scholarly journals Prevention of Hypothermia of Low Birth Infants Using The Kangaroo Method

2017 ◽  
Vol 38 (9-10) ◽  
pp. 205
Author(s):  
Anna Alisjahbana ◽  
Ali Usman ◽  
Suzi Lrawaty ◽  
Atte Triyati

Hypothermia is a common problem in neonates and an important contributory factor to neonatal mortality and morbidity. The results of an evaluation involving several health facilities and health personnel showed that thermal control practices were frequently inadequate in the following areas: ensuring a warm environment at the time of delivery, initiation of breastfeeding and contact with mother, bathing, checking the baby's temperature, thermal protection of low birth weight babies, and care during transportation. During kangaroo method (K-M) the infant is in skin to skin contact with the mother. A pilot study conducted on LBW infants discharged from the General Hospital in Bandung, and follow-up for 4 consecutive weeks showed the skin temperature to be well maintained. Weight increase was more stable compared to the control group and there were no re-hospitalization within the observation period. K-M has a simple and natural appeal, cold stress can be avoided; perhaps the most important benefit of K-M is improvement of lactation. In developing countries especially rural areas, temperature regulation and maintenance of lactation using K-M may be lifesaving for very low birth infants.

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. A42-A42
Author(s):  
Student

We have carried out a randomised trial [of skin to skin contact with their mothers] among babies of less than 1500 gm . . . Mothers using skin to skin contact lactated for four weeks longer on average than the control group . . . [This maneuver] can enjoyably be offered to very low birthweight infants especially in developing countries where mother's lactation is vital.


Author(s):  
Fatemeh Zahra KARIMI ◽  
Hamid HEIDARIAN MIRI ◽  
Maryam SALEHIAN ◽  
Talat KHADIVZADEH ◽  
Mohaddese BAKHSHI

Background: One of the causes of postpartum hemorrhage is prolongation of third stage of labor. Mother-infant skin to skin contact (SSC) immediately after delivery is one of the non-pharmacological interventions to reduce this stage. Studies which assessed the effect of mother-infant SSC after delivery on duration of the third stage of labor reported controversial results on this issue. Therefore, this study investigated the effect of mother-infant SSC immediately after birth on the duration of third stage of labor Methods: In this systematic review and meta-analysis, the databases of PubMed, Scopus, Cochrane, SID, Magiran IranDoc and Google Scholar were searched from 2000 to 2018, using the keywords related to the objectives of this review to access randomized control trials published in Persian or English. The quality of papers was examined using Cochran's Risk of bias tool. Data was analyzed using Stata software. We used I2 index and Chi-square test to investigate heterogeneity and Egger’s and Begg’s tests to assess publications bias. Random effects model was used to combine the data. Results: Six studies were entered into the meta-analysis. The third stage of labor in SSC group was shorter than that of control group with a mean difference of -1.33 and 95% CI (-2.31 to -0.36) and this difference was statistically significant (P=0.007). Conclusion: Mother-infant SSC decreases the duration of third stage of labor. Therefore, the current study provides some evidences to use this non-pharmacological method in order to accelerate the third stage of labor and ultimately prevent postpartum hemorrhage.  


2019 ◽  
Vol 109 (4) ◽  
pp. 697-704 ◽  
Author(s):  
Agnes Linnér ◽  
Stina Klemming ◽  
Bo Sundberg ◽  
Siri Lilliesköld ◽  
Björn Westrup ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Er-Mei Chen ◽  
Meei-Ling Gau ◽  
Chieh-Yu Liu ◽  
Tzu-Ying Lee

This study examines how skin-to-skin contact between father and newborn affects the attachment relationship. A randomized controlled trial was conducted at a regional teaching hospital and a maternity clinic in northern Taiwan. The study recruited 83 first-time fathers aged 20 years or older. By block randomization, participants were allocated to an experimental (n=41) or a control (n=42) group. With the exception of skin-to-skin contact (SSC), participants from each group received the same standard care. Both groups also received anEarly Childcare for Fathersnursing pamphlet. During the first three days postpartum, the intervention group members were provided a daily SSC intervention with their respective infants. Each intervention session lasted at least 15 minutes in length. The outcome measure was the Father-Child Attachment Scale (FCAS). After adjusting for demographic data, the changes to the mean FCAS were found to be significantly higher in the intervention group than in the control group. We recommend that nurses and midwives use instructional leaflets and demonstrations during postpartum hospitalization, encouraging new fathers to take an active role in caring for their newborn in order to enhance father-neonate interactions and establish parental confidence. This trial is registered with clinical trial registration numberNCT02886767.


