Long Term Outcomes of  Kangaroo Mother Care in  Very Low Birth Weight Infants

Gavhane, Sunil; Eklare, Deepak; Mohammad, Haseeb

doi:10.7860/jcdr/2016/23855.9006

Cited by 9 publications

(9 citation statements)

References 7 publications

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“…At six and 12 months corrected age, breastfeeding rates were similar in infants discharged from UCINCa and UCINCo. This observation was confirmed by other authors, who also found no influence of KMC on the breastfeeding frequency in infants from six months of age onwards [24,25]. A few negative aspects contribute to the discontinuation of breastfeeding, such as inadequate maternity leave, lack of opportunities to breastfeed and milk in the workplace [26].…”

Section: Discussionsupporting

confidence: 74%

Influence of Kangaroo Mother Care on breastfeeding, the introduction of complementary feeding and diet quality in the first year of life

2022

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Objective To assess the influence of Kangaroo Mother Care on breastfeeding rates in preterm neonates, both at hospital discharge and throughout the first year of life, as well as its relation with the time of introduction of early complementary feeding and diet quality. Methods Observational, prospective and analytical longitudinal study conducted in a public hospital in southern Brazil. The study included 46 preterm neonates, who were admitted to a Kangaroo Neonatal Intermediate Care Unit or Conventional Neonatal Intermediate Care Unit. Results The frequency of exclusive breastfeeding at hospital discharge was higher in preterm neonates of Kangaroo Neonatal Intermediate Care Unit (p<0.001), and at four months of corrected age, 35% of them continued on exclusive breastfeeding (p=0.029), as compared to infants in Conventional Neonatal Intermediate Care Unit. However, at six and 12 months, no difference was found in breastfeeding rates between the participating groups. At four months of corrected age, approximately 45% of the breastfeeding infants in both groups were already on complementary feeding. At 12 months of corrected age, consumption of ultra-processed foods was 38.9% in infants from the Kangaroo Neonatal Intermediate Care Unit and 70% in infants from the Conventional Neonatal Intermediate Care Unit (p=0.054), and no significant differences were found. Conclusion The Kangaroo Mother Care fostered exclusive breastfeeding at hospital discharge and at 4 months of corrected age. On the other hand, with regard to the early introduction of complementary feeding, Kangaroo Mother Care was not protective, and a high rate of consumption of processed foods by infants was found.

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Section: Discussionsupporting

confidence: 74%

Influence of Kangaroo Mother Care on breastfeeding, the introduction of complementary feeding and diet quality in the first year of life

2022

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“…MNCH initiatives, including SSC and KMC interventions, also showed mixed results. One KMC intervention in India encouraged mothers of very low birth weight infants to initiate KMC immediately after delivery; the intervention reported positive EIBF findings, yet there was no impact on EBF at 6 months (Gavhane et al, ). The JSY programme in India showed positive effects on child health outcomes including EIBF, but no effect on EBF (Carvalho et al, ).…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Benedict

Craig

Torlesse³

et al. 2018

Maternal & Child Nutrition

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Most children in South Asia are breastfed at some point in their lives; however, many are not breastfed optimally, including the early initiation of breastfeeding (EIBF) within 1 hr of birth, avoidance of prelacteal feeds (APF), exclusive breastfeeding (EBF) for 6 months, and continued breastfeeding (CBF) up to 2 years of age or beyond. This review identifies and collates evidence on the effectiveness of interventions to support optimal breastfeeding in five countries in South Asia: Afghanistan, Bangladesh, India, Nepal, and Pakistan. A scoping review was conducted of peer‐reviewed and grey literature. The 31 eligible studies included randomized trials and quasi‐experimental designs that were conducted between 1990 and 2015. Data were collated regarding intervention design, characteristics, and effectiveness to support EIBF, APF, EBF, and CBF. Most studies reported a positive impact on breastfeeding outcomes, including 21/25 studies that examined EIBF, 15/19 studies that examined EBF, and 10/10 studies that examined APF. The only study that examined CBF reported no effect. Education, counselling, and maternal, newborn, and child health initiatives were common intervention types with positive effects on breastfeeding outcomes. Interventions were delivered in health facility, community, and home/family environments. Programmes and interventions that reached women and their families with repeated exposure and beginning during pregnancy were more likely to improve EIBF and EBF outcomes. Interventions with no impact on breastfeeding were characterized by short duration, irregular frequency, inappropriate timing, poor coverage, and targeting.

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“…In rural Bangladesh, providing traditional birth attendants and community volunteers with several days of training on the WHO breastfeeding curriculum led to increased EIBF and avoidance of prelacteal feeds, but did not have impact on EBF (Talukder, Farhana, Vitta, & Greiner, 2017). The Kangaroo Mother Care intervention for very low birth weight infants in India reported positive EIBF findings, yet there was no impact on EBF at 6 months (Gavhane, Eklare, & Mohammad, 2016). Conditional cash transfers to increase demand for facility‐based delivery and reproductive health services, including counselling on breastfeeding in India also had positive effects on EIBF but not on EBF (Carvalho, Thacker, Gupta, & Salomon, 2014).…”

Section: Discussionmentioning

confidence: 99%

Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam and Ethiopia

Nguyen

Kim

Tran³

et al. 2020

Maternal & Child Nutrition

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Limited evidence exists on the complex relationship among interventions, early initiation of breastfeeding (EIBF), prelacteal feeding and exclusive breastfeeding (EBF). We examined whether early breastfeeding practices are associated with EBF and how much improving EIBF and non‐prelacteal feeding contributes to increased prevalence of EBF. Survey data were collected in 2010 and 2014 as part of impact evaluations of Alive & Thrive (A&T) interventions to improve infant and young child feeding (IYCF) practices in Bangladesh, Vietnam and Ethiopia. Multivariable logistic regression analyses were used to examine effects of interventions and early breastfeeding practices on EBF. Structural equation modelling quantified the direct and indirect effects of interventions (via improving EIBF and non‐prelacteal feeding) on EBF. Although breastfeeding is nearly universal in all three countries (≥98%), delayed initiation of breastfeeding is prevalent (>60%) and prelacteal feeding is common. EIBF alone was not associated with EBF, whereas non‐prelacteal feeding was associated with 1.6–3.5 higher odds of EBF. Intervention exposure affected breastfeeding practices in all three countries; these impacts were amplified among those who practiced EIBF or non‐prelacteal feeding [odds ratio (OR) = 11 and 27.5 in Bangladesh and 6.5 and 11.5 in Vietnam, respectively]. The paths through EIBF and non‐prelacteal feeding explained 13%–18% of the effect of the interventions on EBF. Early breastfeeding practices influence EBF, but interventions aimed only at the initiation and early days of breastfeeding will be inadequate to promote EBF. Social and behaviour change interventions should simultaneously target EIBF, non‐prelacteal feeding and EBF to support optimal breastfeeding practices.

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Long Term Outcomes of Kangaroo Mother Care in Very Low Birth Weight Infants

Cited by 9 publications

References 7 publications

Influence of Kangaroo Mother Care on breastfeeding, the introduction of complementary feeding and diet quality in the first year of life

Influence of Kangaroo Mother Care on breastfeeding, the introduction of complementary feeding and diet quality in the first year of life

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam and Ethiopia

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