mother Care at special newborn care units (SNCUs) of various regions of Gujarat and to suggest strategies for effective delivery of KMC services. Methods: A pre tested, semi structured and validated questionnaire including general information about SNCU, baseline data about KMC protocols and practices of each SNCU etc. was developed. The information was collected from all 40 Special Newborn Care Units (SNCUs) of Gujarat State of India.The data analysis was performed using EpiInfo 7 Statistical Software developed by Centres for Disease Control and Prevention (CDC), Atlanta. Simple frequency tables were used for analysis. Results: About 81% of the facilities reported that newborns with birth weight less than 2000 grams, either stable or with non-serious medical conditions were eligible for receiving KMC. None of the facilities were providing continuous KMC more than 12 hours. Thirty (81.08%) SNCUs had an earmarked space for performing KMC either in the form of separate ward or identified corner in the ward. Conclusion: The present study revealed inadequate Kangaroo Mother Care services in selected newborn care units of Gujarat State of India. The services, especially basic facilities like drinking water, food, toilet and hand washing was not available in some of the facility.
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Amelia, Tiara, Hadi Pratomo, Asri C. Adisasmita, Evi Martha, Yeni Rustina, Ade Iva Murty, Indri Hapsari Susilowati, Eviana S. Tambunan, and Indah Jamiatun Hasanah. "Feasibility of Kangaroo Mother Care (KMC) Implementation in Depok City, Indonesia." Global Pediatric Health 8 (January 2021): 2333794X2110123. http://dx.doi.org/10.1177/2333794x211012390.
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Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.
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Damayanti, Yusnika, Titin Sutini, and Suhendar Sulaeman. "Swaddling dan Kangaroo Mother Care Dapat Mempertahankan Suhu Tubuh Bayi Berat Lahir Rendah (BBLR)." Journal of Telenursing (JOTING) 1, no. 2 (December 22, 2019): 376–85. http://dx.doi.org/10.31539/joting.v1i2.840.
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The purpose of this study was to determine the effect of swaddling and kangaroo mother care on the increase in body temperature of low birth weight infants in Puskesmas Biak Muli, Southeast Aceh. This research is a quasy experimental research design with pre-test and post-test without control. The results of this study obtained the average value of the baby's body temperature before and after swaddling intervention (p value = 0.168, Δ = 0.02) and for the results of interventions before and after KMC obtained values (p value = 0.000, Δ = 0.47 ) and for the results of interventions before and after swaddling + KMC obtained values (p value = 0,000, Δ = 0.58). In conclusion, the combination intervention between swaddling and KMC is more significant compared to swaddling intervention alone and KMC intervention alone.
Keywords ; LBW, Kangaroo Mother Care, Body Temperature, Swaddling
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Bear, Rebecca J., and David J. Mellor. "Kangaroo Mother Care 1: Alleviation of Physiological Problems in Premature Infants." Journal of Perinatal Education 26, no. 3 (2017): 117–24. http://dx.doi.org/10.1891/1058-1243.26.3.117.
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ABSTRACTKangaroo mother care (KMC) involves placing the newborn infant into prolonged and continuous skin-to-skin contact with the mother as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Claimed benefits of KMC as an aid to the clinical mitigation of some detrimental features of prematurity need to be evidence based. This article, the first of two, provides an overview of the impact of prematurity on those features of neonates to which KMC may be directed. Specifically, the mitigation of some cardiorespiratory, neurophysiological, sensory, gastrointestinal, musculoskeletal, renal, metabolic, and immunological impacts are outlined. Relevant neurobehavioral, psychosocial, sociocultural, and economic perspectives are briefly reviewed in the companion article. These two articles provide scientific support for a wider upscaling of KMC education and its cautious use in physiologically stable preterm infants.
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Johnson, Avita Rose, Cicy Varghese, Andrea Daniella Johnson, Maria Vimala, Rose Mary J. Vadassary, Ashel Daphne D'Souza, and Merlyn Joseph. "Awareness and Experience of Kangaroo Mother Care for full term newborns: An interventional study at a rural maternity hospital in south Karnataka." Indian Journal of Community Health 32, no. 3 (September 30, 2020): 518–26. http://dx.doi.org/10.47203/ijch.2020.v32i03.010.
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Background: Kangaroo Mother Care (KMC) is early, continuous and prolonged skin-to-skin contact between mother and baby, with exclusive breastfeeding. Besides preterm and low birth weight babies, even full-term healthy newborns benefit from KMC. Objective: to assess awareness and experience of KMC for full-term newborns among newly delivered mothers in a rural maternity hospital. Methods: Interventional study with interview schedule to capture awareness of KMC (25 scored items). After one hour of practicing KMC, post-intervention assessment of KMC experience (23 scored items) was done. Bivariate analysis performed to associate awareness and experience of KMC with socio-demographic and obstetric variables. Results: The 100 mothers in our study had low median KMC awareness score of 4(IQR=2,8) and were unaware of benefits of KMC. Median KMC experience score was 21(IQR=19,22), indicating highly positive experience. Mothers reported feeling happy or relaxed, found it easier to breastfeed, easy to practice KMC, and wanted to continue KMC at home. Mothers with caesarean section were more likely to experience abdominal or back pain during KMC (P=0.037) and mothers with previous abortion/stillbirth were more likely to have fear of suffocating the baby during KMC (P=0.005). Conclusion: Though awareness of KMC was found to be low, overall experience of KMC was very positive. Mothers should be educated about benefits of KMC and given an opportunity to practice KMC in hospital. Full-term healthy newborns and their mothers should not be denied the numerous advantages of KMC. There is need to create KMC-friendly hospital culture and promote KMC for all newborns.
