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 Effects of Intermittent Kangaroo Mother Care in Preterm Low Birth Weight Babies: A Randomized Controlled Trial

2021 ◽  
Vol 36 (2) ◽  
pp. 107-113
Author(s):  
Nishat Jahan ◽  
Md Mahbubul Hoque ◽  
MAK Azad Chowdhury
Keyword(s):  
Randomized Controlled Trial ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Controlled Trial ◽  
Kangaroo Mother Care ◽  
Conventional Care ◽  
Care Group ◽  
Randomized Controlled ◽  
Low Birth Weight Babies

Background: Prematurity is the largest cause of neonatal mortality. They need incubators or radiant warmers which are expensive and very difficult to arrange in a resource constraint country. Kangaroo mother care (KMC) had been proposed as an alternative to conventional neonatal care for low birthweight (LBW) babies. Objectives: To observe the benefits of Kangaroo mother care in preterm low birth weight babies. Methods: This randomized controlled trial was conducted over 6 months in Dhaka Shishu Hospital. Neonates who were <1800 gm and hemodynamically stable were enrolled. Total 80 neonates were enrolled and divided into 2 groups: Kangaroo mother care group and conventional method care group (incubator/warmer). The mother or caregiver were taught for KMC, supervised by trained nurses round the clock. KMC was given at least 2 hours at a time and at least 12 hours in a day. When the baby was not in KMC at that time the baby was placed in cot with adequate coverings. During hospital stay both the groups were monitored. Results: In KMC group 25% and conventional care group 40% neonates became hypothermic. Among the study population 35% neonates in KMC and 65% neonates in conventional care groups developed sepsis (p= 0.007). More KMC babies were exclusively breastfed at the end of the study (95% vs 60%). The KMC babies had shown better growth: weight gain per day (18.35±7.81 grams vs 13.55±4.89 p<0.001) and length (0.99±0.70 vs 0.71±0.44 cm, p = 0.03). KMC babies were discharged earlier than conventional care baby. Conclusion: KMC provides significant improvement in exclusive breast feeding, reduction of infection, decrease hospital stay and gaining weight of the babies. It also helps in maintaining temperature better than conventional care. DS (Child) H J 2020; 36(2): 107-113

scholarly journals Effect of Continuous versus Intermittent Kangaroo Mother Care on Weight Gain and Duration of Hospital Stay among Low-Birth-Weight Admitted at a Level II NICU: A Randomized Control Trial

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Janelle Margaux M. Logronio ◽  
Maria Esterlita T. Villanueva-Uy ◽  
Socorro De Leon-Mendoza
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Neonatal Intensive Care ◽  
Improve Patient Care ◽  
Kangaroo Mother Care ◽  
Average Weight ◽  
Exact Test ◽  
Duration Of Hospital Stay

Background. The Neonatal Intensive Care Unit (NICU) admission at the Philippine General Hospital (PGH) exceeds total bed capacity. Decreasing admissions to the NICU would prevent overcrowding of patients, improve patient care, reduce hospital stay, and reduce predisposition to hospital-acquired infections. Objective. To determine the effect of continuous versus intermittent Kangaroo Mother Care (KMC) on weight gain and duration of hospital stay among low birth weight (LBW) neonates weighing 1,800 - 2,220 grams. Methods. Forty-six (46) stable LBW were randomized to either continuous (≥12 hours in the maternity ward) or intermittent (≤6 hours in the NICU step-down unit) KMC groups. Daily weight and weekly length, head and chest circumference until discharge, and duration of hospital stay were measured. Data were analyzed using the Mann-Whitney U-test and Fisher's exact test. Results. Infants in continuous KMC had an average weight gain of 50 grams/day (p=0.509) and had an average duration of hospital stay of 3 days (p=0.218). Results were not statistically different from intermittent KMC. Conclusion. There was no evidence to show that weight gain and duration of hospital stay among infants in continuous KMC were significantly different from those in the intermittent KMC group.

scholarly journals Probiotic Supplementation and Its Effect on Weight and Feed tolerance in Preterm Low Birth Weight Newborns: A Clinical Trial

