Proportion of mothers practicing kangaroo mother care at home and factors influencing the practices following hospital discharge, South Wollo, Ethiopia

Ayele, Moges Workneh; Wubie, Mengesha Birkie; Ayele, Samuel

doi:10.1016/j.jnn.2020.05.006

Cited by 5 publications

(11 citation statements)

References 10 publications

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“…This is in line with a prospective follow-up cohort study conducted in India that reported that the duration of KMC was found to be the most common determinant for intensified growth for LBW. 20 …”

Section: Discussionmentioning

confidence: 99%

Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia

Gidey¹,

Gebremariam²,

Hadush³

et al. 2023

IJGM

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Background Kangaroo mother care is a proven intervention shown to be effective in reducing neonatal mortality among low-birth-weight infants. The paucity of evidence regarding the practice at home can be highlighted. This study aimed to assess the practice and outcome of kangaroo mother care at home among mothers having low-birth-weight infants discharged from two hospitals in Mekelle, Tigray, Ethiopia. Methods A prospective cohort study was conducted among 101 paired mothers and low-birth-weight neonates discharged from Ayder and Mekelle Hospitals. Non-probability purposive sampling was used to select 101 infants. Data were collected from patient charts in both hospitals using interviewer-administered structured questionnaire, anthropometric measurements and were then analyzed using SPSS version 20. Characteristics were analyzed using descriptive statistics. Bivariate analysis was used, and variables with p-value <0.25 were exported to multivariable logistic regression and statistical significance was set at a p-value <0.05. Results Kangaroo mother care was continued at home in 99% of the infants. Three of the 101 infants died before the age of 4 months with a possible cause of death from respiratory failure. Exclusive breastfeeding was provided for 67% of the infants, and it was higher in infants who started kangaroo mother care within 24 hours of life (AOR 3.8, 95% CI 1.07–13.25). Malnutrition was higher in those with birth weight <1500 grams (AOR 7.3,95% CI 1.63–32.59); small for gestational age (AOR 4.8,95% CI 1.41–16.31) and those provided kangaroo mother care for <8 hours per day (AOR 4.5,95% CI 1.40–16.31). Conclusion Early initiation and prolonged duration of kangaroo mother care were associated with increased exclusive breastfeeding practice and decreased incidence of malnutrition. Kangaroo mother care should be promoted at the community level.

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Section: Discussionmentioning

confidence: 99%

Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia

Gidey¹,

Gebremariam²,

Hadush³

et al. 2023

IJGM

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“…At the qualification stage, 61 articles were completely gotten to and evaluated for the capability. Finally, 16 studies [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63] with 12,475 participants were included in this systematic review and meta-analysis. All studies were cross-sectional, and reported the prevalence of knowledge, attitude, and practice of kangaroo mother care (Fig 1).…”

Section: Study Selectionmentioning

confidence: 99%

“…Out of 273 articles retrieved at first, sixteen articles met the eligibility criteria and were included in the final meta-analysis as reported by Fig 1 . The author's names, publication year, study design, sample size, study region, study setting, response rate, birth weight, kangaroo mother care type, gestational age, the prevalence of knowledge, attitude, and practice of kangaroo mother care listed in the below Table 1. Four studies were found in Addis Ababa [49,[53][54][55], three in Southern Nations Nationalities and Peoples Region [48,50,60], two at the national level [56,58], one in Amhara [59], two in Tigray [57,63], one in Somali [61], one in Harar and Dire Dawa [51], one in Harar [52], and one in Addis Ababa, Amhara, Oromia and Benishanguel Gumuize [62]. Of the sixteen cross-sectional studies, twelve were institutional-based, and four were community-based.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The prevalence of kangaroo mother care has been determined to range from 1% in Tanzania [47] to 96% in Denmark [14]. In Ethiopia, knowledge of kangaroo mother care has been found to range from 35.5% to 82.53% [48][49][50][51][52], attitude from 50% to 82.53% [49][50][51][52][53] and practice from 23% to 83% across the nation [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63]. Given these variations, there is no overall estimate of the prevalence of kangaroo mother care based on representative national data in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, attitude and practice towards kangaroo mother care among postnatal women in Ethiopia: Systematic review and meta-analysis

et al. 2022

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Background Kangaroo mother care is a key procedure in reducing neonatal mortality and morbidity associated with preterm birth. In Ethiopia, neonatal death remains a serious problem, and this study aims to determine the prevalence of the knowledge, attitudes and practice of kangaroo mother care among Ethiopia women. Methods PubMed, Web of Science, Google Scholar, EMBASE and the Ethiopian University online library were searched. Data were extracted using Microsoft Excel and analysed using STATA statistical software (v. 11). Publication bias was checked by forest plot, Begg’s rank test and Egger’s regression test. To look for heterogeneity, I2 were computed and an overall estimated analysis carried out. Subgroup analysis was done by region, study setting, publication, gestational age, birth weight and component of kangaroo care. The Joanna Briggs Institute risk of bias assessment tool was used. We carried out a leave one out sensitivity analysis. Results Out of 273 articles retrieved, 16 studies met the eligibility criteria and are thus included in this study. Those 16 studies had a total of 12,345 respondents who reported kangaroo mother practice, with five (comprising 1,232 participants combined) reporting that both knowledge and attitude were used to determine the overall estimation. The pooled estimates of good knowledge, positive attitude and poor practice of kangaroo mother care were found to be 64.62% (95% CI: 47.15%–82.09%; I2 = 97.8%), 61.55% (49.73%–73.38%; I2 = 94.8%) and 45.7% (95% CI: 37.23%–54.09%; I2 = 98.5%), respectively. This study is limited to postnatal women and does not take account their domestic partners or health providers. Conclusion The findings revealed significant gaps in the knowledge, attitudes and practice of kangaroo mother care in Ethiopia when compared with other developing countries. Therefore, kangaroo mother care training to women, along with further studies on domestic partners and health providers.