2008 ◽  
Vol 27 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Sara Hake-Brooks ◽  
Gene Cranston Anderson

Purpose: To determine the effects of kangaroo care (KC) (skin-to-skin contact) on breastfeeding status in mother–preterm infant dyads from postpartum through 18 months.Design: Randomized, controlled trial. The control group received standard nursery care; in the intervention group, unlimited KC was encouraged.Sample: A subsample of 66 mothers and their preterm infants (32–36 completed weeks gestation, 1,300–3,000 g, 5 minute Apgar ≥6) who intended to breastfeed.Main Outcome Variables: Breastfeeding status at hospital discharge and at 1.5, 3, 6, 12, and 18 months as measured by the Index of Breastfeeding Status.Results: KC dyads, compared to control dyads, breastfed significantly longer (5.08 months vs 2.05 months), p = .003. KC dyads also breastfed more exclusively at each measurement, p = .047. More KC dyads than control dyads breastfed at full exclusivity (100 percent breast milk, index of breastfeeding status levels 1 or 2) at discharge and at 1.5, 3, and 6 months. Mean KC contact per day was 4.47 hours.


2021 ◽  
Vol 12 (1) ◽  
pp. 30-38
Author(s):  
Sitti Suharni Hermanses ◽  
Fasiha Fasiha

Early initiation of breastfeeding is an effort to provide colostrum which is rich protective factors. This study aimed to determine the effect of early initiation of breastfeeding on breastmilk volume. This research use quasi experimental. The results showed that the Mann-Whitney test obtained a value of p=0.000 < of α=0.05, there was an effect on breastmilk volume in mothers who did early initiation of breastfeeding. Implementation of early initiation of breastfeeding in case group was 100% otherwise not done in control group, the duration 64% hasn’t been standardized, the breastmilk volume on the third day after early breastfeeding initiation was categorized sufficient (56%) and a lot 40%, which was not 76% breastmilk volume is lacking, there is a difference on breastmilk volume in mothers who have early initiation of breastfeeding and do not have. There is an effect on breastmilk production. It is expected that the role of midwives in providing information to mothers before giving birth about the importance of early breasfeeding initiation. It is expected that midwives will emphasize more on the duration of skin to skin contact, according to minimum standards of 1 hour, Rumkit Tk II Prof. Dr. J.A. Latumeten is expected to do early initiation of breastfeeding as a fixed procedure in the maternity room.


Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Rohit Raina

Background: Neonatal hypothermia is increasingly recognized as a risk factor for newborn survival. World Health Organization (WHO) recommends maintaining a warm chain and skin-to-skin care for thermo-protection of newborn children. Since little is known about practices related to newborn hypothermia, this study’s goal was to assess the knowledge of mothers of newborns especially LBW babies on prevention of hypothermia and to provide them the knowledge of cost-effective thermal protection measures.Methods: It was a cross-sectional study using pre-tested, pre-structured questionnaire. 108 postnatal mothers having LBW babies admitted in postnatal wards of Government Medical College, Jammu, Jammu and Kashmir, India were included in the study and analysed using SPSS version 20.Results: Out of 108 mothers, maximum mothers were of age less than 25 years (51%), 60% were from rural area, residing in nuclear family were 62%. Mothers attended hospital for confinement were 95% and 85% started breast feeding their babies. 45% had knowledge of keeping the baby warm by immediately wiping the baby and only 3% mothers had knowledge of Kangaroo Mother Care (KMC).Conclusions: Understanding and addressing community-based practices on hypothermia, prevention and management might help to improve newborn survival in resource-limited settings. Possible interventions include the implementation of skin-to-skin care in rural areas and the use of appropriate, low-cost newborn warmers to prevent hypothermia and support families in their provision of newborn thermal protection. Training family members to support mothers in the provision of thermo-protection for their newborns could facilitate these practices. Those who fail to fully attend antenatal clinics should be targeted for newborn care education.


2019 ◽  
Vol 12 (12) ◽  
pp. e228402
Author(s):  
Rubina Sohail ◽  
Noreen Rasul ◽  
Ammara Naeem ◽  
Humayun Iqbal Khan

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.


Author(s):  
Purvi M. Parikh ◽  
Saumya P. Agrawal ◽  
Rupa C. Vyas ◽  
Sapana R. Shah ◽  
Khushi P. Joshi

Background: Immediate postpartum period and birth pose many challenges for the mother and the new-born. Initiation of early skin to skin contact in the labour room can be beneficial to both of them.Methods: Randomized control trial conducted over a period of 7 months in a tertiary care centre enrolling 400 laboring women.200 in the control group were given routine care. In the 200women in the study group, the newborn was given immediate skin to skin contact by placing him/her on the mother’s chest.Results: Duration of third stage of labour was less than 10 minutes in 95%women of study group compared to 56% women in the control group(p<0.01). Placenta was expulsed as a whole in 98% cases in the study group compared to 81% in the control group. Successful breastfeeding was observed in 88% women in study group compared to 54%in the control group(p<0.01). Breastfeeding was initiated within 30 minutes of birth in 96%women in the study group compared to 41% in the control group.Conclusions: Uterus could contract faster with the complete expulsion of placenta and shortening of the third stage of labour with early skin to skin contact. The newborn showed early initiation, success at breastfeeding and longer first breastfeeding with early skin to skin contact.


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