2017 ◽  
Vol 39 (2) ◽  
pp. 82-87
Author(s):  
Sadeka Choudhury Moni ◽  
MA Mannan ◽  
Sanjoy Kumer Dey ◽  
Arjun Chandra Dey ◽  
Debashish Saha ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Weight Gain ◽  
Birth Weight ◽  
Breast Milk ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Neonatal Intensive Care ◽  
Control Group ◽  
Probiotic Supplementation ◽  
Expressed Breast Milk

Background: Establishment of full enteral feed is a major challenge in the care of preterm low birth weight (LBW) neonates. Probiotics are live microbial supplements that colonize preterm bowel with favourable flora, improve tolerance to feed and promotes growth of these premies.Objective: To determine the effect of probiotic supplementation on feed tolerance, postnatal weight gain, duration of hospital stay in preterm low birth weight babies.Methods : This prospective clinical trial was conducted in the Neonatal Intensive Care Unit (NICU), Bangabandhu Sheikh Mujib Medical University, (BSMMU) from February, 2012 to November, 2012. A total of 65 preterm, low birth weight ( LBW) newborns were included in this study. A multistrain probiotic suspension was given once daily to the infants in probiotic group along with expressed breast milk (EBM) through the nasogastric tube/ dropper from the first day of feed which was continued till attainment of full feed. Those in controls received only expressed breast milk. Weight, feed volume increment, features of intolerance were followed up daily. Relevant investigations were done whenever indicated.Results: The mean time to reach full enteral feed in probiotic and control group was 13.71±3.4 vs 16.53±6.13; p<0.05. But weight gain was not affected by supplementation. Hospital stay was shorter in supplemented group.Conclusion: Probiotic supplementation in preterm low birth weight babies improves feed tolerance and decreases hospital stay but does not affect weight gain.Bangladesh J Child Health 2015; VOL 39 (2) :82-87

scholarly journals Comparison between Kangaroo Mother Care with Standard Care in Preterm Neonate Management

2019 ◽  
Vol 47 (3) ◽  
pp. 1-8
Author(s):  
Rumpa Mani Chowdhury ◽  
Mohammod Sahidullah ◽  
Md Abdul Mannan ◽  
MA Azad Chowdhury ◽  
Bidhan Chandra Biswas ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Gestational Age ◽  
Standard Care ◽  
Thermal Control ◽  
Kangaroo Mother Care ◽  
Care Group ◽  
Group I ◽  
Group Ii

Preterm low birth weight (LBW) babies are unable to control their body temperature and are at greater risk of illness. Kangaroo Mother Care (KMC) is special ways of caring for low birth weight babies. KMC provide thermal care through continuous skin to skin contact, support for exclusive breast feeding and early recognition and response to complication. The aim of the study is to assess thermal control, morbidities feeding pattern of baby getting KMC in comparison to conventional care. The study also give estimation about duration and cost during hospital stay and growth between the babies of two groups. This Randomized Controlled Trial was conducted in the Department of Neonatology, BSMMU, Dhaka from December 2012 to October 2013. Fifty neonate with birth weight 1250 to 1800 gm, gestational age >30 weeks to <37 weeks, Hemodynamically stable after birth were selected. Twenty five of them were randomly allocated to KMC(Group-I) and 25 of them to Standard Method Care (Group-II). The mother or care giver provided KMC at least 12hours/day in Group-I. Those in Group-II were managed under radiant warmer. During hospital stay both the groups were monitored and after discharge, the neonates were followed weekly till 40 weeks of corrected gestational age. There were no differences in birth weight, gestational age, number of male/female neonates, places of delivery and mode of delivery between two groups. During hospital stay hypothermia (Group-I 4% vs Group-II 24%) and hyperthermia (Group I 8% vs Group II 32%) were significantly low in KMC group. Late onset neonatal sepsis (LONS) developed significantly in Group-II. Though incidence of culture negative LONS did not differ in two groups but incidence of blood culture positive LONS was significantly high in standard care neonates (36% vs.0%; p=0.001). Neonates with KMC care required significantly shorter time to reach full feeding and to start direct breast feeding; also incidence of feeding intolerance was significantly lower in this group. After initial loss, weight gain started earlier as well as achieved the birth weight earlier in KMC group. Morbidities like hyperglycaemia and apnoea were significantly higher in standard care group. Neonates who received standard care stayed significantly longer in the hospital and total cost during hospital stay was also significantly higher in this group. At 40 weeks corrected gestational age, KMC infants showed significantly higher daily weight gain than standard care group. This study concluded that Kangaroo Mother Care provides effective thermal control, decreases the incidence of sepsis, improves feed tolerance, helps to achieving full enteral feeding and birth weight earlier in preterm LBW neonates. KMC enhances growth during postnatal period. KMC also found to reduce hospital stay and treatment cost. Proper implementation of KMC for the management of preterm  low birth weight babies is safe and effective care. Bangladesh Med J. 2018 Jan; 47 (3): 1-8

