Effect of kangaroo method on the risk of hypothermia and duration of birth weight regain in low birth weight infants: A randomized controlled trial

Abstract

Background In Indonesia, the infant mortality rate in 2001 was 50 per 1000 live births, with 34.7% due to perinatal death. This perinatal death was associated with low birth weight (LBW) newborn, which was caused by prematurity, infection, birth asphyxia, hypothermia, and inadequate breast feeding. In developing countries, lack of facilities of LBW infant care leads to the utilization of kangaroo method as care to prevent hypothermia in LBW newborn.Objective To evaluate the differences of hypothermia event andduration of birth weight regain in LBW newborns between earlykangaroo care (EKC) and conventional care (CC).Methods This was an open label randomized controlled trial. The1500-2250 g LBW newborns who were born in Sanglah Hospitalwere randomized to EKC and CC groups.Results Hypothermia events were found more often in CC groupthan EKC group (RR=0.645, 90% CI 0.45 to 0.92, P=0.05). Thisdifference was influenced by breast feeding frequency. Duration of birth weight regain in EKC group (median 5 days (SE=0.31, 90% CI 4.49 to 5.51) was shorter than CC group (median 6 days (SE=0.52, 90% CI 5.15 to 6.85), but this difference wasn't statistically significant (P=0.40). Percentage of birth weight decrease, breastfeeding frequency, and hyperbilirubinemia events that needed phototheraphy were associated with the duration of birth weight increase.Conclusion EKC helps to decrease the incidence of hypothermiaevents, but fails to shorten duration of birth weight increase.Percentage of birth weight decrease, breast-feeding frequency, and hyperbilirunemia events that need phototheraphy are associated with the duration of birth weight increase in LBW newborn.

Kangaroo mother care for clinically unstable neonates weighing ≤2000 g: Is it feasible at a hospital in Uganda?

“…The median age at enrolment was 25.3 hours, and neonates received a median duration of KMC ranging from 4.5 to 9.7 hours per day with a slight upward trend over time. This is comparable to findings from several RCTs, which reported me-dian daily durations of ≥4 to 10 hours with mean/median age at enrolment ranging from <1 to 4.7 days [15,[21][22][23][24]28]. Notably, despite nurse counselling, few neonates achieved the target KMC duration of 18 hours per day (two on day 1 and one on day 3).…”

“…Among 17 RCTs (14 enrolled only clinically stable neonates) comparing KMC with conventional care in low birthweight (LBW, <2500g) neonates aged <15 days, there was significant variability in how clinical stability was defined. Six defined this based on therapies [15][16][17][18][19][20], five on 'hemodynamic stability' [13,[21][22][23][24], and three on specific vital sign parameters [25][26][27], while three provided no definition at all [28][29][30]. Hence codifying stability criteria for KMC is critical.…”

Asuhan bidan dan perawat yang tepat mengurangi risiko kejadian hipotermi pada bayi baru lahir

“…Indonesia belum memiliki data mengenai angka kejadian hipotermi, namun penelitian di Sanglah, Bali oleh Pratiwi et al, (2009) menunjukkan 47% bayi yang tidak dilakukan inisiasi menyusui dini (IMD) mengalami hipotermi dan 27% pada bayi yang dilakukan IMD. Lingkungan, berat badan lahir, usia kehamilan, hipoglikemia, sosial ekonomi serta asuhan petugas merupakan faktor yang mempengaruhi kejadian hipotermi pada bayi baru lahir.…”

Impact of continuous Kangaroo Mother Care initiated immediately after birth (iKMC) on survival of newborns with birth weight between 1.0 to < 1.8 kg: study protocol for a randomized controlled trial

“…Preterm infants have fundamental challenges to maintain thermoregulation and become cold very rapidly after birth and to a great extent this can be prevented by SSC. Evidence shows that KMC reduces mortality, possibly by helping maintenance of better thermoregulation, facilitating the earlier initiation of breastfeeding, reducing the risk of nosocomial infection, reducing the risk of apneic attacks, and promoting bonding of the mother-infant dyad [8][9][10][11][12][13][14][15][16][17][18][19].…”