scholarly journals Kangaroo mother care affect stability vital signs of low birth weight babies

Author(s):  
Nunik Yuli Astuti ◽  
Regina Vidya Trias Novita

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.

2018 ◽  
Vol 5 (2) ◽  
pp. 106-112
Author(s):  
Anafrin Yugistyowati ◽  
Lia Endriyani

Newborn with low birth weight (LBW) in Indonesia is relatively high even up to 16,9 %. The role of the neonatal nurse is highly expected to provide care for newborn babies with LBW by giving supportive environment. Neonatal Developmental Care (NDC) is one of intervention that aims to implement modifications to the nursery environment and care practices to promote growth and development of newborn with LBW. Most of nurses still have no information related NDC and its implementation in neonatal room. This study aimed to explore the influence of NDC information exposure toward nurse’s attitude. A quasi-experimental with before-and-after design was applied. This study recruited 21 nurses to participate as intervention and control group. The Paired T-Test was performed to analyze the data. The results showed there is an influence of NDC information exposure toward nurse’s attitude in caring for newborn with low birth weight by P-value 0,00. This study recommend that NDC can be one of nursing intervention for caring newborn baby with LBW in order to optimize caring for infant along caring for growth and development during their treatment in hospital.


2020 ◽  
Vol 9 (2) ◽  
pp. 1186-1195
Author(s):  
S. Tauriana ◽  
Joni Haryanto ◽  
Retnayu Pradanie

Infants born with low birth weight or LBW are very susceptible to hypothermia due to the thin fat reserves under the skin and immature heat regulating centers in the brain. The search for articles consisted of five databases, namely Scopus, Science Direct, PubMed, Garuda, and Proquest. Analysis of 25 articles on kangaroo mother care and self-care showed that kangaroo mother care can keep the baby's body temperature stable and reduce the risk of hypothermia in newborns with low weight and make it easier for the baby to breastfeed. This systematic review shows that the kangaroo mother care method has a more significant impact on baby weight gain and the stability of the baby's body temperature by maintaining skin to skin contact between mother and baby for later implementation in the community. This method is more effective than the swaddling method.  Keyword: Kangaroo Mother Care; Swaddling; Low Birth Weight; Community  


2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Fay S. De Ocampo ◽  
Ma. Esterlita Villanueva-Uy

Objective. To determine the effectiveness of Kangaroo Mother Care (KMC) in increasing the rate of weight gain and decreasing hypothermia, apnea, and sepsis rate, and shorten hospital stay among low-birth-weight infants. Methods. Very low birth weight (VLBW) infants (≤1500 grams) were randomized to either the KMC or conventional care group. KMC provided skin-to-skin contact at least 6 hours per day while the conventional group received the usual care in the newborn intensive care unit (NICU). Daily weight measurements and weekly measurements of length, head, and chest circumference were recorded until discharge. Occurrence of hypothermia, apnea, sepsis, and length of stay was noted. Results. KMC group had a higher mean weight gain per day (p=0.0102). There was no difference in the length, head, and chest circumference between the two groups. Sepsis and apnea rates were not significant between the two groups. Significantly more neonates experience hypothermia in the control group (p<0.0069). Conclusion. KMC is effective in increasing the weight per day compared with the control group. KMC protects the neonates against hypothermia. There is not enough evidence to show a difference in the incidence of sepsis, apnea, and the length of hospital stay between the two groups.


2017 ◽  
Vol 3 (4) ◽  
pp. 352-359 ◽  
Author(s):  
Nuuva Yusuf ◽  
Suharyo Hadisaputro ◽  
Runjati Runjati ◽  
Ari Suwondo ◽  
Imam D Mashoedi ◽  
...  

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.


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.


Author(s):  
Bireshwar Sinha ◽  
Halvor Sommerfelt ◽  
Per Ashorn ◽  
Sarmila Mazumder ◽  
Deepak More ◽  
...  

