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 Hubungan Pengetahuan dan Sikap Dalam Pelaksanaan Perawatan Metode Kangguru

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Linda Amalia ◽  
Efphi Herawati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Workers ◽  
Sampling Technique ◽  
Kangaroo Mother Care ◽  
Low Birth Weight Infants ◽  
Kangaroo Care ◽  
Chi Square ◽  
Skin Contact ◽  
Knowledge And Attitude

ABSTRAKPada dasarnya setiap ibu hamil menghendaki agar anak yang dilahirkannya mempunyai berat badan lahir cukup sebab bayi dengan Berat Badan Lahir Rendah (BBLR) selain memerlukan perawatan yang lebih rumit dan intensif juga meningkatkan kesakitan dan kematian bayi.Tujuan Penelitian ini untuk mengetahui Hubungan Pengetahuan dan sikap Ibu  Bayi BBLR dengan Pelaksanaan Perawatan Metode Kanguru di Ruang Perinatologi RSUD Cianjur Tahun 2014. Perawatan metode kanguru adalah perawatan bayi baru lahir dengan meletakkan di dada ibu (kontak kulit dengan bayi) sehingga suhu bayi tetap hangat. Perawatan metode kanguru ini sangat menguntungkan terutama untuk bayi berat badan lahir rendah (Depkes RI, 2008).Metode penelitian ini menggunakan deskriptif korelasi. Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan bayi BBLR di Rumah Sakit Umum Daerah Cianjur pada bulan Desember sampai dengan Februari yaitu sebanyak 296 orang. Sampel dalam penelitian ini sebanyak 75 ibu. Teknik sampling dalam penelitian ini adalah dengan purposive sampling.Analisa data yang digunakan univariat dan bivariat dengan menggunakan uji chi-square. Hasil Penelitian menunjukan bahwa kurang dari setengahnya berpengetahuan baik, lebih dari setengahnya bersikap mendukung dan lebih dari setengahnya mau melakukan  perawatan metode kanguru. Dari hasil uji Chi Square terdapat hubungan antara pengetahuan dan sikap ibu dengan pelaksanaan perawatan metode kanguru. Sehingga Diharapkan pada tenaga kesehatan khususnya bidan dan perawat perinatologi untuk terus memberikan informasi yang berguna bagi ibu tentang perawatan pada bayi berat badan lahir rendah seperti pelaksanaan perawatan metode kanguru.ABSTRACTBasically every expectant mother wants a son was born to her birth weight has enough for babies with low birth weight in addition to requiring more complex care and intensive also increase pain and mortality.The purpose of this research is to know the relation of knowledge and attitude of mother of a baby who had low birth weight infant with implementation of kangaroo mother care in perinatologi RSUD Cianjur 2014. Kangaroo mother care is treatment of newborn with putting on chest of mother (skin contact with baby) so the baby’s temperature keep warm. Kangaroo mother care is very beneficial, especially for low birth weight infants ( Depkes RI, 2008 ).This research uses descriptive method of correlation, the population of the entire mother who gives birth to a baby of low birth weight in the RSUD Cianjur on the Desember to march as many as 296 people. The sample used as many as 75 mother. The sampling technique in this study is the purposive sampling. Data analysis univariate and bivariat use by using the chi square test.Results of the study showed that less than half of knowledgeable good, more than half of them being supportive and more than half of them want to do kangaroo care method. From the test results, there is a relationship between the square of knowledge and attitude of mother with kangaroo care method implementation, so expect on health workers, especially nurses, midwives and perinatologi to continue to provide useful information for mothers about infant care on low birth weight as implementation of kangaroo mother care.

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.

d-Penicillamine and Retinopathy of Prematurity

PEDIATRICS ◽  
1988 ◽  
Vol 82 (6) ◽  
pp. 951-952
Author(s):  
LAJOS LAKATOS
Keyword(s):  
Birth Weight ◽  
Vitamin E ◽  
Low Birth Weight ◽  
Retinopathy Of Prematurity ◽  
Very Low Birth Weight ◽  
Marked Decrease ◽  
Neonatal Period ◽  
Low Birth Weight Infants ◽  
Retrolental Fibroplasia ◽  
Clinical Observations

To the Editor.— The letter to the editor by Johnson et al1 and studies by others regarding vitamin E prophylaxis for retinopathy of prematurity suggest that further research into the prevention of retinopathy of prematurity should not be limited to vitamin E. On the basis of clinical observations we reported that d-penicillamine treatment in the neonatal period was associated with a marked decrease in the incidence of severe retrolental fibroplasia among the very low birth weight infants.2

