Effectiveness of Kangaroo Care on Temperature and Weight Gain in Low Birth Weight Babies of Post Natal Mothers at Selected Hospitals in Madurai, Tamil Nadu

Author(s):  
M. Sathyakala
2020 ◽  
Vol 14 (1) ◽  
pp. 1-6
Author(s):  
Vinodkumar Mugada ◽  
Raj Kiran Kolakota ◽  
Abhilasha Sakalabathula ◽  
Bindu Pavani Kola

Background: Low birth weight is an alarming problem in developing countries and has severe future complications. Aim of the study: Our study aimed to compare the risk factors among mothers with low and normal birth weight babies. Materials and Methods: A cross-sectional study was carried out on 1000 mothers with normal and low birth weight babies (500 per group) over two years. Maternal parameters including age, hemoglobin levels, gravida, maternal weight gain, height, pregnancy-induced hypertension, etc., were collected along with anthropometric data of the child. We compared risk factors among the low and normal birth weight babies using the chi-square test, determining statistical significance at p<0.05, and high statistical significance at p<0.01. Results: Highly statistically significant associations were observed between low birth weight and seven variables: maternal age (p=0.0074), maternal height (p<0.0001), weight (p<0.0001), weight gain (p<0.0001), hemoglobin (p<0.0001), severe anemia (p<0.0001), and pregnancy-induced hypertension (p<0.0001). Conclusion: Our study observed significant modifiable risk factors like weight gain, weight, hemoglobin, and anemia among mothers with low birth weight babies. If we focus on raising awareness surrounding these risk factors, there may be an improvement in the birth weight of babies in this population.


2019 ◽  
Vol 1 (2) ◽  
pp. 6-9
Author(s):  
Ika Nur Sapurtri ◽  
Dwi Handayani ◽  
Maharani Nazmi Nasution

Babies with low birth weight have a temperature that is unstable and prone to hypothermia (temperature <36,5ºC). Cold stress can increase mortality and hamper growth. The warmth of the mother's body or a known method of kangaroo care proved to be an effective heat source for infants born at term or low birth weight. This study aims to determine whether there is influence kangaroo care method to your body temperature low birth weight infants. This type of research is pre experiment with models (one group pre-post test design). The population of this research is all low birth weight babies. Sampling techniques in use purposive sampling, that the sampling technique was based on sample criteria specified by the researchers themselves. In this case the samples found as many as 22 people. Data analysis using paired sample t-test with a level of 95%. The results of this study gained an average prior to 34.7 kangaroo care method, after doing kangaroo care method 36.9. The mean before and after kangaroo care method 2.2273. Based on the analysis results showed pvalue (0.004) <α (0.05), It can be concluded no treatment effect kangaroo method to your body temperature low birth weight infants. Recommendations from this research is the kangaroo care method can be used as one LBW care that can be done by the mothers in raising and maintaining body temperature.


2015 ◽  
Vol 55 (3) ◽  
pp. 142 ◽  
Author(s):  
Rina Pratiwi ◽  
Muhammad Sholeh Kosim ◽  
Noor Wijayahadi

Background Low birth weight (LBW) is closely related to neonatal morbidity and mortality. Management of LBW infants in developing countries remains limited, due to the low availability of incubators. The Kangaroo Mother Care (KMC) method has been shown to be effective for newborns, especially LBW infants, in which skin-to-skin contact may be conducive for infants’ weight gain, thermoregulation, and heart rate stability.Objective To determine the prognostic factors for KMC success in LBW babies.Methods This cohort study included LBW infants at Dr. Kariadi General Government Hospital, Semarang, by a consecutive sampling method. Success of KMC was assessed by infant weight gain, as well as stabilization of temperature, heart rate, and respiration. Prognostic factors for KMC success that we assessed were birth weight, gestational age, KMC duration, age at KMC onset and maternal education level. Statistical analyses used were Chi-square and relative risk (RR) tests.Results Of 40 LBW infants, 24 were successful in KMC. Birth weight ≥ 1500 grams (RR 0.4; 95%CI 0.23 to 0.73; P=0.001)], gestational age ≥ 34 weeks (RR 0.94; 95%CI 0.46 to 1.89; P=1.00), KMC duration ≥ 65 minutes (RR 1.44; 95%CI 0.76 to 2.75; P= 0.215), high maternal education level (RR 1.25; 95%CI 0.76 to 2.04; P=0.408), and age at KMC onset >10 days (RR 2.69; 95%CI 1.14 to 6.32; P=0.003), were factors that related to the successful of KMC.Conclusion Age at KMC onset > 10 days was a prognostic factor for KMC success in low birth weight babies.