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Siddiqui, Muhammad Asif, Tayyaba Khawar Butt, Muhammad Azhar Farooq, Muhammad Tauseef Omer, Farhan Zahoor, and Komal Khadam Hussain. "Difference in mean weight gain and hospital stay in preterm babies receiving complete or partial kangaroo mother care compared to no kangaroo mother care: Experience from a tertiary care hospital." Journal of Fatima Jinnah Medical University - 14, no. 4 (February 24, 2021): 152–55. http://dx.doi.org/10.37018/qymd3680.
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Background: Pakistan is a resource limited country with one of the highest neonatal mortality rate (NMR) in the world. Kangaroo Mother Care (KMC) helps in reducing the mortality and improving the care of preterm babies. The objective of this study was to identify the benefits of KMC in hospitalized newborns in terms of better weight gain and early discharge from hospital.
Subjects and methods: A retrospective case-control study was conducted in the Neonatal Department of Services Hospital from 01.02.2019 to 31.01.2020. A total of 144 case notes, who met inclusion criteria were included. Subjects were divided in 2 Groups of 77 each. Group 1 did not receive KMC and Group 2 received KMC (partial or complete). Admission weight, gestational age at birth, duration of hospital stay and the average weight gain was noted for subjects in both groups. SPSS version 23 was used to analyze data. Independent samples t-test was applied. A p-value of ˂0.05 is taken as significant.
Results: Mean weight gain in Group 1 was 5.521 g/kg/day (±6.664), whereas in Group 2 was 15.635 g/kg/day (±9.268). Mean hospital stay in Group 1 was 12.558 days (±10.856) and in Group 2 it was 8.208 days (±6.473). Weight gain and duration of hospital stay was significantly better in KMC Group with a p-value ˂0.05. This benefit was observed both for partial and complete KMC.
Conclusion: KMC (partial or complete) leads to better weight gain and reduces the duration of hospital stay.
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Jamie, Arif Hussen. "KNOWLEDGE, ATTITUDE AND PRACTICE OF KANGAROO MOTHER CARE AMONG POSTNATAL MOTHERS IN A TERTIARY CARE CENTRE OF HARARI REGION, HARAR, ETHIOPIA." Public Health of Indonesia 6, no. 4 (November 30, 2020): 116–22. http://dx.doi.org/10.36685/phi.v6i4.355.
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Background: Kangaroo Mother Care (KMC) is a method was invented by Dr. Rey in 1978 and developed by Dr. Martinez and Dr. Navarrete until 1994. It is holding a small nappy neonate in skin to skin contact, prone and upright on the maternal chest. At first it was developed to alleviate overcrowding, and insufficient resources in neonatal intensive care units. But today it is formally approved by WHO.Objective: The aim of this study was to assess knowledge, attitude and practice of Kangaroo mother care among postnatal mothers in a tertiary care center of Harari region, Harar, Ethiopia, 2020.Method: An institution based cross-sectional study method was conducted in Hiwot-Fana Specialized Referral Hospital in Harar town. Sample size was calculated by using single population proportion sample formula and the final sample size was 166. The study subject was selected by using consecutive sampling method, and adopted data collection tool was used. Data were analyzed using SPSS version 20. Descriptive analyses were performed and bivariate analyses were used to find out the association of independent variables.Results: There was 82.53% of mothers had good knowledge, 82.53% had positive attitude towards KMC, 32.12% practiced KMC correctly. The participants also reported the benefits of KMC, such as protection from infection, warmth to the baby, exclusive breast feeding, weight gain and growth, early discharge from hospital, safety and love.Conclusion: The finding of this study showed that there was a clear gap in knowledge and practice. Therefore, it is very important to have health education sessions during ANC follow-up on KMC. A qualitative research to explore temporal relationship is also recommended.
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Parti, Sumiati Malik, and Nurhayati. "Pengaruh Perawatan Metode Kanguru (PMK) terhadap Pencegahan Hipotermi pada Bayi Baru Lahir." Jurnal Bidan Cerdas 2, no. 2 (May 27, 2020): 66–71. http://dx.doi.org/10.33860/jbc.v2i2.56.
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Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.
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Solehati, Tetti, Cecep Eli Kosasih, Yulia Rais, Noor Fithriyah, Darmayanti Darmayanti, and Neneng Ratnanengsih Puspitasari. "KANGAROO MOTHER CARE PADA BAYI BERAT LAHIR RENDAH : SISTEMATIK REVIEW." PROMOTIF: Jurnal Kesehatan Masyarakat 8, no. 1 (June 24, 2018): 83. http://dx.doi.org/10.31934/promotif.v8i1.234.
