scholarly journals Kangaroo mother care for low birth weight babies: supportive factors and barriers

2019 ◽  
Vol 6 (4) ◽  
pp. 1737
Author(s):  
Dinesh Mekle ◽  
Amit Kumar Kumar Singh ◽  
Jagdamba Dixit
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Common Factor ◽  
Kangaroo Mother Care ◽  
Skin Contact ◽  
Low Birth Weight Babies ◽  
Strongly Agree ◽  
Skin To Skin ◽  
Common Barriers ◽  
Separate Room

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.

scholarly journals Kangaroo Mother Care and Swaddling Methods In Low Born Weight Babies In Community Settings: A Systematic Review

2020 ◽  
Vol 9 (2) ◽  
pp. 1186-1195
Author(s):  
S. Tauriana ◽  
Joni Haryanto ◽  
Retnayu Pradanie
Keyword(s):  
Systematic Review ◽  
Birth Weight ◽  
Body Temperature ◽  
Low Birth Weight ◽  
Kangaroo Mother Care ◽  
Fat Reserves ◽  
Skin Contact ◽  
Low Weight ◽  
The Stability ◽  
Skin To Skin

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  

scholarly journals The Proportion of Mothers Who Continued to Practice Kangaroo Mother Care at Home and Identify Potential Factors Influencing this Practice following Hospital Discharge, South Wollo, Ethiopia 2019

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Discharge ◽  
Public Health Problem ◽  
Kangaroo Mother Care ◽  
Skin Contact ◽  
Factors Influencing ◽  
Low Birth Weight Babies ◽  
Care At Home ◽  
At Home

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.

scholarly journals PENGALAMAN IBU DALAM PELAKSANAAN PERAWATAN METODE KANGURU DI RUMAH TERHADAP BAYI BERAT BADAN LAHIR RENDAH DI WILAYAH KERJA PUSKESMAS PARONGPONG KABUPATEN BANDUNG BARAT

2016 ◽  
Vol 2 (1) ◽  
pp. 103
Author(s):  
Solfiani Ebrin Toni ◽  
Monalisa Sitompul ◽  
Evelyn Hemme Tambunan
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Sampling Technique ◽  
Treatment Method ◽  
Kangaroo Mother Care ◽  
Research Field ◽  
Kangaroo Care ◽  
Qualitative Phenomenology ◽  
Skin Contact ◽  
Skin To Skin

ABSTRAK Pendahuluan: perawatan Metode Kanguru (Kangaroo Mother Care) adalah perawatan untuk bayi berat lahir rendah atau bayi yang lahir prematur dengan melakukan kontak kulit antara bayi dan kulit ibu atau skin to skin contact, dimana ibu menggunakan suhu tubuhnya untuk menghangatkan bayi. Tujuan: penelitian ini bertujuan untuk mengidentifikasi pengalaman ibu mengenai pelaksanaan perawatan metode kanguru di rumah pada BBLR di Wilayah kerja Puskesmas Parongpong Kecamatan Bandung Barat. Metode: penelitian ini menggunakan metode kualitatif fenomenalogi. Penelitian ini melibatkan 3 orang Key Informant dengan teknik proposive sampling, memenuhi kriteria memiliki BBLR dan berpengalaman menggunakan PMK selama di rumah. Pengumpulan data dilakukan dengan cara wawancara yang dilengkapi dengan pedoman wawancara. Wawancara direkam kemudian di buat transkrip verbatim dan dianalisis dengan metode Colaizzi. Hasil: dalam penelitian ini adalah tiga tema dan dua belas kategori yang muncul. Diskusi: hasil penelitian memberikan saran bagi ibu, institusi kesehatan keluarga agar mendukung ibu yang memiliki BBLR dalam melaksanakan PMK dan menjadi pedoman penelitian lanjutan bagi bidang penelitian. ABSTRACT Introduction: : Kangaroo Care (Kangaroo Mother Care) is a treatment for low birth weight baby or infants born prematurely with contact the skin between baby and mother's skin or skin to skin contact, which is body temperature can be spark the baby. Objective: this study aims to identify the mother's experience over the treatment method of kangaroo in the house for low birth weight in the work area of the Puskesmas Parongpong West Bandung. Method: this research is a qualitative phenomenology which involved three Key Informants using proposive sampling technique with criteria experienced using kangaroo care at home for baby with low birth weight. The data collected through indepth interview, which is equipped with the guidelines interview. The interview recorded and transcript to using verbatim and analyzed by the method of Collaizzi. Results: there are three themes and twelve categories merges in this study. Discussion: this study provided advice for mothers, the family's health to support mothers with LBW in implementing the PMK and to guide further research for the wide research field of research.

scholarly journals Kangaroo Mother Care at Low Birth Weight

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Maryanah, Sri Sukamti ◽  
Juli Oktalia ◽  
Novita Rina Antarsih ◽  
Indra Supradewi, Aticeh
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Workers ◽  
Secondary Data ◽  
Kangaroo Mother Care ◽  
P Value ◽  
Cross Sectional ◽  
Skin Contact ◽  
Skin To Skin ◽  
Difference Test

Kangaroo Care Method is a treatment given to babies with Low Birth Weight (LBW) as an alternative to an incubator. This method uses direct contact between the mother's skin and baby's skin or skin to skin contact. The kangaroo method not only replaces the care of the incubator but also provides benefits that cannot be provided by the incubator. Increasing the baby's body temperature, stabilizing heart rate and breathing, and increasing milk production, decreases the incidence of infection in infants. The purpose of this study was to determine the effectiveness of the use of the kangaroo method on LBW in Karawang Hospital. The cross-sectional research method uses secondary data through treatment records in the medical record. The study sample was 106 LBW infants treated at Karawang Hospital in the 2018 period. Analysts used average difference test data to see the effectiveness of using the kangaroo method in increasing infant weight. Results: There is an effect of the use of the kangaroo method to increase the baby's weight P-value 0,0001. Recommendation: It is expected that the use of the kangaroo method on LBW can be made into policy at the hospital with the support of health workers and facilities so that families can implement kangaroo mother care (KMC) in full.

