Effect of Kangaroo Mother Care on Heart rate, Respiratory rate and Temperature in Low Birth Weight Babies

Abstract

Background: Kangaroo mother care (KMC) involves skin-to-skin positioning of the infant in an upright position against the mother's chest. The two other components of KMC are frequent and exclusive breastfeeding (where possible) and early discharge from hospital. Aim of present study was to asses effect of kangaroo mother care on heart rate, respiration rate and temperature of low-birth weight preterm newborns admitted in a tertiary care centre of central India. Methods: Low birth weight babies (weighing< 2000 grams) were given kangaroo mother care (KMC) for 30minutes. Pre and post KMC heart rate, respiratory rate and temperature were measured. The evaluations were done once a day, for three consecutive days and the mean values were taken for analysis. The data was statistically analyzed using plus 6.0 statistical software. Student t test was used to find out the statistical difference between two mean SD. Results: Results of the study reveal that changes in heart rate and respiration rate after application of kangaroo care was insignificant (p>0.05) where as kangaroo care is highly effective in maintaining skin temperature (p<0.0005). Conclusion: KMC maintains heart rate, respiratory rate and temperature in a stable preterm low birth weight babies.

Effect of Kangaroo mother care on physiological parameters in low birth weight neonates

“…13,14 Similarly, observational studies by Jain PK and Verma P also found insignificant change RR with KMC. 5,17 These findings are inconsistent with the findings of present study.…”

Effect of Kangaroo Mother Care versus Hammock Positioning on Physiological Indices and Behavioral Organization among Preterm Neonates: A Humanized Nursing Approach

“…As well, placing the neonate in upright position, decreases the compression of the diaphragm, maximizes ventilation and perfusion resulting in improved respiratory function. (39) The current study results are consistent with Mohamed et al (2013), who concluded that KMC could effectively, and positively promote premature neonates' biological stability than those cared for by conventional care. (40) Similarly, Sarparast et al (2015) reported that respiratory rate was significantly decreased to more stabilized level during KMC.…”

“…Hence, the brain stem shifts from sympathetic control responsible for stress reaction and hyper-alertness to parasympathetic one responsible for relaxation and contentment. (39) Moreover, skin-to-skin contact with mothers is likely to be accompanied by less cry that means less stress, lower levels of cortisol, and more physiological stabilization. As well, placing the neonate in upright position, decreases the compression of the diaphragm, maximizes ventilation and perfusion resulting in improved respiratory function.…”

Postnatal Kangaroo Mother Care Practice at Home and Comparison of Improvement in Vital Parameters in Low-Birth-Weight Babies In-Home Setup and Non-Teaching Hospital Setup in Rural Coal Mines Area Jharkhand, India: A Community-Based Prospective Observational Study

“…We could not nd any study which was done on residents of mothers or attendees (at home) and in secondary care with level 1 NICU facility, coal mines hospital. But we found similar types of studies done in tertiary care hospitals by Pramila Verma et al and they concluded that after KMC there was a mean rise in temperature from 96.69 ± 2.45°F to 98.07 ± 0.41°F which was statistically signi cant (p = < 0.001) [11]. Ludington-Hue SM et al observed in their randomized controlled trial study that after KMC mean temperature remained within clinically acceptable ranges which was statistically signi cant [12].…”