Implementation of Kangaroo Mother care for low birth weight babies: supportive factors and barriers perceived by mothers

Mekle, Dinesh; Patil, R. B.; Jha, Pratibha

doi:10.17511/ijpr.2018.i02.08

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…Heidarzadeh M et al in a study in Iran [13] showed that the duration of KMC was at least 1-3 h which was repeated at least three times a day. Another study by Mekle D et al [14] in India revealed that >1 h KMC was practiced per sitting in 56% studied newborns (n=50) and >4 h/day KMC was practiced in 14% which was similar to our study result where the mean duration of KMC was 2.3 h per shift and 7 h/day(n=50).…”

Section: Discussionsupporting

confidence: 90%

Implementation and Outcome of Intermittent KMCExperience at a Secondary Level Hospital in Banglades

Haque¹,

Parna²,

Holy³

et al. 2020

AREM

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The term Kangaroo mother care (KMC) is derived from the practical similarities to marsupial care giving -mother acts as an incubator as kangaroo and put low birth infant vertically in between the chest. It is an effective way to meet baby's needs for warmth, breastfeeding, protection from infection, stimulation, safety and love. Objective: The general objectives were to see the implementation challenges and outcome of intermittent KMC at a secondary level district hospital. The specific objectives were to observe the nature of family participation, practice pattern of intermittent KMC, length of hospital stay, effect on weight gain, mortality and problem experienced by the newborns and mothers/caregivers during KMC practice. Materials & Methods: This was an observational study for three months at 250 Bedded District Hospital, Moulvibazar, Bangladesh involving 50 preterm (gestational age <37 week) & low birth weight (<2000 g) newborns and their mothers/caregivers. Participants were included and KMC was initiated in stable newborns according to the national KMC guideline. Information related to the study objectives were obtained from examination and interview and the findings were recorded during the hospital stay and follow up visits in a pre-structured data collection sheet. Results: Among the studied newborns male female ratio was 1.5:1 and 32 (64%) were out born (delivered at home or any other hospitals). The mean postnatal age at the time of admission was 57.90 h, at the time of initiation of KMC was 115.38 h and at discharge was 227 h. So, there was mean delay of 66 h from admission to initiation of KMC and in 47(94%) newborns. Mostly, the delay was due to absence of mothers or eligible caregivers and unstable clinical condition of the newborns. The mean weight at admission and discharge was 1625.80 g and 1520.60 g respectively. Among the family members, mother practiced KMC in 45(90%) [n=50] followed by grandmother 28 (56%). KMC was practiced in 44 (88%) newborns in the evening shift followed by 43 (86%) & 27(54%) in the night & morning shifts respectively. The mean duration of KMC was 2.58 h in the night shift followed by 2.46 h & 2.46 h in the evening & morning shifts respectively. The mean hospital stay was 109.95 h. Total 32 studied newborns completed up to 3 rd follow up after discharge among which 5(15.62%) did not gain weight, 6(18.75%) gained weight at 1st follow up (7th day of age), 14(43.75%) at 2nd follow up (15 th day of age) & 7(21.87%) at 3 rd follow up (30th day of age). The total mortality was 6(12%). Most of the newborns and mothers/caregivers experienced no problem during KMC practice. Conclusion & recommendation: Family motivation and participation is a key to standard KMC practice. Constant supervision and follow up home visit involving community health personnel until the neonatal age is completed constitute the most important aspect for implementing KMC effectively and reducing the mortality.

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Section: Discussionsupporting

confidence: 90%

Implementation and Outcome of Intermittent KMCExperience at a Secondary Level Hospital in Banglades

Haque¹,

Parna²,

Holy³

et al. 2020

AREM

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show abstract

“…[1][2][3][4] Despite its proven benefits, the intervention has not been fully integrated into health-care systems and average duration of KMC remains low due to various barriers. [5][6][7][8] KMC in twins can be challenging for the parents especially in resource-limited settings. 9,10 Twin/ multiple pregnancy rates have increased in the recent years due to increasing maternal age and use of assisted reproductive technology.…”

mentioning

confidence: 99%

“…KMC alleviates stress and anxiety in the mother, strengthens parent‐infant bonding and results in better neurodevelopment outcomes 1–4 . Despite its proven benefits, the intervention has not been fully integrated into health‐care systems and average duration of KMC remains low due to various barriers 5–8 . KMC in twins can be challenging for the parents especially in resource‐limited settings 9,10 .…”

mentioning

confidence: 99%

Quality improvement initiative to improve the duration of kangaroo mother care for twin preterm neonates born at a tertiary care hospital in resource‐limited settings

Arora

Kommalur

Devadas

et al. 2021

J Paediatrics Child Health

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Aim Kangaroo mother care (KMC) can be challenging in multiple births and more so in resource‐limited settings. This study aims at increasing the mean duration of KMC with early initiation in twin preterm neonates born at a tertiary care hospital using a quality improvement (QI) initiative. Methods Barriers for poor KMC practice in twin preterm neonates born at the tertiary care hospital were analysed and baseline data were collected over a period of 4 months using a predesigned proforma. A QI team was formed and suggested solutions were prioritised through focus group discussions in the form of Plan‐Do‐Study‐Act (P‐D‐S‐A) cycles. Each cycle was of one‐month duration and three cycles were implemented, followed by the sustenance phase studied at 1‐month post‐implementation. Results There were a total of 238 twin deliveries in the study period, of which 169 twin pairs were included in the study. At the end of implementation, the average day of initiation of KMC improved from 8th to 3rd day of life and the duration of KMC increased significantly from an average of 2.70 h/infant/day to 7.88 h/infant/day. Conclusion This QI project focused on the improvement of KMC practice in twin preterm neonates in a tertiary care hospital where results were achieved with maximal utilisation of available hospital resources and low‐cost interventions. This study design is generalizable to other hospitals in resource‐limited settings where family participatory care can be strengthened to overcome the challenges of KMC in multiple births.

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Implementation of Kangaroo Mother care for low birth weight babies: supportive factors and barriers perceived by mothers

Cited by 2 publications

References 15 publications

Implementation and Outcome of Intermittent KMCExperience at a Secondary Level Hospital in Banglades

Implementation and Outcome of Intermittent KMCExperience at a Secondary Level Hospital in Banglades

Quality improvement initiative to improve the duration of kangaroo mother care for twin preterm neonates born at a tertiary care hospital in resource‐limited settings

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