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Masa bayi merupakan masa pertama dalam fase kehidupan seseorang, dimana pada masa ini memerlukan adaptasi terhadap lingkungan. Bayi Berat Lahir Rendah adalah bayi baru lahir yang memiliki berat saat lahir kurang dari 2500 gram. Prevalensi BBLR diperkirakan 15% dari seluruh kelahiran di dunia dan lebih sering terjadi di negara berkembang atau dengan sosio ekonomi rendah. Angka kematian BBLR 35x lebih tinggi di banding pada bayi dengan berat lahir lebih dari 2500 gram. untuk mensistensis penelitian-penelitian secara empiris sehingga dapat mengidentifikasi perawatan dengan metode kangaroo mother care pada BBLR. Sistematik review ini dilakukan melaui tahapan : membuat pertanyaan penelitian, mencari sumber data dan ektraksi serta seleksi artikel. Pencarian artikel menggunakan database elektronik yaitu google scholar, Pub Med, SINTA, Kandaga, Nejm, Science Direct dengan kata kunci yang digunakan dalam bahasa Indonesia dan bahasa inggris adalah “BBLR” atau “Low birth weight”, “Kangaroo Mother Care (KMC)”. Kriteria inklusi artikel yang diambil yaitu yang diplubikasikan full text, dalam rentang waktu 2014-2018, jenis penelitian kuantitatif, kriteria peneliti minimal S1 Keperawatan, artikel yang memiliki konten utama intervensi Kangaroo Mother Care untuk perawatan BBLR. Hasil pencarian ditemukan 1.625 artikel pada Google Scholar 201 artikel, NEJM 12 artikel, Pub Med 633 Artikel, dan Science Direct 779 artikel. Setelah disesuaikan dengan kriteria inklusi maka artikel yang tersisa sebanyak 8 artikel. KMC dalam perawatan BBLR berpengaruh signifikan terhadap peningkatan respon fisiologis BBLR. Disarankan KMC sebagai terapi untuk perawatan BBLR yang dapat dilakukan oleh ibu secara langsung, tanpa biaya dengan pemberian pendidikan kesehatan oleh tenaga kesehatan terlebih dahulu.
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Gulati, Paras, Sinchana Bhat, Roshan Maben, and Santhosh T. Soans. "Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of Mangalore, Karnataka, India." International Journal of Contemporary Pediatrics 6, no. 3 (April 30, 2019): 999. http://dx.doi.org/10.18203/2349-3291.ijcp20191042.
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Background: Kangaroo mother care (KMC) is a practical low-cost intervention which is very cost effective in developing countries for babies weighing less than 2500g. This study aimed to evaluate the knowledge, attitude and practice of post-natal mothers of LBW babies after giving a teaching session by trained personnel in a tertiary care center in Karnataka.Methods: A cross sectional descriptive study of 90 mothers whose neonates were weighing less than 2.5kg from May to October 2018.Mothers were interviewed at enrolment and were assessed about their knowledge and were oriented on its practice.Results: At recruitment (95.5%) mothers did not know about KMC.80% of mothers followed in first sitting and 86.6% of the mothers felt photo exhibition was better than verbal.96.6% of mothers thought KMC is beneficial and it was believed that other family members can even provide KMC.Conclusions: Maternal knowledge was low before now they are happily practicing KMC in hospital and thereafter at home.
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A Winkler, Linda, Agnes Stypulkowski, Shana Noon, Theophila Babwanga, and Jesca Lutahoire. "A multi-year analysis of kangaroo mother care outcomes in low birth weight babies at a Nyakahanga Hospital in rural Tanzania." African Health Sciences 20, no. 1 (April 20, 2020): 498–508. http://dx.doi.org/10.4314/ahs.v20i1.56.
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Background: Kangaroo Mother Care (KMC) requires few specialized resources, reduces mortality, and can be implemented in low resource environments. It is now recommended for implementation around the globe.
Objectives: This paper discusses KMC use with low birth weight newborns at a Tanzania hospital providing valuable outcomes assessment of KMC use in rural areas of sub-Saharan Africa.
Methods: The research used retrospective records (136 Low Birth Weight (LBW) and 33 Very Low Birth Weight (VLBW) ne- onates) supplemented by observations. Data included weights (longitudinal), survival period, and cause of death if it occurred. This hospital’s KMC use and study data began when the mother-baby dyad was referred, usually birth day.
Results: This KMC group demonstrated 70% survival, but 77% of deaths occur within 24 hours. After the first 24 hours, KMC survival rate was 92%. Even VLBW neonates (<1000 g) had 37.5% survival among the KMC program. Prematurity and respi- ratory distress caused nearly half of the deaths, but hypothermia (19% of deaths) and infection were factors also.
Conclusion: Our study indicates the value of KMC in rural low resource environments. Results are comparable to KMC pro- grams in urban areas where newborns begin KMC after stabilization and better than outcomes reported for comparable popu- lations not practicing KMC in rural sub-Saharan Africa.
Keywords: Kangaroo mother care; low birth weight; neonatal mortality; premature infant.
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Pratomo, Hadi, Tiara Amelia, Fatmawati Nurlin, and Asri Adisasmita. "Knowledge and perceptions of kangaroo mother care among health providers: a qualitative study." Clinical and Experimental Pediatrics 63, no. 11 (November 15, 2020): 433–37. http://dx.doi.org/10.3345/cep.2018.06506.
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Background: Indonesia is one of the countries with the highest preterm birth rate. Preterm infants are more likely than term and normal weight infants to experience neonatal mortality and morbidity due to acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Kangaroo mother care (KMC) is a proven cost-effective intervention to help reduce mortality rates among preterm infants; however, it has not been fully implemented in hospitals.Purpose: Assess KMC knowledge and perceptions among health providers.Methods: This qualitative study was conducted from December 2015 to April 2016 and consisted of 21 in-depth interviews and 3 focus group discussions (FGDs). The 3 categories of health personnel in the study were clinical providers, hospital management representatives, and Indonesian Midwife Association members.Results: Most health providers know about the benefits of KMC including stabilizing temperatures, weight gain, and maternal-infant bonding and reducing human resources and labor costs. They were also aware of which newborns were eligible for KMC treatment. Their knowledge was mostly gained from observation or obtained from pediatricians and personal experience. They believed that a low birth weight infant in an incubator could not be treated with KMC and that it could only be practiced if a special gown was used when holding the baby. This perception could be caused by a lack of formal KMC training, leading to misunderstanding of its aspects.Conclusion: In conclusion, KMC knowledge of clinical providers in the 2 hospitals was sufficient, primarily due to their health-related educational background. Some perceptions could be potential barriers to or facilitate the implementation of KMC practice. These perceptions should be considered in future KMC training designs.