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“…Pelaksanaan KMC membutuhkan dukungan keluarga pada pelaksanaanya, KMC tidak hanya dilakukan pada ibu saja, tetapi dapat digantikan oleh keluarga bayi dalam kondisi baik yang tidak mengalami masalah kesehatan dan tidak merokok. penelitian (Ayele et al, 2021) menyatakan dukungan berasal dari dari suami, penyuluh kesehatan dan keluarga dan pemahaman ibu tentang pentingnya KMC menjadi faktor peningkatan signifikan menerapkan KMC di rumah. Bayi BBLR tidak direkomendasikan untuk mandi telalu lama.…”

Section: Pembahasanunclassified

Studi Kualitatif : Identifikasi Kebutuhan Perawatan Bayi BBLR di Rumah Dengan Pendekatan Family Centered Maternity Care

Widhiastuti¹,

Muryani²

2021

jskp

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Bayi Berat Badan Lahir Rendah (BBLR) memerlukan perawatan lebih khusus dibandingkan dengan bayi lahir dengan berat badan normal, hal ini terlihat dari beberapa ibu yang kembali ke RSI Muhammadiyah Tegal karena ibu kurang memahami tentang perawatan bayi BBLR di Rumah. Family Centered Maternity Care (FCMC) adalah perawatan yang berpusat pada keluarga dengan memberikan perawatan bagi wanita dan keluarga mereka yang mengintegrasikan kehamilan, persalinan, persalinan, dan perawatan bayi ke dalam kontinum kehidupan keluarga.Tujuan penelitian ini untuk mengidentifikasi kebutuhan perawatan bayi BBLR di rumah dengan pendekatan family centered maternity care secara studi kualitatif. Penelitian dilakukan di RSI PKU Muhammadiyah Tegal. Metode dengan kualitatif dengan design studi kasus menggunakan ibu dan keluarga yang bayi BBLR sebanyak 9 orang dan focus group discussion (FGD) pada 7 perawat perinatologi. Berdasarkan hasil analisa Colaizzi didapatkan beberapa tema yaitu dukungan keluarga untuk meningkatkan kepercayaan diri ibu merawat bayi BBLR, strategi pemenuhan kebutuhan nutrisi, strategi mencegah terjadinya hipotermia, upaya mencegah terjadinya infeksi, home visit perawat. Peningkatan perhatian untuk menjaga bayi BBLR tetap hangat dalam bentuk FCMC berintergrasi pada ibu, keluarga serta perawat dapat mengoptimalkan perawatan Bayi BBLR di rumah. Kata Kunci : Bayi BBLR; family centered; maternity care, motherQualitative Study: Identification Of Low Birth Weight Baby Care Needs At Home With Family Centered Maternity Care ApproachAbstractBabies with low birth weight require more special care than babies born with normal weight; this can be seen from some mothers who return to RSI Muhammadiyah Tegal because mothers do not understand how to care for low birth weight babies at home. Family Centered Maternity Care (FCMC) is family-centered care providing care for women and their families that integrates pregnancy, childbirth, childbirth, and infant care into the continuum of family life. The purpose of this study was to identify the care needs of low birth weight baby at home with a family centered maternity care approach in a qualitative study. The research was conducted at Muhammadiyah Hospital Tegal. Qualitative method with case study design was used in 9 mothers and families of low birth weight babies and focus group discussion on 7 perinatology nurses. Based on the results of Colaizzi's analysis, several themes were found, namely family support to increase mother's confidence in caring for low birth weight babies, strategies to fulfill nutritional needs, strategies to prevent hypothermia, efforts to prevent infection, nurse home visits. Increased attention to keeping low birth weight babies warm in the form of Family Centered Maternity Care with interaction with mothers, families and nurses can optimize the care of low birth weight babies at home. Keywords: low birth weight babies; family center; maternity care; mother

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Proportion of mothers practicing kangaroo mother care at home and factors influencing the practices following hospital discharge, South Wollo, Ethiopia

Cited by 5 publications

References 10 publications

Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia

Practice of Kangaroo Mother Care Among Low-Birth-Weight Infants Discharged from Health Facilities and Its Outcome in Mekelle City, Tigray, Northern Ethiopia

Knowledge, attitude and practice towards kangaroo mother care among postnatal women in Ethiopia: Systematic review and meta-analysis

Studi Kualitatif : Identifikasi Kebutuhan Perawatan Bayi BBLR di Rumah Dengan Pendekatan Family Centered Maternity Care

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