A STUDY OF IMPLEMENTATION OF KANGAROO MOTHER CARE IN LOW BIRTH WEIGHT INFANTS .

2021 ◽  
pp. 1-2
Author(s):  
Navaney Hiru ◽  
Yogesh goel ◽  
Rasbihari Rasbihari
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Kangaroo Care ◽  
Randomized Control ◽  
And Control

INTRODUCTION :-Kangaroo mother care is a evidence based cost effective approach and avert up to 4.5lk preterm .(1,2) death each year .if near universal coverage is achieve investment in KMC has benets beyond survival including healthy growth and long term development. Edgar Rey and Hectare Martinez develop kangaroo mother care in Colombia as a substitute for incubator in the low birth weight infant . KMC is dene as early prolong and continuous skin to skin contact between the mother and the low birth 5 weight infant both in hospital and after discharge with exclusive breast feeding and proper follow up. Published nding from different countries demonstrated KMC promote stable heart rate R.R and oxygen saturation and thermal regulation in infants 6-13. The present OBJECTIVE :- study was conducted to study through a randomized control trial the effect of KMC on breastfeeding, weight gain and length of hospitalizations 2. of very low birth weight neonates and To access the acceptability of KMC by nurses and mother . METHODS :-Babies whose birth weight was less than 1500 Grams were included in the study once they were stable. The effect of Kangaroo Mother Care on breast feeding rates, weight gain and length of hospitalization of very low birth weight neonates was studied through a randomized control trial in 56 neonates. The Kangaroo group (n = 28) was subjected to Kangaroo Mother Care of at least 4 hours per day in not more than 3 sittings. The babies received Kangaroo Care after shifting out from NICU and at home. The control group (n = 28) received only standard care (incubator or open care system). Attitude of mothers and nurses towards KMC was assessed on Day 3 +/- 1 and on day 7 +/- 1 after starting Kangaroo Care in a questionnaire using Likert's scale. The results of the clinical trial reveal that the neonates RESULTS:- in the KMC group demonstrated better weight gain after the rst week of life (15.9 +/- 4.5 gm/day vs. 10.6 +/- 4.5 gm/day in the KMC group and control group respectively p < 0.05) and earlier hospital discharge (27.2 +/- 7 vs. 34.6 +/- 7 days in KMC and control group respectively, p < 0.05). The number of mothers exclusively breastfeeding their babies at 6 week follow-up was double in the KMC group than in the control group (12/14 vs. 6/14) (p < 0.05)

scholarly journals A study on breastfeeding initiation in low birth weight and very low birth weight babies and their developmental outcome with special reference to kangaroo mother care

2020 ◽  
Vol 7 (2) ◽  
pp. 338
Author(s):  
Bramhini Sura ◽  
Gangadhar B. Belavadi
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Developmental Outcome ◽  
Factors Affecting ◽  
Main Factors ◽  
And Control ◽  
Initiation Of Breastfeeding

Background: Kangaroo Mother Care (KMC) was developed for caring of low birth weight (LBW) babies in developing countries. Study was done with the objective to evaluate the factors affecting initiation of breast feeding and effect of Kangaroo Mother Care (KMC) on morbidity problems and developmental outcome in Low Birth Weight (LBW) and Very Low Birth Weight (VLBW) babies.Methods: Prospective follow-up cohort study was carried out at Neonatal Intensive Care Unit (NICU) at Narayana medical college hospital Nellore from January 2018 to December 2019 and details of neonates were recorded on prestuctured proforma. Kangaroo mother care was given to one group. ASQ 3 questionnaire was used to assess the developmental outcome of the infants.Results: In this study, 100 babies were divided into two groups, case group consists of 50 babies where KMC is given and another control group consists 50 babies where KMC is not given. Mean gestational age for case and control group babies were 34.5 and 33.7 weeks respectively. Mean Birth weight in cases (1700 gr) and control (1580) grams respectively. Number of Male babies were more in cases (51%) and Group B (53%). Main factors affecting the initiation of breastfeeding in babies are LSCS (62% and 48%), RDS (50% and 40%), Apnea (24% and 25%) and seizures (20% and 14%) respectively in case and controls. Rates of exclusive breastfeeding is significantly increased in cases (90%) when compared to control (72%). Morbidity in cases is comparatively lesser than controls. At 6 months of corrected gestational age, mean weight in cases (5.2 kg) is significantly more than mean weight in control (4.7 kg). Significant development is noticed in communication (p=0.036), gross motor (0.04), and fine motor (0.05) compare to controls. Percentage of babies who acquired better personal social skills are more in cases (80%).Conclusions: The main factors affecting the initiation of breastfeeding in LBW and VLBW babies are LSCS, RDS, not secreted milk and seizures. KMC helps to achieve smooth and early transition to direct breastfeeding, increases the exclusively breastfeeding rate, better growth and developmental outcome and reduces the morbidities in LBW neonates.