2019 ◽  
Vol 6 (6) ◽  
pp. 2374 ◽  
Author(s):  
Naresh P. Motwani ◽  
Ankit Jain ◽  
Sudhakar C.

Background: Maternal undernutrition is a known to be a major factor contributing to adverse pregnancy outcomes. Gestational weight gain and young maternal age at childbearing years is associated with an increased risk low birth weight babies and infant mortality.Methods: Prospective observational study carried out in the post-natal ward of a tertiary care hospital (CM hospital) in a semi-urban area over a period of 1 year in between March 2018 and March 2019. Total 150 mothers who satisfied the inclusion criteria were enrolled. Age of the mothers was noted and were divided into 5 groups. Last known pre-pregnancy weight was recorded on re-call basis, recorded data on first visit during first month of pregnancy and again they were weighed in the third trimester at the time of admission using standard electronic weight machine. Data collected were entered in Microsoft Excel Work sheet 2018 which was imported to SPSS (version16) for data analysis. Quantitative data has been analysed by Mean, Standard deviation, T test and Karl Pearson correlation.Results: Mean birth weight among young age  mother (<20 years) was 2068 g (95%CI,±223.99) which was significantly lower than mean birth weight of 20-30 year old mother (271.19 g±95%CI, 437.02) and >30 year old mother (2932.78, 95%CI±429.99). With increase in gestational weight gain there was a corresponding increase in mean birth weight and this increase was statistically significant (r=0.435, p=<0.001).Conclusions: Maternal age and gestational weight gain had significant impact on new-born anthropometry. Young age (<20yrs) and decreased gestational weight gain is associated with increased number of low birth weight babies.


2019 ◽  
Vol 6 (5) ◽  
pp. 1943
Author(s):  
Vijayalaxmi Gagandeep ◽  
Chaithra R. ◽  
Febina K.

Background: Kangaroo Mother Care (KMC)  is an alternative to conventional neonatal care for low birth weight (LBW)  babies  in low resource settings, this study is to evaluate the correlation between the duration of KMC given and average weight gain per day in low birth weight babiesMethod: It is an observational study, 106 low birth weight babies who were less than 1.8 kg, hemodynamically stable, accepting either direct breast feed or gavage feed were included in the study, duration of KMC given per day and weight was recorded daily until discharge. Babies were monitored for complications, if any  babies were withdrawn from the study , necessary intervention was done. Average weight gain per day in these babies was estimated and correlated with the average duration of KMC.Results: Out of 120 eligible children 106 were selected for study of which 57 were male and 49 were female, 42 were  less than 1.2 kg, 37 were between 1.21 kg to 1.5 kg and 27 were between 1.51 kg to 1.8 kg, there was statistically significant moderate correlation with Pearson r=0.6281 with p value <0.00001 and mean average weight gain was 5.27 in less than  6 hr  to 8 hr, 9.08 in 8 hr to 10 hr, 11.87 in greater than 10 hrs of KMCConclusion: The weight gain was found to increase with duration of KMC practice. hence authors recommend to increase the duration of KMC per day for the good average weight gain per day.


2018 ◽  
Vol 5 (2) ◽  
pp. 353
Author(s):  
Ganesh K. Verma ◽  
Amitesh Yadav

Background: Poor weight gain and postnatal growth of VLBW neonates continues to be a major problem. Breast feeding with HMF fortification show positive effect on growth. Main objective is to study the weight gain pattern in very low birth weight babies supplemented with HMF.Methods: This is an observational study conducted in NICU, Department of Pediatrics, U.P. Rural Institute of Medical Sciences and research Saifai, India between January 2015- June 2016 for assessing the weight gain pattern in VLBW neonates supplemented with HMF.Results: Maximum number of babies supplemented with HMF achieved the targeted weight in 8-14 days (32.2%) followed by those who attained this weight within 15-21 days (30%), 22-28 days (21.1%), <7 days (13.3%) and >28 days (3.3%) respectively. Mean time taken to achieve the targeted weight was 16.69±7.19 days.Conclusions: We concluded that the supplementation with HMF, can result in a significant increase in growth. We demonstrated that fortification of human milk, with HMF did not cause any measured adverse effects in VLBW neonates. 