scholarly journals Effect of Kangaroo Mother Care plus Touch Therapy versus Kangaroo Mother Care Alone on the Low-Birth-Weight Infant’s Growth and Physiologic Responses: Randomized Controlled Trial

2021 ◽  
Vol 55 (9) ◽  
Author(s):  
Rocamia F. Rasalan-Fermin ◽  
Lourdes Imperial ◽  
Fay S. De Ocampo
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Controlled Trial ◽  
Kangaroo Mother Care ◽  
Touch Therapy ◽  
Physiologic Parameters ◽  
Therapy Sessions ◽  
Physiologic Responses

Background. Kangaroo Mother Care (KMC) has facilitated infant growth and decreased morbidities and hospital stay. Adding touch therapy (TT) may potentiate the KMC benefits. Objective. To compare the effectiveness of KMC+TT versus KMC alone in improving anthropometric and physiologic parameters and decreasing morbidities and hospital stay in low birth weight (LBW) infants. Methods. Stable LBW infants (<2000 g) admitted in the KMC ward were randomized to either intervention (KMC+TT) or control (KMC only) group. The KMC+TT group underwent thrice daily touch therapy sessions until discharge. Results. A total of 50 infants were included in the study. Baseline characteristics between the two groups were comparable. There was a significant increase in weight gain (grams/kg/day) in the KMC+TT group compared to KMC only. Physiologic parameters like heart rate, respiratory rate, and temperature were significantly better in the KMC+TT group. More infants in the KMC only group were transferred to NICU care, while more KMC+TT infants went home against advice. Hospital stay was similar between the two groups. Conclusion. Touch therapy added to KMC is more effective than KMC alone in improving weight gain and physiologic parameters. It is associated with lower morbidities, although it did not affect the hospital stay.

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

2020 ◽  
Vol 8 (5) ◽  
pp. 1702
Author(s):  
Nunik Yuli Astuti ◽  
Regina Vidya Trias Novita
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vital Signs ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Skin Contact ◽  
Before And After ◽  
Duration Of Hospitalization ◽  
Quasi Experimental ◽  
The Stability

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.

scholarly journals Effect of kangaroo mother care on the growth and morbidity pattern of low birth weight infants: a hospital based cross sectional study

2020 ◽  
Vol 7 (4) ◽  
pp. 728
Author(s):  
Shanthi Ramesh ◽  
S. Sundari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Kangaroo Mother Care ◽  
Conventional Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Birth Weight Babies

Background: Kangaroo mother care provides Low birth weight babies with warmth, protection from infection and increases the success of breast feeding. Babies who had received KMC care were found to have better neurologic outcome. The aim of the study is to compare the outcome of Kangaroo mother care and conventional method of care among Low birth weight babies in terms of growth and reduction of morbidities such as length of hospital stay, hypothermia and hypoglycemia.Methods: This cross-sectional study included 48 neonates with a birth weight of <2000 grams. Out of them 24 babies received KMC and the other 24 babies were given conventional care with a radiant warmer. The weight gain, length of hospital stay, occurrence of hypothermia and hypoglycaemia were monitored for all babies till discharge.Results: Babies who received KMC had a better weight gain (21.11±2.8 grams/day) versus (15.61±2.6 grams/day) those who received conventional care, and this was found to be statistically significant (p=0.001). Kangaroo mother care provided a statistically significant reduction in the risk of having hypothermia (p=0.03) and hypoglycemia (p=0.04). The babies who received Kangaroo mother care had a shorter length of hospital stay and this was found to be statistically significant (p=0.03).Conclusions: Kangaroo mother care improved the growth and reduced the problems of low birth weight babies such as hypothermia, hypoglycaemia and prolonged hospital stay. Hence, it should be recommended in the care of all these high-risk neonates.

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 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

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