scholarly journals A Randomized Controlled Trial of Intermittent Kangaroo Mother Care versus Conventional Care in Increasing the Rate of Weight Gain among Low-Birth-Weight Neonates

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Fay S. De Ocampo ◽  
Ma. Esterlita Villanueva-Uy
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Kangaroo Mother Care ◽  
Conventional Care ◽  
Chest Circumference ◽  
Care Group ◽  
Control Group ◽  
Skin Contact

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.

scholarly journals Comparison of Very Low Birth Weight Preterm Infants with And Without Experienced Target Weight Gain on The Administration of Human Milk Fortifier

2020 ◽  
Vol 6 (3) ◽  
pp. 79-85
Author(s):  
Diondra Eka Rizkiawan ◽  
Adhie Nur Radityo ◽  
Rina Pratiwi ◽  
Kusmiyati Tjahjono
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Human Milk ◽  
Preterm Infants ◽  
Very Low Birth Weight ◽  
Clinical Symptoms ◽  
Control Group ◽  
Characteristic Difference ◽  
Human Milk Fortifier

Background: Human milk fortifier (HMF) is defined as a supplement added to breastmilk to increase calories, proteins, vitamins, and various nutrition of breastmilk. The purpose of HMF administration is to increase the concentration of breastmilk nutrients to improve the weight of very low birth weight preterm infants. The administration of HMF is insufficient to fulfill protein needs in 20-40% very low birth weight babies, thus the weight gain did not meet the expected target.Objective: To analyze characteristic differences between very low birth weight preterm infants who experienced weight gain according to the target and not according to the target on the administration of HMF.Methods: An analytical study with a case-control approach comparing case and control group, which was observed to determine characteristic differences between both groups. The samples were 52 very low birth weight preterm infants obtained by consecutive sampling. Data analysis includes descriptive analysis and hypothesis testing. Results: Data were obtained from medical records and consisted of 52 participants, including 26 very low birth weight premature infants who experienced weight gain according to the target and 26 who experienced weight gain not according to the target. There was no characteristic difference of cyanosis clinical symptoms (OR 2.3; 95% CI 0.51-10.4), chest retraction (OR 1.0; 95% CI 0.32-3.1), apnea of prematurity comorbid (OR 1.0; 95% CI 0.25-3.9), neonatal infections (OR 0.62; 95% CI 0.21-1.9), starting age of HMF administration (OR 0.62; 95% CI 0.21-1.89), bloating (OR 0.57; 95% CI 0.17-1.9), and vomiting (OR 1.18; 95% CI 0.38-3.7) in both groups.Conclusion: There was no characteristic difference between very low birth weight preterm infants who experienced weight gain according to the target and not according to the target on the administration of HMF.

scholarly journals A randomized control trial of hypothermia alert device in low birth weight newborns and the effect on kangaroo mother care and weight gain

2019 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Jagadish A. S. ◽  
Asha Benakappa ◽  
Naveen Benakappa ◽  
Gini Morgan
Keyword(s):  
Weight Gain ◽  
Neonatal Intensive Care ◽  
Thermal Protection ◽  
Controlled Trial ◽  
Control Group ◽  
Kangaroo Care ◽  
Randomized Control ◽  
Significant Health ◽  
Daily Time