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Forde, Dorothy, Douglas D. Deming, John C. Tan, Raylene M. Phillips, Eileen K. Fry-Bowers, Mary K. Barger, Khaled Bahjri, Danilyn M. Angeles, and Danilo S. Boskovic. "Oxidative Stress Biomarker Decreased in Preterm Neonates Treated With Kangaroo Mother Care." Biological Research For Nursing 22, no. 2 (January 24, 2020): 188–96. http://dx.doi.org/10.1177/1099800419900231.
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Objective: Due to physiological and metabolic immaturity, prematurely born infants are at increased risk because of maternal separation in many neonatal intensive care units (NICUs). The stress induced from maternal–infant separation can lead to well-documented short-term physiologic instability and potentially lifelong neurological, sociological, or psychological sequelae. Based on previous studies of kangaroo mother care (KMC) that demonstrated improvement in physiologic parameters, we examined the impact of KMC on physiologic measures of stress (abdominal temperature, heart rate, oxygen saturation, perfusion index, near-infrared spectrometry), oxidative stress, and energy utilization/conservation in preterm infants. Methods: In this randomized, stratified study of premature neonates, we compared the effects on urinary concentrations of biomarkers of energy utilization and oxidative stress of 1 hr of KMC versus incubator care on Day 3 of life in intervention-group babies ( n = 26) and control-group babies ( n = 25), respectively. On Day 4, both groups received 1 hr of KMC. Urinary samples were collected 3 hr before and 3 hr after intervention/incubator care on both days. Energy utilization was assessed by measures of adenosine triphosphate (ATP) degradation (i.e., hypoxanthine, xanthine, and uric acid). Oxidative stress was assessed using urinary allantoin. Mixed-models analysis was used to assess differences in purine/allantoin. Results: Mean allantoin levels over Days 3 and 4 were significantly lower in the KMC group than in the control group ( p = .026). Conclusions: Results provide preliminary evidence that KMC reduces neonatal oxidative stress processes and that urinary allantoin could serve as an effective noninvasive marker for future studies.
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Dawar, Rebecca, Sushma Nangia, Anu Thukral, Sapna Chopra, and Rajesh Khanna. "Factors Impacting Practice of Home Kangaroo Mother Care with Low Birth Weight Infants Following Hospital Discharge." Journal of Tropical Pediatrics 65, no. 6 (February 14, 2019): 561–68. http://dx.doi.org/10.1093/tropej/fmz007.
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Abstract Objective To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge. Study design An exploratory study, using a mixed methods evaluation, followed 60 mother–infant dyads from the hospital ward to 4 weeks post-hospital discharge. Results Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge. Seven mothers (13.2%) discontinued skin-to-skin contact at 4 weeks. KMC was practiced on average 3.3 h/day and 5.1 days/week. The top two enablers reported were significantly related to the amount of time skin-to-skin was practiced, with support for household responsibilities being most significant (U = 195, p = 0.008). Lack of privacy (p = 0.002) and lack of motivation (p = 0.034) were negatively correlated to duration of skin-to-skin contact. Conclusion Future programs may increase dissemination and adoption of home KMC by specifically addressing enablers and barriers correlated to duration of skin-to-skin contact.
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Ranjan, Ankit, and Sushma Malik. "Effect of Kangaroo mother care on physiological parameters in low birth weight neonates." International Journal of Contemporary Pediatrics 6, no. 2 (February 23, 2019): 791. http://dx.doi.org/10.18203/2349-3291.ijcp20190731.
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Background: Low birth weight (LBW) babies require special care as they suffer from several handicaps, including maintenance of temperature, feeding, adequate weight gain and optimum neurobehavioral adaptation to the external environment. Kangaroo mother care (KMC) is an important modality that helps in the easy transition of the newborn infant to the outside world and overcomes the above problems. This study was planned to assess the effect of KMC on physiological parameters of low birth weight neonates, in a tertiary care hospital.Methods: This was a single-centered prospective observational quasi-experimental study conducted over a period of 18 months on 70 eligible LBW neonates. The arterial oxygen saturation, blood pressure (systolic, diastolic and mean), heart rate and respiratory rate of the neonates were noted. The readings at 1 hour and 2 hours after KMC were compared with that of the reading at 10 minutes prior to initiating KMC to assess the changes in the mentioned physiological parameters.Results: Analysis suggested statistically significant improvement in the arterial oxygen saturation and stabilization of the systolic, diastolic and mean blood pressure, heart rate and respiratory rate with institution of KMC. There was better improvement in the physiological parameters on increasing the duration of KMC from one hour to two hours and these changes were statistically significant.Conclusions: LBW neonates receiving KMC showed significant improvement in oxygen saturation and blood pressure, heart rate and respiratory rate.
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K. V., Urmila, Ravikumar ., and Usha Karunakaran. "Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of North Kerala, India." International Journal of Contemporary Pediatrics 5, no. 3 (April 20, 2018): 992. http://dx.doi.org/10.18203/2349-3291.ijcp20181528.