1970 ◽  
Vol 32 (3) ◽  
pp. 39-42
Author(s):  
SD Singh ◽  
S Shrestha ◽  
SB Marahatta

Introduction: WHO defines low birth weight (LBW) as a birth weight less than 2500 grams. Almost a third of the newborn in South East Asia Region is a low birth weight baby. Many risk factors contributing to LBW have been recognized, which in order of importance are low maternal weight, low maternal hemoglobin, low maternal height, primi-parity, adolescent mother and poor or inadequate maternal nutrition during pregnancy. Low birth weight babies have a higher risk of morbidity and mortality than an infant of normal birth weight. The present study was carried out to explore the associated risk factors of low birth weight which will be beneficial to undertake effective measures to reduce the burden of the low birth weight. Methods: This was a hospital based case control study conducted in Dhulikhel hospital, Kavre, Nepal from Jan 1st 2008 to 30th May 2010. A total of 401 cases and an equal number of age matched controls were taken to assess the different risk factors of the mother for LBW babies. Ethical approval for the study was taken from KUSMS-Institutional research committee. Data analysis was done using SPSS version 10.0. Results: Data of 401 LBW and equal number of normal birth weight babies were analyzed. The incidence of LBW in this study was 11.07%. LBW was more common in female (n=236) than in male (n=165) babies. However this difference was statistically insignificant. Among the case and the control group, maternal hemoglobin (p<0.001), maternal height (p<0.001), maternal weight gain (p<0.0001), number of ANC visits (p<0.0001) were statistically significant. However with regards to ethnicity, nutrition during pregnancy, parity and age of the mother the association were insignificant. Ethnical group, nutrition during pregnancy, age of mother and parity was found to be statically insignificant for LBW Conclusions: LBW is a common problem of the developing world, which is an important factor for perinatal mortality and morbidity. Maternal height, hemoglobin, total weight gain and ANC visit were found to be the significant risk factors contributing to LBW DOI: http://dx.doi.org/10.3126/joim.v32i3.4959 Journal of Institute of Medicine, December, 2010; 32:3 39-42


2019 ◽  
Vol 6 (2) ◽  
pp. 482
Author(s):  
Raghul Jayaseelan ◽  
Chidambaranathan Sivaprakasam ◽  
Logesvar Palanisamy

Background: Low birth weight babies is the result of being small for gestational age (i.e. under 10th percentile of the reference population) and preterm (i.e. before 37 weeks of gestation. Preterm infants have higher protein, calorie requirement, which cannot be met with unfortified breast milk feeds.Methods: This study was conducted prospectively in the Department of Pediatrics, Rajah Muthiah Medical College and Hospital, Chidambaram from October 2016 to April 2018. 20 low birth weight babies were selected by randomization technique and they were administered with 2 grams of oral colostrum fortified lactoferrin daily for 4 weeks. The rate of weight gain, length gain and head circumference gain were assessed prospectively for a period of 4 weeks. They were analysed statistically by ANOVA and tabulated. Babies weighing less than 2.5 kg and on exclusive breast feeding, were included. Babies more than 2.5kg and less than 1kg, at risk for neonatal sepsis, congenital heart disease, necrotizing enterocolitis were excluded from the study.Results: In the present study, 20 low birth weight babies were included. 11 maternal risk factors were identified. Out of which anemia stands as a single risk factor. The rate of weight gain in oral colostrum fortified lactoferrin, is 320 grams with P value of 0.703 which is not statistically significant. The rate of length gain is 3.3cm, p value is 0.093 which is statistically insignificant. The rate of head circumference gain in oral colostrum fortified lactoferrin is 2.8cm, with the p-value of 0.001 which is statistically significant.Conclusions: The rate of weight and length gain was normal, but the rate of head circumference gain is significantly increased in oral colostrum fortified lactoferrin supplementation.


Author(s):  
Revanasiddappa Bhosgi ◽  
Kirankumar Harwalkar

Background: Nutrition in very low birth weight babies is most important factor in early improvement of neonate. It also decides duration of stay in intensive care unit. Objectives of the current study were to initiate required full enteral feed at the earliest and to know the outcome of such neonates.Methods: It is a hospital based retrospective study conducted from October 2019 to December 2019 in Gulbarga institute of medical sciences, Kalaburagi. 40 clinically stable VLBW neonates on day 1 started on enteral feeding are included in the study. Babies with birth weight more than 1.5 kgs or less than 1 kg, hemodynamically unstable at start of feeds are excluded from the study. Collected data is analysed by SPSS 17.Results: Total 40 VLBW babies were included in the study. Among them, 28 neonates tolerated feeds, were improved & discharged early with an average duration of stay of 16days with early birth weight gain by 14 days. 10 neonates had feed intolerance with signs of Necrotizing enterocolitis during course of treatment, were improved and discharged with an average duration of stay of 22 days. Mortality was seen in 2 neonates due to associated sepsis.  Conclusions: Initiation of full enteral feeds in stable VLBW babies is effective mode for improvement, weight gain and early discharge from hospital.


Sign in / Sign up

Export Citation Format

Share Document