Background: Lack of thermal protection is one of the major challenges faced by developing nations for newborn survival. Early detection and subsequent prevention of hypothermia through Kangaroo Care could lead to significant health outcomes for the newborn. Hypothermia alert device is a bracelet that monitors for early hypothermia by sensing the extremities and sounding an alarm for parents to take action.Methods: In a randomized controlled trial, the effect of the hypothermia alert device on KMC compliance at home and weight gain of newborns on 4th week follow-up was evaluated. New borns discharged from the neonatal intensive care unit at Indira Gandhi Institute of Child Health (IGICH). Neonates who were LBW (less than 2500 grams) were included in the study once they were stable and ready for discharge. Neonates were given a hypothermia alert device to monitor their temperatures for hypothermia for 4 weeks. Weekly follow-ups were held with parents and to record measurements of growth. Additionally, parents were given a KMC diary to track sessions of KMC. Neonates were given either a placebo bracelet or a BEMPU Bracelet. Bracelets were identical and both monitored for hypothermia, however only the BEMPU Bracelet gave an alarm when the newborn was hypothermic.Results: Statistically 44 neonates completed the 4-week trial; 23 were in the control group and 21 were in the BEMPU group; of these, 19 participants in the control group completed KMC diaries and 19 BEMPU group completed KMC diaries. The results of the clinical trial reveal that parents of neonates in the BEMPU group demonstrated better compliance to KMC. In the BEMPU group, the average daily time spent doing KMC was significantly higher in first (3.02 v 1.96 h, p=0.016) and fourth (3.04 v 2.38 h, p=0.094) week of discharge. There was an increase of weight gain in the BEMPU group after the first (25.7 v 20.7 g, p=0.1.85) and fourth (28.3 v 22.9 g, p=0.057) week of discharge.Conclusions: The hypothermia alert device was found to be an effective intervention to promote parent adherence to Kangaroo Care and weight gain.

scholarly journals Role of Zinc in Low Birth Weight Neonates

1970 ◽  
Vol 38 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Aminul Hoque ◽  
Shah Md Keramat Ali
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Zinc Supplementation ◽  
Control Group ◽  
Medical College ◽  
Birth Weight Neonate ◽  
The Mean ◽  
Neonatal Ward