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Background: Kangaroo Mother Care (KMC) is a practical low-cost intervention which is very cost effective in developing countries for babies weighing less than 2500 g. This study is aimed to evaluate the knowledge, attitude and practices about KMC in the post-natal mothers of low birth weight (LBW) and preterm babies before and after a teaching session by a trained staff in a tertiary care center in North KeralaMethods: A cross sectional descriptive study of 201 mothers whose neonates were admitted in Neonatal intensive care unit (NICU) of tertiary care centre from June 2014 to June 2015. Mothers were interviewed at enrolment to assess their knowledge of KMC and were then oriented on its practice. Data about their perceptions, attitudes and practices of KMC were recorded before they were discharged from the hospital.Results: At recruitment (95.4%) mothers didn’t know about KMC. 80% of mothers could follow the verbal instructions in first sitting. 92.8% of mothers reflected photo exhibition would have been better than verbal explanation, 91.8% of mothers thought that KMC is beneficial for their babies and 89% thought that it was beneficial for them too. At discharge 99% were willing to continue KMC at home with 93.1% willing to practice at night. 100% would recommend KMC to other mothers. All of them were practicing intermittent KMC and believed that other family members especially grandmothers could also be KMC providers as well.Conclusions: Maternal knowledge of KMC was low before enrolment, but after initiation mothers were happily practicing KMC in hospital with assurance to continue same from home and involve other family members in KMC care.
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Adisasmita, Asri, Yulia Izati, Septyana Choirunisa, Hadi Pratomo, and Luzy Adriyanti. "Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia." PLOS ONE 16, no. 6 (June 4, 2021): e0252704. http://dx.doi.org/10.1371/journal.pone.0252704.
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Background Kangaroo mother care (KMC) has been proven to decrease rates of morbidity and mortality among premature and low-birth-weight infants. Thus, this study aimed to obtain baseline data regarding KMC knowledge, attitudes, and practices (KAP) among nursing staff caring for mothers and newborns in a hospital in Indonesia. Methods This cross-sectional study included 65 participants from three hospital wards at Koja District Hospital, North Jakarta. Participants included 29 perinatal ward nurses, 21 postnatal ward nurses and midwives, and 15 labor ward midwives. Data on KAP of KMC were collected using a self-administered questionnaire with closed-ended questions. Each questionnaire can be completed in approximately 1 hour. Results Among the included nursing staff, 12.3% (8/65) were determined to have received specific training on KMC, whereas 21.5% (14/65) had received more general training that included KMC content. About 46.2% of the nursing staff had good knowledge concerning KMC, 98.5% had good knowledge of KMC benefits, and 100% had a positive attitude toward KMC. All perinatal ward nurses had some experience assisting and implementing KMC. Some KAP that were observed among the nursing staff included lack of knowledge about the eligible infant weight for KMC and weight gain of infants receiving KMC, lack of education/training about KMC, and concerns regarding necessary equipment in KMC wards. Conclusions This study identified several issues that need to be addressed, including knowledge of feeding and weight gain, workload, incubator use, and the need for well-equipped KMC wards. We recommend that hospitals improve their nursing staff’s knowledge of KMC and establish well-equipped KMC wards.
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Mony, Prem K., Henok Tadele, Abebe Gebremariam Gobezayehu, Grace J. Chan, Aarti Kumar, Sarmila Mazumder, Selemawit Asfaw Beyene, et al. "Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study." BMJ Global Health 6, no. 9 (September 2021): e005905. http://dx.doi.org/10.1136/bmjgh-2021-005905.
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ObjectivesKangaroo Mother Care (KMC), prolonged skin-to-skin care of the low birth weight baby with the mother plus exclusive breastfeeding reduces neonatal mortality. Global KMC coverage is low. This study was conducted to develop and evaluate context-adapted implementation models to achieve improved coverage.DesignThis study used mixed-methods applying implementation science to develop an adaptable strategy to improve implementation. Formative research informed the initial model which was refined in three iterative cycles. The models included three components: (1) maximising access to KMC-implementing facilities, (2) ensuring KMC initiation and maintenance in facilities and (3) supporting continuation at home postdischarge.Participants3804 infants of birth weight under 2000 g who survived the first 3 days, were available in the study area and whose mother resided in the study area.Main outcome measuresThe primary outcomes were coverage of KMC during the 24 hours prior to discharge and at 7 days postdischarge.ResultsKey barriers and solutions were identified for scaling up KMC. The resulting implementation model achieved high population-based coverage. KMC initiation reached 68%–86% of infants in Ethiopian sites and 87% in Indian sites. At discharge, KMC was provided to 68% of infants in Ethiopia and 55% in India. At 7 days postdischarge, KMC was provided to 53%–65% of infants in all sites, except Oromia (38%) and Karnataka (36%).ConclusionsThis study shows how high coverage of KMC can be achieved using context-adapted models based on implementation science. They were supported by government leadership, health workers’ conviction that KMC is the standard of care, women’s and families’ acceptance of KMC, and changes in infrastructure, policy, skills and practice.Trial registration numbersISRCTN12286667; CTRI/2017/07/008988; NCT03098069; NCT03419416; NCT03506698.
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Punasanvala, Pranav H., Alpa N. Parekh, Jayendra R. Gohil, and Sridhar Pujari. "Kangaroo mother care in Preterm baby receiving assisted respiratory support (CPAP): a case-control trial." International Journal of Contemporary Pediatrics 5, no. 3 (April 20, 2018): 1008. http://dx.doi.org/10.18203/2349-3291.ijcp20181531.
