Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates

Jayaraman, Dhaarani; Mukhopadhyay, Kanya; Bhalla, Anil Kumar; Dhaliwal, Lakhbir Kaur

doi:10.1177/0890334416685072

Cited by 56 publications

(41 citation statements)

References 22 publications

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“…Furthermore, this study in accordance with the previous study from Jayaraman et al, who demonstrated that the frequency of apnea and recurrent apnea was significantly reduced in the early KMC infants, compared with late KMC infants (11.9 vs. 20%, p ¼ 0.027 vs. 8.8 vs. 15%, p ¼ 0.02) in a randomized controlled trial. 16 However, the practical significance of six times less apnea during a whole hospital stay found in the current study may be limited in a clinical setting.…”

Section: Univariate Analysis For the Potential Confounding Variablesmentioning

confidence: 68%

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

et al. 2019

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Objective Evidence on the safety and influence of kangaroo mother care (KMC) in extremely low birth weight infants (ELBWIs) on ventilation is lacking. Study Design This is a retrospective cohort study performed in 145 ELBWIs on noninvasive mechanical ventilation from a tertiary center. Results The duration of nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (CPAP) ventilation was significantly shorter in infants with KMC compared with infants without (21 vs. 13.5 days, p = 0.001 and 29.5 days vs. 20.5 days, p = 0.001, respectively). The frequency of apnea during hospital stay was fewer in KMC infants, compared with no KMC (23 vs. 20 times, p = 0.002). Multiple linear regression analysis showed that KMC was an independent protective factor for shortening nIPPV/CPAP duration (β = −9.90, 95% confidence interval [CI] [−13.20, −6.60], p < 0.001), total supplemental oxygen support (β = −10.52, 95% CI [−16.73, −4.30], p = 0.001), and reducing times of apneas (β = −5.88, 95% CI [−8.56, −3.21], p < 0.001). Conclusion KMC benefits ELBWIs by shortening nIPPV/CPAP ventilation duration and total supplemental oxygen support, and reducing the frequency of apneas.

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Section: Univariate Analysis For the Potential Confounding Variablesmentioning

confidence: 68%

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

et al. 2019

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“…Advising mothers of hospitalized newborns increases the incidence of initiation of breastfeeding and the extraction of human milk without increasing maternal stress and anxiety. Early Kangaroo mother significantly increased exclusive breastfeeding and direct breastfeeding in very low birth weight infants [21].…”

Section: Resultsmentioning

confidence: 94%

Support for Breastfeeding

Vargas¹

2018

Selected Topics in Breastfeeding

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Breastfeeding support for mothers of newborn babies in neonatal units is the basis for successful breastfeeding. With this, health professionals should educate the key members of the family and the environment surrounding the family about the benefits of breast milk in the first months of life and how to encourage and support the mother in the first months of life breastfeeding days. Exclusive breastfeeding is the most effective intervention to reduce infant morbidity and mortality and is estimated to prevent 13% of infant mortality under 5 years in low-income countries. However, the rate of exclusive breastfeeding is alarmingly low in developing countries. Mothers who face problems in breastfeeding immediately turn to high-quality milk formulas. Therefore, it is very important to assume the responsibility of health professionals to identify and adequately manage breastfeeding problems. UNICEF/World Health Organization, through the Baby Friendly Hospital Initiative (BFHI), has recommended good health care practices that support breastfeeding to increase the likelihood of optimal breastfeeding. The focus of breastfeeding in preterm infants and hospitalized term infants should must worry on the physical, emotional, legal, and social difficulties that may occur in the mother. It is necessary to consciously strengthen these terms for a successful breastfeeding.

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“…Similar presentation of high frequency of male babies was noted in other studies. 18,19 The mean gestational age of the mothers in case and control was 34.1±2.3 and 33.2±2.12 weeks respectively. Similar significance was found in the study done by Gathwala G et al 19 The mean age of the mothers in case and control group was 24.2 and 22.5 years respectively.…”

Section: Discussionmentioning

confidence: 99%

A study on breastfeeding initiation in low birth weight and very low birth weight babies and their developmental outcome with special reference to kangaroo mother care

Sura

Belavadi

2020

Int J Contemp Pediatr

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Background: Kangaroo Mother Care (KMC) was developed for caring of low birth weight (LBW) babies in developing countries. Study was done with the objective to evaluate the factors affecting initiation of breast feeding and effect of Kangaroo Mother Care (KMC) on morbidity problems and developmental outcome in Low Birth Weight (LBW) and Very Low Birth Weight (VLBW) babies.Methods: Prospective follow-up cohort study was carried out at Neonatal Intensive Care Unit (NICU) at Narayana medical college hospital Nellore from January 2018 to December 2019 and details of neonates were recorded on prestuctured proforma. Kangaroo mother care was given to one group. ASQ 3 questionnaire was used to assess the developmental outcome of the infants.Results: In this study, 100 babies were divided into two groups, case group consists of 50 babies where KMC is given and another control group consists 50 babies where KMC is not given. Mean gestational age for case and control group babies were 34.5 and 33.7 weeks respectively. Mean Birth weight in cases (1700 gr) and control (1580) grams respectively. Number of Male babies were more in cases (51%) and Group B (53%). Main factors affecting the initiation of breastfeeding in babies are LSCS (62% and 48%), RDS (50% and 40%), Apnea (24% and 25%) and seizures (20% and 14%) respectively in case and controls. Rates of exclusive breastfeeding is significantly increased in cases (90%) when compared to control (72%). Morbidity in cases is comparatively lesser than controls. At 6 months of corrected gestational age, mean weight in cases (5.2 kg) is significantly more than mean weight in control (4.7 kg). Significant development is noticed in communication (p=0.036), gross motor (0.04), and fine motor (0.05) compare to controls. Percentage of babies who acquired better personal social skills are more in cases (80%).Conclusions: The main factors affecting the initiation of breastfeeding in LBW and VLBW babies are LSCS, RDS, not secreted milk and seizures. KMC helps to achieve smooth and early transition to direct breastfeeding, increases the exclusively breastfeeding rate, better growth and developmental outcome and reduces the morbidities in LBW neonates.

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Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates

Abstract: Early KMC significantly increased exclusive human milk feeding and direct breastfeeding in LBW infants.

Cited by 56 publications

References 22 publications

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

Kangaroo Mother Care Reduces Noninvasive Ventilation and Total Oxygen Support Duration in Extremely Low Birth Weight Infants

Support for Breastfeeding

A study on breastfeeding initiation in low birth weight and very low birth weight babies and their developmental outcome with special reference to kangaroo mother care

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