Background: Evidence for an effect of zinc supplementation on growth in every young infants in developing countries is scarce and inconsistent. In Bangladesh, the highest incidence of Low Birth Weight (LBW) is the main cause of neonatal mortality and morbidity. It is hypothesized that LBW neonates is zinc deficient and that might adversely affect postnatal growth. The present study was carried out to measure the effect of zinc supplementation on LBW neonates during the first month of life and to observe the growth pattern of supplemented (zn) with non supplemented group. Aim and Objective: It is supported by literates that zinc has an effective positive role in the growth and development in children. But evaluation of the effect of zinc on weight gain in LBW not done so our primary objectives are. (1) The study was done to measure the effectiveness of zinc supplementation on weight gain in low birth weight neonates. (2) To list low birth weight (LBW) babies admitted in neonatal ward of Pediatrics Department of Sher-E-Bangla Medical College Hospital, Barisal during one clander year. (3) To supplement Zinc in a group low birth weight neonate and to compare with another group of low birth weight neonate will receive placebo for a period of 28 days along with necessary treatment for both groups. (4) To compare the study group with control to find out where and when zinc have contributed to weight gain, side effect of supplementation and acceptance of supplementation by the neonates. Materials and methods : In a randomized, double-blind, placebo-controlled trial study of the effect of zinc on weight gain in low birth weight neonates. The study was carried out in the neonatal ward of pediatrics department of Sher-E-Bangla Medical College, Barisal, Bangladesh. The duration of the study was from May '05 to May '07. The research proposal was approved by Faculty of Post-graduate Medical Science and Research, Dhaka University. Ethical clearance was obtained from Bangladesh Medical Research Council (BMRC). One hundred low birth weight neonates were included in this study and the same number of controls matched for birth weight sex, types to LBW, feeding pattern was studied. After randomization and pair matched neonates were grouped into two groups, 100 neonates were included in group A and 100 neonates in group B. In the first 28 days of life, the A group received Syrup D1 2.5ml/day in and B group received syrup D2 2.5ml/day. The syrup administered to the study neonate in two groups were prepared by Orion Laboratories Ltd. drug manufacturing company. Syrup D1 2.5ml contains zinc 5mg was given to A group and Placebo (D2) for B group. The two syrups were indistinguishable in taste and color and code of syrup 'D1' and 'D2' was kept strictly confidential with the pharmacist. The parents or care giver were instructed to feed syrup D1 2.5ml or syrup D2 every morning at 10 am to their neonate up to 28 days. Measurement of weight of case and control without cloth before feeding at 9a.m after 3 days, 7 days, 14 days, 21 days and 28 days and recorded in a record form. The overall supervision was maintained by researcher. At the end of the study the code of syrup was decoded and found 'D2' for Placebo and D1> for zinc. Data were analyzed by using statistical software SPSS. Result : Among the study subjects 54% of them were male and 46% were female, of them 78% were preterm, and were 22% IUGR. The mean (±SD) birth weight was 1789.50 ± 228.89gm is for cases and controls. Three days after birth, weight decreases to (1610.50 ± 255.38gms) in cases and to (1613.00 ± 215.04 gms) in controls. More weight gain in cases than controls was observed after 7 days of birth. Highly significant weight gain after 21 days (2261.50 ± 296.14 gms) in cases than controls (2165.50 ± 243.47 gms) and 28 days (2665.00 ± 331.52 gms) in cases observed than controls (2374.00 ± 410.07 gms). So mean weight after 21st and 28th days of cases was significantly higher (P<0.05) than that of control group respectively. Mean weight gain (31.37 ± 6.91 gm/day) of cases was significantly higher (P<0.000) than the mean weight gain (21.63 ± 5.67 gm/day) of control group. Mean weight of final follow up of zinc group was 2665.00 ± 331.52 and placebo group was 2374.00 ± 4107. (P<0.000) when compared with mean birth weight. Linear curve of effectiveness of the program on weight for age z-score by follow up days. It was found that increment of effectiveness in Zinc group was higher than that of placebo group. Eighty four percent of cases gained weight more than control group. Problems like physiological Jaundice, infection, convulsion, were less in zinc group compared to control group. Conclusions : Neonatal mortality in Bangladesh is high as experienced by causes of death during Neonatal period due to low birth weight. The result of the study provide evidence that zinc supplementation in low birth weight enhanced more weight gain and experienced less problems like infection, convulsion and Jaundice. There was no adverse effect in zinc supplementation groups. Therefore, we conclude that zinc supplementation to LBW neonates is beneficial to combat curse of low birth weight.   DOI: 10.3329/bmj.v38i1.3583 Bangladesh Medical Journal 38(1) 2009 24-30

scholarly journals HUMAN BREAST MILK FORTIFICATION WITH SKIMMED MILK AND OLIVE OIL FOR WEIGHT GAIN IN VERY LOW BIRTH WEIGHT NEONATES

2021 ◽  
Vol 71 (3) ◽  
pp. 1080-84
Author(s):  
Arouj Waqqas ◽  
Zeeshan Ahmed ◽  
Huma Farrukh ◽  
Hina Khalid ◽  
Talal Waqar
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Breast Milk ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Olive Oil ◽  
Very Low Birth Weight ◽  
Control Group ◽  
Human Breast Milk ◽  
Skimmed Milk