This individually randomized trial was conducted to estimate the effect of promoting community-initiated Kangaroo Mother Care (ciKMC) in low birth weight (LBW) infants on gut inflammation and permeability. Participants included 200 stable LBW infants (weighing 1,500–2,250 g) in North India enrolled between May and October 2017. The ciKMC intervention included promotion and support of continuous skin-to-skin contact and exclusive breastfeeding through home visits. The mothers in the intervention arm were supported to practice ciKMC until 28 days after birth, i.e., the neonatal period, or till the baby wriggled out of KMC position, if earlier. Infant stool specimens were collected during the first week of birth, and within 1 week after end of the neonatal period. Concentrations of fecal neopterin (nmol/L), myeloperoxidase (ng/mL), and alpha-1-antitrypsin (μg/mL) were determined using ELISA, and composite enteric enteropathy (EE) score at the end of the neonatal period was calculated by principal component analysis. We did not find any substantial difference in means between the ciKMC and control arm infants in the log-transformed values of neopterin (0.03; 95% CI −0.15 to 0.21), myeloperoxidase (0.28; 95% CI −0.05 to 0.61) and alpha-1-antitrypsin (0.02; 95% CI −0.30 to 0.34). The mean (SD) composite EE score was 13.6 (7.5) in the ciKMC and 12.4 (8.3) in the control arm infants, and the adjusted difference in means was negligible, 0.4 (95% CI −1.8 to 2.7). Our findings suggest that the promotion of ciKMC did not affect gut inflammation and permeability in our target population of LBW infants in North India.


2021 ◽  
Author(s):  
Shabina Ariff ◽  
Ikram Maznani ◽  
Maria Bhura ◽  
Zahid Memon ◽  
Tayyaba Arshad ◽  
...  

BACKGROUND Low birth weight (LBW) is a common outcome of preterm birth and increases the risk of an infant’s morbidity and mortality. About 20 million infants are born with low birth weight globally. Since a significant number of births in Pakistan take place at home, it is important to focus on the use of Kangaroo Mother Care (KMC) (skin-to-skin contact) in communities to prevent neonatal mortality and morbidity. OBJECTIVE We conducted a formative research in order to understand the context of communities and facilities with regards to neonatal care and KMC practice, inform the design and delivery of culturally appropriate platforms to introduce KMC in communities, and develop effective recruitment and retention strategies of KMC, in rural areas of district Dadu, in the Sindh province. METHODS We conducted focus group discussions, in-depth interviews and key informant interviews with families of LBW babies, community members, healthcare providers and hospital administrators to identify barriers, enablers and a knowledge base for KMC interventions. RESULTS Newborn care practices in communities were subpar. Although KMC practices are not commonly practiced in communities and facilities and the method is unknown to many, family members were willing to provide KMC to LBW babies to improve their health outcomes. Community members, hospital administrators and healthcare providers widely accepted the practice for neonatal health and found it feasible and convenient. CONCLUSIONS The KMC as a method of treating low birth weight babies is widely accepted in the community. This formative research provided strategically effective ways for developing effective implementation strategies by identifying common community practices for LBW babies, and barriers and enablers to KMC practice.


2020 ◽  
Vol 5 (2) ◽  
pp. 230
Author(s):  
Maria Anjelina Bria ◽  
Karlina Sumiari Tangkas ◽  
Desak Ketut Sugiartini

Premature and LBW in Indonesiais diminishing but is still quite high at 52% per 100 live births. In RSUD Buleleng in the last year of 2015 there were 275 LBW, handling can be done one of them is by doing.Kangaroo Mother Care is skin contact immediately the baby to the mother, which can inprove infant survival, especially that experienced LBW (Low Birth Weight) or premature. This method actually mimic animal marsupial kangaroo where baby kangaroo born normally stored in the mother’s pouch to prevent cold (hypothermia). The purpose of this study was to Postpartum Mothers Knowledge About Kangaroo Mother Care in NICU Room RSUD Buleleng. Method: this reseaerch is using desceriptive. Collecting data using purposive sampling with a sampler size of 35 people. Result: of the research I have done one 43 respondents mostly have good knowledge of as many as 23 (39%) and small portion  have less knowledge as much as 9 respondents (14%). Conclution: based on the data analysis has beeen carried out the research So it can be councluded that the majority of respondents already have a good knowledge of the Kangaroo Mother Care as many as 23 (39%)  .   Keywords: Knowledge, Puerperal women, Kangaroo Mother Care.


2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Freya Nazera Iskandar ◽  
Ari Suwondo ◽  
Bedjo Santoso

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.


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.


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