Pengaruh Perawatan Metode Kanguru (PMK) terhadap Pencegahan Hipotermi pada Bayi Baru Lahir

2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Health Workers ◽  
Kangaroo Mother Care ◽  
Infant Mortality Rate ◽  
P Value ◽  
Low Birth Weight Infants ◽  
Low Birth Weight Babies ◽  
Before And After

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.

Effect of Community-Initiated Kangaroo Mother Care on Fecal Biomarkers of Gut Function in Low Birth Weight Infants in North India: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Bireshwar Sinha ◽  
Halvor Sommerfelt ◽  
Per Ashorn ◽  
Sarmila Mazumder ◽  
Deepak More ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Period ◽  
Principal Component ◽  
Kangaroo Mother Care ◽  
North India ◽  
Low Birth Weight Infants ◽  
Gut Inflammation ◽  
Skin Contact ◽  
Alpha 1 Antitrypsin

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.

scholarly journals Effect of kangaroo mother care on neurodevelopmental outcome of low birth weight babies: a one-year randomized control trial

2018 ◽  
Vol 5 (2) ◽  
pp. 508 ◽  
Author(s):  
Prathiba N. Doddabasappa ◽  
N. S. Mahantshetti ◽  
Mahesh Kamate ◽  
Adarsh E.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Muscle Tone ◽  
Neurodevelopmental Outcome ◽  
Kangaroo Mother Care ◽  
Psychomotor Development ◽  
Care Group ◽  
Development Index ◽  
Low Birth Weight Babies ◽  
One Year

Background: Low birth weight (LBW) is one of the risk factor for neurodevelopmental delay. The present study was undertaken to assess the role of the Kangaroo Mother Care (KMC) in the neurodevelopmental outcome of low birth weight babies. Methods: The present study was undertaken at Department of Paediatrics, Jawarharlal Medical college, Belgaum during the period from January 2009 to October 2010. The study includes 80 stable LBW babies were randomized into 40 in the KMC group and 40 in convention method of care group. 36 babies in the KMC group and 33 babies in the CMC group completed the study. The Neurodevelopmental outcome was assessed by the Amiel Tison test at three, six, nine and twelfth months of age. This was compared with BSID test, at one year.Results: The neurosensory examination and passive muscle tone (PMT) were found to be abnormal. Majority of the babies in both groups has a normal neurosensory and PMT development at one year. Statistically significant to muscle tone deficit was observed in the CMC babies at six months and nine months (p = 0.005 and p = 0.013). With respect to BSID, 16 and 29 KMC babies had a normal Psychomotor Development Index (PDI) and Motor Development Index (MDI) scores when compared to 8 and 18 CMC babies (p = 0.003 and p = 0.057 respectively). Number of babies with significant delay was observed to be higher in the CMC group being 11 versus 1 for PDI scores and 4 versus 1 for MDI scores.Conclusions: The present study shows that KMC has a beneficial effect on the neurodevelopmental outcome of low birth weight babies and BSID II is a better test to detect the psychomotor and mental developmental delay when compared to the Amiel Tison test.

Kangaroo mother care: Understanding community low birth weight baby care perceptions and practices for designing appropriate community based KMC implementation package: a formative research. (Preprint)

2021 ◽  
Author(s):  
Shabina Ariff ◽  
Ikram Maznani ◽  
Maria Bhura ◽  
Zahid Memon ◽  
Tayyaba Arshad ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Formative Research ◽  
Kangaroo Mother Care ◽  
Community Members ◽  
Hospital Administrators ◽  
Skin Contact

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.

The ‘Kangaroo-Method’ for Treating Low Birth Weight Babies in a Developing Country

1994 ◽  
Vol 24 (2) ◽  
pp. 57-60 ◽  
Author(s):  
N J Bergman ◽  
L A Jürisoo
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Developing Country ◽  
Hospital Staff ◽  
Standard Equipment ◽  
Modern Equipment ◽  
Considerable Saving ◽  
Mission Hospital ◽  
Low Birth Weight Babies ◽  
Skin To Skin

The results of introducing the ‘kangaroo method’ (constant nursing of the baby skin to skin on the mother's chest), as the exclusive means of treating low birth weight (LBW) babies is reported, in the context of a mission hospital in a developing country without incubators and standard equipment for care of LBW neonates. Details of the method developed are described. The survival of babies born under 1500g improved from 10% to 50%, whereas that of babies 1500–1999 g improved from 70% to 90%. The method is well accepted by the community, and easily grasped by all hospital staff. Staff expectations concerning survival have dramatically improved, and a considerable saving in workload is experienced. The kangaroo method as described is strongly recommended to all units in developing countries treating LBW babies without modern equipment.

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