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Background: Kangaroo Mother Care (KMC) is conventionally initiated in a baby who is stable and may or may not be on intravenous fluids, enteral feeds or oxygen. We hypothesized that KMC will be beneficial to preterm babies receiving assisted respiratory support in the form of continuous positive airway pressure (CPAP).Methods: Prospective case-control trial of 28 preterm neonates (weight <2 kg and gestational age between 26 to 36 weeks) with respiratory distress who were on assisted respiratory support (CPAP), was conducted at a medical college hospital. They were studied in two groups of 14 each of KMC and no KMC. Primary outcome was early weaning from CPAP and secondary outcome was episodes of apnoea, hypothermia, septicaemia and mortality.Results: KMC group received KMC for an average 6.7 hours/ day. Most of the KMC practice occurred between 12 noon to midnight. Babies with KMC and NO KMC group took an average of (39±12) versus (52±24) hours to wean off from CPAP (p = ns). Episodes of apnoea, hypothermia, septicaemia and deaths were less in KMC group as compared to NO KMC group. Occurrence of physiological jaundice was higher among the KMC group as compared to the NO KMC group.Conclusions: It is possible to give KMC in preterm infants from the first day of birth who are on respiratory support (CPAP). Preterm infants receiving KMC had less episodes of apnoea, hypothermia, sepsis, and reduced mortality, though not significant. It was also beneficial in early weaning from assisted ventilation (CPAP).
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Zhang, Bo, Jieya Yue, Zhiying Duan, Yingxi Zhao, Sarah Williams, Limin Huang, Xiaoqin Zhang, et al. "Maternal experience of intermittent kangaroo mother care for late preterm infants: a mixed-methods study in four postnatal wards in China." BMJ Open 11, no. 9 (September 2021): e050221. http://dx.doi.org/10.1136/bmjopen-2021-050221.
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ObjectiveTo describe how mothers of late preterm infants experienced the provision of intermittent kangaroo mother care (KMC) in four postnatal wards in different hospitals in China, under a pilot KMC project.DesignA concurrent mixed-methods approach incorporating quantitative maternal questionnaires and qualitative semistructured interviews.SettingFour postnatal wards in level-III hospitals based in different provinces of Southeast and Northwest China.ParticipantsAll 752 mothers who provided intermittent KMC to their late preterm newborns in the four participating postnatal wards consented to participate in the study (quantitative component), as well as six nurses, two obstetricians and two mothers from two of the participating postnatal wards (qualitative component).Outcome measuresMaternal KMC experiences during a hospital stay, patients’ perceptions of KMC initiation, processes, benefits and challenges.ResultsMost mothers had not heard of KMC before being introduced to it in the postnatal ward. On average, mothers and newborns stayed in postnatal wards for 3.6 days; during their stay, mothers provided an average of 3.5 KMC sessions, which is an average of 1.1 sessions a day. Each KMC session lasted an average of 68 min, though there was much variation in the length of a session. Common reasons given for discontinuing a KMC session included restroom use, infant crying and perceived time limitations. Some mothers would have preferred to provide KMC for longer periods of time and nurses encouraged this. Most mothers experienced no difficulty providing KMC, received support from family and medical staff and intended to continue with KMC postdischarge.ConclusionIn order to improve the maternal experience of KMC, it is recommended that raising awareness of KMC should be included in antenatal care and after birth. Longer periods of KMC provision should be encouraged, greater privacy should be provided for mothers providing KMC in postnatal wards and family members should be encouraged to support KMC.
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Shah, Rakesh Kumar, Nayan Kamal Sainju, and Sunil Kumar Joshi. "Knowledge, Attitude and Practice towards Kangaroo Mother Care." Journal of Nepal Health Research Council 15, no. 3 (January 1, 2018): 275–81. http://dx.doi.org/10.3126/jnhrc.v15i3.18855.
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Background: Kangaroo mother care is an effective and low cost technique which prevents neonate from hypothermia, a leading cause of preventable neonatal mortality. Knowledge and practice of Kangaroo mother care is of utmost importance in developing countries such as Nepal. Purpose of this study was to find out knowledge, attitude and practice of kangaroo mother care among health workers in tertiary health centres in Nepal.Methods: This cross sectional study was carried out in three teaching hospitals in Nepal during the period from January 2016 to April 2016. Doctors and nurses working in Paediatrics/Neonatal and Obstetrics/Gynaecology wards were surveyed using pretested questionnaire. Responses from the doctors and the nurses were compared.Results: Response rate of the survey was 65%. All of the doctors and 95.3% of the nurses who participated in the survey had knowledge about kangaroo mother care.37.7%of the doctors and 48.8% of the nurses thought that this method is only used for neonates with low birth weight (<2500grams) (p= 0.013).Three fourth of the doctors and half of the nurses agreed that KMC is practiced regularly in their ward (p = 0.016). 22.2% participants informed that main reasons for not practicing kangaroo care regularly could be lack of skill and knowledge. Conclusions: We found that general knowledge and attitude of majority of doctors and nurses towards kangaroo mother care was good, however, its practise was not uniform.
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Pratomo, Hadi, Uut Uhudiyah, Ieda Poernomo Sigit Sidi, Yeni Rustina, Rulina Suradi, Anne-Marie Bergh, Quail Rogers-Bloch, and Reginald Gipson. "Supporting factors and barriers in implementing kangaroo mother care in Indonesia." Paediatrica Indonesiana 52, no. 1 (March 3, 2012): 43. http://dx.doi.org/10.14238/pi52.1.2012.43-50.
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Background Kangaroo mother care (KMC) was introduced toIndonesia in the 1990s. Since then, KMC has not been widelyimplemented and has not received national policy support.Objective The objectives of this case study were to implementKMC by an intervention that would ultimately benefit tenhospitals in Java, Indonesia, as well as identify supporting factorsand barriers to KMC implementation.Methods An intervention with four phases was conducted inten hospitals. Two teaching hospitals were supported to serve astraining centers, six hospitals were supported to implement KMCand two other hospitals were supported to strengthen existingKMC practices. The four phases were comprised of a baselineassessment, a five-day training workshop, two supervisory visitsto each hospital, and an end-line assessment.Results A total of 344 low birth weight infants received KMCduring the intervention period. Good progress with regards toimplementation was observed in most hospitals between the firstand second supervisory visits. Supporting factors for KMC were thefollowing: support received from hospital management, positiveattitudes ofhealthcare providers, patients, families and communities,as well as the availability of resources. The most common challengeswere record keeping and data collection, human resources and staffissues, infrastructure and budgets, discharge and follow-up, as wellas family issues. Challenges related to the family were the inabilityof the mother or family to visit the infant frequently to provideKMC, and the affordability of hospital user fees for the infant tostay in the hospital for a sufficient period of rime.Conclusion KM C appeared to be well accepted in most hospitals.For an intervention to have maximum impact, it is importantto integrate services and maintain a complex network ofcommunication systems. [Paediatr lndones. 2012;52:43-50).