Objective: To observe the effect of fortification of expressed human breast milk with olive oil and skimmed milk in improving weight gain in very low birth weight neonates and shortening their length of hospital stay. Study Design: A comparative prospective study. Place and Duration of Study: Combined Military Hospital Lahore, from Mar 2018 to Mar 2019. Methodology: Neonates admitted with very low birth weight and gestational age of <34 weeks were included in study. Sixty babies were enrolled using non-probability consecutive sampling; random number table used to allocate them into a fortifycation group and a control group. The control group received expressed milk alone, while olive oil oneml twice daily and skimmed milk one gram in every third feed were added to expressed milk in the fortification group. Results: The study comprised of 60 neonates, with 30 in each of the groups. Weight gain was 24.83 ± 5.63 in the fortification group and 11.72 ± 3.95 in the control group (p≤0.001). Mean hospital stay was 20.57  16.511 in the fortification group and 27.67 ±  8.89 in the control group (p≤0.043). Conclusion: Olive oil and skimmed milk fortification of breast milk was effective for weight gain and reducing length of hospital stay in very low birth weight neonates.

scholarly journals Effectiveness of Kangaroo Mother Care in Weight Gain among Newborn Babies in AVBRH Hospitals of Wardha

2021 ◽  
pp. 532-537
Author(s):  
Archana Maurya ◽  
B. Lakhakar ◽  
Bibin Kurian ◽  
Switi Besekar
Keyword(s):  
Weight Gain ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Breathing Patterns ◽  
Control Group Design ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Experimental Group

Introduction: Kangaroo Mother Care is a simple and feasible intervention; acceptable to most mothers admitted in hospitals. There may be benefits in terms of reducing the incidence of hypothermia with no adverse effects of Kangaroo Mother Care. Kangaroo Care infants showed improvement in regular breathing patterns and virtually no periodic breathing, weight gain in low birth babies, suggesting  that Kangaroo Mother Care is safe for these infants. Materials and Methods: Randomized control trai, l  experimental and control group design was used in study this study was conducted in post natal wards of AVBR Hospital. In this study samples were newborns that were fulfilling the inclusion and exclusion criteria. 500 newborns were selected and it was equally divided into two groups as control 250 and experimental 250. Random sampling technique was used in this study. A checklist regarding the frequency and duration of KMC was prepared for the experimental group.  Results: The mean weight gain in the control group at birth is 2.71, on discharge it is 2.53 and on follow up it is 3.07. The mean weight gain in the experimental group at birth is 2.74, on discharge it is 2.67 and on follow up it is 3.31.  Conclusion: Significant difference was found in the mean weight gain between experimental and control group. Thus it is concluded that KMC is effective in increasing the weight of the newborn babies.

scholarly journals Effect of Kangaroo Care on Physiological Measurements and Weight in Low Birth Weight Infants

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Intensive Care ◽  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Control Group ◽  
Low Birth Weight Infants ◽  
Kangaroo Care ◽  
Duration Of Hospitalization

Low birth weight infants are highly vulnerable as they have to make several adjustments to achieve equilibrium in metabolic processes, circulation and breathing. Therefore, the aim of this study was to examine the effect of Kangaroo Care on physiological measurements and weight in Low birth weight infants. The study was conducted at the neonatal Intensive Care Units in Menoufia University hospital (Shebin El-Kom) and Mansheat Sultan village (Menoufia). The study sample was composed of sixty Low birth weight infants. A simple random sample was done to assign them into study and control groups (n=30). A quasi experimental design was used. The results of this study showed that low birth weight infants who attended kangaroo care sessions had better weight gain (2.06±0.21 Vs1.90±0.26), fewer duration of hospitalization (11.33+1.81Vs 15.57+2.81) and better physiological adjustments than low birth weight infants in the control group. Therefore, it was concluded that low birth weight infants who attended kangaroo care sessions had better physiological measurements, weight gain and shorter duration of hospitalization than low birth weight infants in the control group. It was recommended that kangaroo care sessions should be conducted at neonatal intensive care units.

scholarly journals Randomized Control Trial of Kangaroo Mother Care in Low Birth Weight Babies at a Tertiary Level Hospital

2014 ◽  
Vol 34 (1) ◽  
pp. 18-23 ◽  
Author(s):  
N Acharya ◽  
RR Singh ◽  
NK Bhatta ◽  
P Poudel
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Hospital Stay ◽  
Randomized Control Trial ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Tertiary Level ◽  
Duration Of Hospital Stay ◽  
Randomized Control ◽  
Level Hospital

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

Sign in / Sign up

Export Citation Format

Share Document