scholarly journals Related Factors of Discontinue Kangaroo Mother Care at Home for Low Birth Weight Infant after NICU Discharge

Author(s):  
Suni Hariati ◽  
◽  
Retno Sutomo ◽  
Lely Lusmilasari ◽  
Andi Dwi Bahagia Febriani
2020 ◽  
Vol 5 (2) ◽  

Background: Low birth weight continues to be a significant public health problem globally. Kangaroo mother care (KMC) is a promising intervention to improve the survival of low birth weight babies. KMC comprises of early and continuous skin-to-skin contact between mother and baby as well as exclusive breastfeeding. More interest has given to initiate KMC at the health facility for low birth weight babies born at home but, there has been trace evidence to support initiation of KMC at home. Thus, this study was aimed at to estimate the proportion of mothers who continued to practice kangaroo mother care at home and identify factors influencing this practice following hospital discharge. Methods: It was a cross-sectional study of 190 mothers with their low birth weight babies who were discharged from KMC unit at Dessie referral and Akesta hospitals and counseled about KMC to practice at home. In the first week following hospital discharge the data collectors visited the mothers to interviewe her about KMC practice and the factors influencing it; and analyzed by SPSS V.25.0. Crud odd ratio and adjusted odd ration were performed to test the association between dependent and independent variables. Result: The proportion of mothers who practice KMC at home was 89 (46.8%). Multivariate logistic regression showed that support from husband (AOR= 4.4, 95% CI = 1.8-10.4), support from HEW(AOR=3.4, 95% CI = 1.6-7.2), availability of helper (AOR= 4.5, 95% CI= 1.9-4.10) and mothers explained the important of KMC (AOR =2.3,95% CI =1.1- 4.9) were statistically associated with KMC practice at home. Conclusion: This study concludes that support comes from husband, health extension workers and family and the mothers understanding of importance of KMC were found to be the significant enhancing factors to implement KMC at home.


2020 ◽  
Vol 10 (1) ◽  
pp. 9-13
Author(s):  
Ditha Rizky Oktavianti ◽  
Sri Rahayu ◽  
Listyaning Eko Martanti

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Somashekhar Nimbalkar ◽  
Harshil Patel ◽  
Ashish Dongara ◽  
Dipen V. Patel ◽  
Satvik Bansal

Aim. EMBRACETMis an innovative, low cost infant warmer for use in neonates. It contains phase change material, which stays at constant temperature for 6 hours. We surveyed paediatricians using EMBRACETMregarding benefits, risks, and setup in which it was used in Gujarat.Methods. Questionnaire was administered telephonically to 52 out of 53 paediatricians.Results. EMBRACETMwas used for an average of 8.27 (range of 3–18, SD = 3.84) months by paediatricians. All used it for thermoregulation during transfers, for average (SD) duration of 42 (0.64) m per transfer, 62.7% used it at mother’s side for average (SD) 11.06 (7.89) h per day, and 3.9% prescribed it at home. It was used in low birth weight neonates only by 56.9% while 43.1% used it for all neonates. While hyperthermia was not reported, 5.9% felt that EMBRACETMdid not prevent hypothermia. About 54.9% felt that they could not monitor the newborn during EMBRACETMuse. Of paediatricians who practiced kangaroo mother care (KMC), 7.7% have limited/stopped/decreased the practice of KMC and substituted it with EMBRACETM.Conclusions. EMBRACETMwas acceptable to most but concerns related to monitoring neonates and disinfection remained. Most paediatricians felt that it did not hamper KMC practice.


2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati

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.


2020 ◽  
pp. 000313482095692
Author(s):  
Marina L. Reppucci ◽  
Eliza H. Hersh ◽  
Prerna Khetan ◽  
Brian A. Coakley

Background Gastrointestinal (GI) perforation is a risk factor for mortality in very low birth weight (VLBW) infants. Little data exist regarding pretreatment factors and patient characteristics known to independently correlate with risk of death. Materials and Methods A retrospective review of all VLBW infants who sustained GI perforation between 2011 and 2018 was conducted. Birth, laboratory, and disease-related factors of infants who died were compared to those who survived. Results 42 VLBW infants who sustained GI perforations were identified. Eleven (26.19%) died. There were no significant differences in birth-related factors, hematological lab levels at diagnosis, presence of pneumatosis, or bacteremia. Portal venous gas ( P = .03), severe metabolic acidosis ( P < .01), and elevated lactate at diagnosis ( P < .01) were statistically more likely to occur among infants who died. Discussion Portal venous gas, severe metabolic acidosis, and elevated lactate were associated with an increased risk of mortality among VLBW infants who develop a GI perforation. Further research is required to better identify risk factors.


1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 221A-221A
Author(s):  
Samuel Rodgers ◽  
Gisela Witz ◽  
Mujahid Anwar ◽  
Mark Hiatt ◽  
Thomas Hegyi

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