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Iskandar, Freya Nazera, Ari Suwondo, and Bedjo Santoso. "Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia." GHMJ (Global Health Management Journal) 3, no. 1 (February 28, 2019): 25. http://dx.doi.org/10.35898/ghmj-31277.
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Background: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies’ weight significantly increased day by day only if the premature neonates received Tactile-Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies’ weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care. Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby.
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Astuti, Nunik Yuli, and Regina Vidya Trias Novita. "Kangaroo mother care affect stability vital signs of low birth weight babies." International Journal of Research in Medical Sciences 8, no. 5 (April 27, 2020): 1702. http://dx.doi.org/10.18203/2320-6012.ijrms20201913.
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Background: The Kangaroo Mother Care (KMC) is defined as skin-to-skin contact between mother and her new-born. KMC is a simple way to increase the life expectancy of low birth weight and premature infants. The purpose of this study is to explore the stability of vital signs for Low Birth Weight (LBW) infants before and after using KMC.Methods: the design was a quasi-experimental pre and posttest without a control group has been conducted in private hospital perinatal inward Tangerang with 30 LBW babies.Results: The result shows that the stability of vital signs with t-test the baby's temperature that the resulting p=0.001; α=0:05, heart frequency p=0.004; α=0:05, breath frequency p=0.004; α=0:05 and oxygen saturation p=0.011; α=0:05. The stability of vital signs through KMC could be a complement and alternative to conventional nursing for LBW babies and length of stay in hospital could be minimized.Conclusions: The stability of these vital signs through the KMC can be used as a complementary and alternative in the treatment of LBW, particularly those with low birth weight, which can decrease the duration of hospitalization and use of the incubator is an absolute equipment used.
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Acharya, N., RR Singh, NK Bhatta, and P. Poudel. "Randomized Control Trial of Kangaroo Mother Care in Low Birth Weight Babies at a Tertiary Level Hospital." Journal of Nepal Paediatric Society 34, no. 1 (March 24, 2014): 18–23. http://dx.doi.org/10.3126/jnps.v34i1.8960.
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Introduction: This study was conducted to compare the effect of Kangaroo Mother Care (KMC) and conventional methods of care on weight gain, occurrence of hypothermia and apnea and duration of hospital stay among Low Birth Weight (LBW) babies. Materials and Methods: It was a randomized control trial conducted at a tertiary level hospital for a period of one year from June 2009 to May 2010. Total 126 stable LBW babies weighing less than 2000 gm and fulfilling inclusion criteria were included in the study. Neonates enrolled for the study were allocated to either KMC or control group using random number table. KMC group was subjected to Kangaroo mother care of at least six hours per day in not more than four sittings. In control group, babies were adequately clothed, covered and kept with their mother and if required were kept under radiant warmer. Recording of temperature in KMC group was done before, during and after KMC. In control group temperature was taken every 4 hours. Weighing of baby was done twice daily on electronic weighing scale. Results: Median daily weight gain (IQR) was 10 (6- 20) gm in KMC group as compared to 7 (0-10) gm in control group (p<0.001). Mean weight gain was 12.11±9.04 gm in KMC group as compared to 3.29±15.81 gm in control group (p<0.001). Incidence of hypothermia was more in control group (12.6%) as compared to KMC group (3.1%) (p=0.048). Duration of hospital stay was less in control group as compared to KMC group (p=0.015). Conclusion: LBW babies less than 2000 gm who receive KMC show better weight gain and have less incidence of hypothermia than those who do not receive KMC. DOI: http://dx.doi.org/10.3126/jnps.v34i1.8960 J Nepal Paediatr Soc 2014;34(1):18-23
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Margekar, Purnima, Premlata Parekh, and Shubalaxmi Margekar. "Evaluating the role of kangaroo mother care on the lactation among the newborn low birth weight babies." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 2 (January 28, 2021): 579. http://dx.doi.org/10.18203/2320-1770.ijrcog20210307.
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Background: A universally available and biologically sound method of care for all new-borns, but in particular for premature babies, with three components including skin-to-skin contact, exclusive breastfeeding and support to the “mother infant dyad”. The present study was done to evaluate the role of kangaroo mother care (KMC) on the lactation.Methods: A prospective case control study of KMC was conducted in a teaching institution with a tertiary level neonatal intensive care unit (NICU) over a 12-month period from August 2013 to August 2014 on 50 new-borns weighing less than 1.8 kg. In order to provide KMC, special bag or kangaroo pouch was designed to keep the baby in close contact with mother. The primary outcome variable was “breast feeding”. Mode of feeding at admission to either group was noted down. Before allocating to either group, it was assured that baby was tolerating enteral feeds & there was no regurgitation.Results: Sixty six percent of neonates in case group and eighty percent of control group were on tube feed while 30% of case group and 16% of control group were on spoon feed at the time of enrolment in study. Spoon feeding plus breast feeding was established 28% of KMC group and in 4% control group, while only breast feeding was established in 30% of KMC group and 26% of control group on discharge.Conclusions: More babies in KMC group were shifted to breast-feeding on discharge. In addition to that KMC group demonstrated more weight gain and duration of stay was shorter in them.