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

2019 ◽  
Author(s):  
Xiaohua Xie ◽  
Xueyu Chen ◽  
Panpan Sun ◽  
Aifen Cao ◽  
Yanzhu Zhuang ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Supplemental Oxygen ◽  
Kangaroo Mother Care ◽  
Extremely Low Birth Weight ◽  
Positive Pressure ◽  
Low Birth Weight Infants ◽  
Cpap Ventilation ◽  
Objective Evidence ◽  
Tertiary Center

Abstract Objective Evidence on the safety and influence of kangaroo mother care (KMC) in extremely low birth weight infants (ELBWIs) on ventilation is lacking. Study Design This is a retrospective cohort study performed in 145 ELBWIs on noninvasive mechanical ventilation from a tertiary center. Results The duration of nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (CPAP) ventilation was significantly shorter in infants with KMC compared with infants without (21 vs. 13.5 days, p = 0.001 and 29.5 days vs. 20.5 days, p = 0.001, respectively). The frequency of apnea during hospital stay was fewer in KMC infants, compared with no KMC (23 vs. 20 times, p = 0.002). Multiple linear regression analysis showed that KMC was an independent protective factor for shortening nIPPV/CPAP duration (β = −9.90, 95% confidence interval [CI] [−13.20, −6.60], p < 0.001), total supplemental oxygen support (β = −10.52, 95% CI [−16.73, −4.30], p = 0.001), and reducing times of apneas (β = −5.88, 95% CI [−8.56, −3.21], p < 0.001). Conclusion KMC benefits ELBWIs by shortening nIPPV/CPAP ventilation duration and total supplemental oxygen support, and reducing the frequency of apneas.

scholarly journals Penurunan Kecemasan Ibu dan Perbaikan Status Bangun-Tidur BBLR melalui Perawatan Metode Kanguru

2011 ◽  
Vol 14 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Qori’Ila Saidah ◽  
Yeni Rustina ◽  
Nani Nurhaeni
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Kangaroo Mother Care ◽  
Maternal Anxiety ◽  
Friedman Test ◽  
Low Birth Weight Infants ◽  
Kangaroo Care ◽  
Consecutive Sampling ◽  
Significant Difference ◽  
Wake State

AbstrakKondisi klinis dan perawatan di ruang rawat intensif pada Bayi Berat Lahir Rendah (BBLR) mempengaruhi status banguntidurnyadan menyebabkan kecemasan pada ibu. Tujuan penelitian ini mengidentifikasi pengaruh perawatan metode kanguruterhadap kecemasan ibu dan status bangun-tidur BBLR. Rancangan penelitian one group pretest posttest design dengan sampel16 ibu dan BBLR di sebuah rumah sakit Surabaya secara consecutive sampling. Kecemasan ibu diukur dengan PSS: NICU danstatus bangun tidur dengan modifikasi skala Brazelton oleh Priya. Hasil analisis uji statistik menggunakan Wilcoxon Sign RankTest dan uji Friedman menunjukkan ada perbedaan bermakna (p= 0,000; α= 0,05). PMK mempunyai pengaruh signifikanterhadap perubahan kecemasan ibu dan status bangun-tidur BBLR. Tenaga kesehatan disarankan mengembangkan PMK untukpeningkatan status kesehatan ibu, juga tumbuh kembang bayi yang optimal.Kata kunci: kecemasan ibu, perawatan metode kangguru, status bangun-tidur BBLR.AbstractClinical condition and treatment at Low Birth Weight Infants (LBW) in the intensive care unit affects sleep-wake status andcauses anxiety for the mother. The aims of this study is to identify the influence of methods of kangaroo care on maternalanxiety and sleep-wake status of LBW. The design of this study was one group pretest posttest design with sample of 16 mothersand low birth weight in a hospital in Surabaya by consecutive sampling. Maternal anxiety was measured with the PSS: NICUand sleep-wake status with Brazelton scale modified by Priya. The result of statistical analysis test using Wilcoxon Sign RankTest and Friedman test showed there are significant difference (p= 0.000; α= 0.05). KMC has a significant influence onchanges in maternal anxiety and sleep-wake status of LBW. Health care provider are recommended to develop KMC forimprovement of maternal health status, as well as the optimal infant growth and development.Keywords: maternal anxiety, kangaroo mother care, sleep-wake state in low birth weight baby

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.

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