First Experience of Implementation of Kangaroo Mother Care in Punjab- Pakistan to Reduce Morbidity and Mortality in Preterm Infants

Rasul, Noreen; Rashid, Madeeha; Abbas, Aqeela; Sohail, Rubina

doi:10.21649/akemu.v23i4.2197

Cited by 4 publications

(3 citation statements)

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“…No Efficacy [25]. Other researchers from Pakistan have also proposed strengthening of KMC services in local healthcare settings as it can possibly reduce neonatal morbidity and mortality among preterm infants [26,27].…”

Section: (299%) Efficacymentioning

confidence: 99%

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

Shaikh¹,

Sangi

Raza

et al. 2022

JPRI

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Aim: To assess the efficacy of Kangaroo Mother Care (KMC) among low birth weight neonates at a tertiary care hospital Study Design: A cross-sectional study Place and Duration. The Kangaroo mother care ward, CMC Children Hospital, Larkana from August 2019 to February 2020. Methodology: Total 345 low birth weight patients were included. Newborns were kept in KMC position. Axillary temperature was measured during KMC position. Stratification of study variables was done while post-stratification chi-square test or independent sample student t-test was employed to see the impact of effect modifiers on the outcome (efficacy) considering p-value ≤0.05 as significant. Results: Out of a total of 345 LBW neonates, there were 198 (57.4%) boys and 147 (42.6%) girls. The mean age of neonates was 12.01\(\pm\)7.68 days while majority 177 (51.3%) were aged less than or equal to 10 days. The mean body weight was 1997.22\(\pm\)243.48 grams. The mean gestational age was noted to be 35.35\(\pm\)1.37 weeks. There were 104 (30.1%) neonates who belonged to rural areas while 241 (69.9%) were from urban areas. The mean mother’s temperature was 37.58\(\pm\)0.98 C. The mean room temperature was 33.11\(\pm\)2.59 C. The mean initial temperature was 35.40\(\pm\)0.48 C. The efficacy of KMC was observed to be in 242 (70.1%) cases. Conclusion: The KMC was found to be effective and useful in caring LBW neonates. Further advantages of KMC are low cost, promotion of exclusive breast-feeding and increased mother’s confidence in handling LBW babies.

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Section: (299%) Efficacymentioning

confidence: 99%

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

Shaikh¹,

Sangi

Raza

et al. 2022

JPRI

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“…Multiple studies have proved that KMC is associated with improved rates of breast feeding. According to one study, KMC was associated with 4.1 times increase in breastfeeding rate 24 25. Further studies examining breastfeeding outcomes showed that daily volume of milk for babies managed by KMC was 640 mL vs 400 mL for babies managed in incubators 26.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Kangaroo mother care: need of the day

et al. 2019

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Each year approximately 20 million low birthweight babies are born globally. Prematurity is a leading cause of neonatal mortality in developing countries and results in 60%–80% of neonatal deaths. Neonatal mortality is the major contributor to under-5 mortality. According to Pakistan Demographic and Health Survey 2017–2018, neonatal mortality in Pakistan is 42 per 1000 live births and under-5 mortality is 74 per 1000 live births. One out of every 22 newborns dies in Pakistan, which is an alarming figure. Majority of these deaths are preventable. They can be prevented by well-trained midwives, safe delivery, early initiation of breast feeding within an hour after birth and skin-to-skin contact. Pakistan is among the top 10 countries with the highest number of preterm births and with limited resources to manage the burden. Kangaroo mother care (KMC) is a safe and economical alternative to provide preterm care in developing countries. In babies at gestational age less than 37 weeks or with neonatal weight less than 2.5 kg, skin-to-skin contact prevents hypothermia and infection. Neonatal mortality and morbidity can be reduced by providing preterm care through KMC. This case report is of a preterm baby who was delivered at 33 weeks of gestation with a weight of 1.3 kg and was saved by KMC in the paediatric department of Services Hospital in Lahore.

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“…10 Local data from Lahore found KMC to result in decline in morbidity and mortality rates among neonates during NICU stay. 11 Conventional care of LBW neonates is costly and require skilled support and logistic assistance whereas interventions like KMC are not widely used at all healthcare settings. Limited literature is available showing effectiveness of KMC at NICU settings so the present study was aimed at finding out the outcome of intermittent KMC in terms of weight-gain among low birth weight neonates in NICU.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

Jamil¹,

Rehman²,

Shahman³

et al. 2021

PJMHS

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Objective: To find out the outcome of intermittent Kangaroo Mother Care KMC) in terms of weight-gain among low birth weight (LBW) neonates in Neonatal Intensive Care Unit (NICU). Study Design: A randomized controlled trial. Place and Duration of the Study: This study was conducted at Department of Pediatrics Gulab Devi Hospital, Lahore from March 2020 to February 2021. Methodology: A total of 226 (113 KMC Group and 113 controls) neonates of both genders with birth weight between 1500 grams to 2499 grams admitted to NICU with their mothers available for KMC application were enrolled. KMC Groups received KMC whereas controls were given conventional care. KMC was started from 8th post-natal day and a separate block of NICU was dedicated for the implementation of KMC. Body weight of all the neonates was measured from day-zero (8th post-natal day) up to day-7 (15th post-natal day). Results: Out of a total of 226 neonates, 121 (53.5%) were boys and 105 (46.5%) girls, Overall, mean gestational age was calculated to be 34.8±2.6 weeks. Most frequent main diagnosis at the time of admission was pneumonia, 64 (28.3%) neonates. Mean body weight was significantly increased among neonates of KMC Group in comparison to control at day-4, day-6 and day-7 (p<0.05). Total weight gain from day-0 to day-7 was found to be 0.24±0.1 kg in KMC groups and 0.15±0.1 kg among controls (p<0.0001). Mean duration of hospital stay was noted to be 17.5±2.9 days in KMC Group versus 20.7±3.4 days among controls (p<0.0001). Conclusion: In comparison to conventional care, intermittent KMC was found to significantly more effective in terms of improvement in weight gain and reduction in duration of hospitalization. Keywords: Exclusive breast-feeding, Kangaroo mother care, neonatal intensive care unit, pneumonia.

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First Experience of Implementation of Kangaroo Mother Care in Punjab- Pakistan to Reduce Morbidity and Mortality in Preterm Infants

Cited by 4 publications

References 0 publications

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

Efficacy of Kangaroo Mother Care among Low Birth Weight Newborns at a Tertiary Care Hospital: A Cross-Sectional Study

Kangaroo mother care: need of the day

Outcome of Intermittent Kangaroo Mother Care in Neonatal Intensive Care Unit

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