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Vani, Shashi, Aloke Goel, Sunildatt Daru, Ankur Sethi, and S. Nimbalkar. "Kangaroo mother care (KMC) - utility and feasibility in hospital set up." Journal of Neonatology 25, no. 1 (March 2011): 33–38. http://dx.doi.org/10.1177/0973217920110106.
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Gupta, Mukesh, Rakesh Jora, and Ravi Bhatia. "Kangaroo Mother Care (KMC) in LBW infants—a Western Rajasthan experience." Indian Journal of Pediatrics 74, no. 8 (August 2007): 747–49. http://dx.doi.org/10.1007/s12098-007-0131-x.
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Pratiwi, Rina, Muhammad Sholeh Kosim, and Noor Wijayahadi. "Prognostic factors for success in the Kangaroo Mother Care method for low birth weight babies." Paediatrica Indonesiana 55, no. 3 (June 30, 2015): 142. http://dx.doi.org/10.14238/pi55.3.2015.142-6.
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Background Low birth weight (LBW) is closely related to neonatal morbidity and mortality. Management of LBW infants in developing countries remains limited, due to the low availability of incubators. The Kangaroo Mother Care (KMC) method has been shown to be effective for newborns, especially LBW infants, in which skin-to-skin contact may be conducive for infants’ weight gain, thermoregulation, and heart rate stability.Objective To determine the prognostic factors for KMC success in LBW babies.Methods This cohort study included LBW infants at Dr. Kariadi General Government Hospital, Semarang, by a consecutive sampling method. Success of KMC was assessed by infant weight gain, as well as stabilization of temperature, heart rate, and respiration. Prognostic factors for KMC success that we assessed were birth weight, gestational age, KMC duration, age at KMC onset and maternal education level. Statistical analyses used were Chi-square and relative risk (RR) tests.Results Of 40 LBW infants, 24 were successful in KMC. Birth weight ≥ 1500 grams (RR 0.4; 95%CI 0.23 to 0.73; P=0.001)], gestational age ≥ 34 weeks (RR 0.94; 95%CI 0.46 to 1.89; P=1.00), KMC duration ≥ 65 minutes (RR 1.44; 95%CI 0.76 to 2.75; P= 0.215), high maternal education level (RR 1.25; 95%CI 0.76 to 2.04; P=0.408), and age at KMC onset >10 days (RR 2.69; 95%CI 1.14 to 6.32; P=0.003), were factors that related to the successful of KMC.Conclusion Age at KMC onset > 10 days was a prognostic factor for KMC success in low birth weight babies.
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Dahlan, Andi Kasrida, Wiwik Kusumawati, and Retno Mawarti. "Input pelaksanaan kangaroo mother care pada berat lahir rendah di rumah sakit." Jurnal Kebidanan dan Keperawatan Aisyiyah 13, no. 1 (April 30, 2018): 42–50. http://dx.doi.org/10.31101/jkk.200.
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Abstract: The research was aimed to explain the implementation ofKMC on LBW input. The research was qualitative descriptive phenomenologystudy was conducted at Hospital Sawerigading Palopo with4 main informant midwife / nurse who has done KMC. Collecting datausing the technique of in-depth interviews, observation and documentation.Analysis of the data with models Miles and Huberman. The resultsof this study showed that there is a policy, but still lacking socializationrelated to the implementation of KMC mothers and families with babiesof low birth weight, lack of human resources training and infrastructuredo not meet the standards. Conclusion: The availability of input componentsKMC implementation is notmaximized.
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Yusuf, Nuuva, Suharyo Hadisaputro, Runjati Runjati, Ari Suwondo, Imam D. Mashoedi, and Supriyana Supriyana. "THE EFFECTIVENESS OF COMBINATION OF KANGAROO MOTHER CARE METHOD AND LULLABY MUSIC THERAPY ON VITAL SIGN CHANGE IN INFANTS WITH LOW BIRTH WEIGHT." Belitung Nursing Journal 3, no. 4 (August 31, 2017): 352–59. http://dx.doi.org/10.33546/bnj.161.
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Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods.Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants.Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of LBW infants with the combination of KMC and lullaby music, 2) a LBW infant group with the lullaby music intervention, and 3) a control group given standard care in LBW infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data.Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups.Conclusion: The combination of KMC method and Lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and Lullaby music methods can be used as an alternative to improve LBW care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.
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Bear, Rebecca J., and David J. Mellor. "Continuing Education Module—Kangaroo Mother Care 2: Potential Beneficial Impacts on Brain Development in Premature Infants." Journal of Perinatal Education 26, no. 4 (2017): 177–84. http://dx.doi.org/10.1891/1058-1243.26.4.177.
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ABSTRACTKangaroo mother care (KMC) involves infant skin-to-skin contact with the mother from as soon as possible after birth, exclusive breastfeeding, early discharge from the health facility, and supportive follow-up at home. Much evidence supports use of KMC clinically as an aid to mitigating some detrimental features of prematurity. This article—the second of two—explores impairments in brain development because of uncongenial inputs from the postnatal therapeutic environment of premature infants, not encountered in utero, and some of their negative neurobehavioral, psychosocial, sociocultural, and economic implications. It is concluded that evidence favoring the use of KMC in stable preterm infants is very strong and that, as noted by others, barriers to implementation of KMC, apart from infant infirmity, are mainly because of hesitancy from parents, health-care professional, and/or institutions, which may be unfounded.