Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) in Chandigarh, India

Parmar, Veena R.; Kumar, Ajay; Kaur, Rupinder; Parmar, Siddharth; Kaur, Dilpreet; Basu, Srikant; Jain, Suksham; Narula, Sunny

doi:10.1007/s12098-009-0024-2

Cited by 63 publications

(43 citation statements)

References 15 publications

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“…This was similar with Odisha, Gujarat and Maharashtra findings [15]. However, the finding was lower than 96% acceptance of KMC by Indian mothers [20], 87.1% mothers who had favourable opinion towards the practice of KMC in Ghana; and 96.6% of mothers feel positive in Cape Town [21].…”

Section: Discussionsupporting

confidence: 80%

Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia

Roba¹,

Binoy²,

Naganuri³

2017

J Neonatal Biol

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Introduction: Globally, babies born with low birth weight and preterm accounts for 25 million and 15 million respectively. The magnitude of preterm and low birth weight was 29.1% in Ethiopia by 2011. Around 70% neonatal deaths occur in low birth weight and preterm babies. Most studies demonstrated kangaroo mother care to be more effective than incubator care for these neonates but there are limited studies in Ethiopia. Therefore, the main aim of the study was to assess the acceptability, knowledge, attitude and practice of kangaroo mother care in public hospitals.

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Section: Discussionsupporting

confidence: 80%

Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia

Roba¹,

Binoy²,

Naganuri³

2017

J Neonatal Biol

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“…From a more applied perspective, results from the present study are consistent with clinical work showing that, in infants, breastfeeding and kangaroo care, which allow proximity and interactions between the infant and the mother, are forms of enrichment that reduce risks of respiratory instability associated mainly with prematurity (5,35,42,51). The mechanisms by which such practices benefit the infant are not well understood, but the results reported here bring us to propose that the interactions between brain stem and hypothalamic mechanisms regulating breathing, the response to stress, and secretion of sexual hormones contribute to these effects.…”

Section: Perspectivessupporting

confidence: 87%

Influence of juvenile housing conditions on the ventilatory, thermoregulatory, and endocrine responses to hypoxia of adult male rats

Fournier

Joseph

Kinkead

2011

Journal of Applied Physiology

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Fournier S, Joseph V, Kinkead R. Influence of juvenile housing conditions on the ventilatory, thermoregulatory, and endocrine responses to hypoxia of adult male rats. J Appl Physiol 111: 516 -523, 2011. First published May 19, 2011 doi:10.1152/japplphysiol.00370.2011.-"Extreme" housing conditions, such as isolation (single housing) or crowding, are stressful for rats, and their deleterious impact on behavior is well documented. To determine whether more subtle variations in housing can affect animal physiology, the present study tested the hypothesis that the hypoxic ventilatory response (HVR) of adult male rats housed in pairs during the juvenile period (postnatal day 21 to adulthood) does not differ from that of animals housed in triads. Because neonatal stress augments the neuroendocrine responsiveness to stress and HVR, experiments were performed both on "control" (undisturbed) animals and rats subjected to neonatal maternal separation (NMS; 3 h/day, postnatal days 3-12). At adulthood, ventilatory activity was measured by whole body plethysmography under normoxic and hypoxic conditions (inspired fraction of O2 ϭ 0.12; 20 min). The ventilatory and body temperature responses to hypoxia of rats raised in triads were less than those of rats housed in pairs. For the HVR, however, the attenuation induced by triad housing was more important in NMS rats. Triad housing decreased "basal" plasma corticosterone, but increased estradiol and testosterone levels. Much like the HVR, housing-related decrease in corticosterone level was greater in NMS than control rats. We conclude that modest changes in housing conditions (pairs vs. triads) during the juvenile period can influence basic homeostatic functions, such as temperature, endocrine, and respiratory regulation. Housing conditions can influence (even eliminate) the manifestations of respiratory plasticity subsequent to deleterious neonatal treatments. Differences in neuroendocrine function likely contribute to these effects. control of breathing; maternal separation; environment; chemoreflex; temperature regulation; hormone IN RATS, HOUSING CONDITIONS from weaning until adulthood have a significant impact on animal development and health. Extreme housing conditions, such as social isolation (single housing) or crowding (ϳ3.0 dm 3 /rat), are stressful to the juvenile animal and promote the emergence of anxiety, depression, and hypertension, and augment stress responsiveness at adulthood (7,36,50). By contrast, enrichment of the animal's environment with group housing, various objects, and larger cages facilitates natural social behaviors and improves animal health by making them more resilient to stressful conditions (31). In most animal care facilities, however, "standard" housing conditions (postweaning) consist of placing multiple animals within the same cage. The actual housing conditions are rarely documented, but a brief survey of the literature reveals important variations between laboratories: some report housing rats four to five per cage (36), whereas others ...

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“…16 The average weight gain of 11.27 gm/kg/day was similar to that reported by M. Anchieta et al 17 Our study demonstrated that delay in initiation of KMC was associated with prolonged NICU stay and higher rates of complications.…”

Section: Discussionsupporting

confidence: 87%

Feasibility and efficacy of early KMC in very low birth weight babies receiving noninvasive respiratory care in NICU: is it the way forward in resource limited setting?

Purushotham

Nagesh

2016

Int J Contemp Pediatr

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Background: Objective of the study was to assess the feasibility and efficacy of early KMC in VLBW babies receiving respiratory care in NICU. Methods: This is a prospective observational study conducted in a Multispecialty hospital with a level 3B NICU. Results: A total of 19 babies on non-invasive respiratory support and partial parenteral nutrition through PICC line were included in the study. Most of the babies (84%) had birth weight of less than 1250 gm. Forty eight percent of the babies were less than 30 weeks of gestation at the time of commencement of KMC. Average weight gain in our study was 11.27gm/kg/day which was comparable to others. KMC was initiated at an average of 7.91 days of age and the average duration was1.69 + 0.6 hour/day. 84.2% of the mothers did KMC for less than 3 hrs per day while 15.8% of them did KMC beyond 3 hrs per day. Of the 19 babies, 17 of them were on High flow nasal canula Oxygen and 13 of them on CPAP during KMC. Only one baby succumbed to NEC during the study. The most common reason for discontinuation of KMC in the study group was lack of confidence in the mother (31%) which was overcome by constant support from the nursing staff and the family members. Conclusions: Kangaroo mother care was found to be a feasible and effective method of care of VLBW babies even while on non-invasive respiratory support in NICU.

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Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) in Chandigarh, India

Abstract: KMC was found to be safe, effective and feasible method of care of LBWI even in the NICU settings. Positive attitudes were observed in mothers, families and HCW.

Cited by 63 publications

References 15 publications

Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia

Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia

Influence of juvenile housing conditions on the ventilatory, thermoregulatory, and endocrine responses to hypoxia of adult male rats

Feasibility and efficacy of early KMC in very low birth weight babies receiving noninvasive respiratory care in NICU: is it the way forward in resource limited setting?

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