DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20200583

Effect of kangaroo mother care on the growth and morbidity pattern of low birth weight infants: a hospital based cross sectional study

Shanthi Ramesh, S. Sundari

Abstract


Background: Kangaroo mother care provides Low birth weight babies with warmth, protection from infection and increases the success of breast feeding. Babies who had received KMC care were found to have better neurologic outcome. The aim of the study is to compare the outcome of Kangaroo mother care and conventional method of care among Low birth weight babies in terms of growth and reduction of morbidities such as length of hospital stay, hypothermia and hypoglycemia.

Methods: This cross-sectional study included 48 neonates with a birth weight of <2000 grams. Out of them 24 babies received KMC and the other 24 babies were given conventional care with a radiant warmer. The weight gain, length of hospital stay, occurrence of hypothermia and hypoglycaemia were monitored for all babies till discharge.

Results: Babies who received KMC had a better weight gain (21.11±2.8 grams/day) versus (15.61±2.6 grams/day) those who received conventional care, and this was found to be statistically significant (p=0.001). Kangaroo mother care provided a statistically significant reduction in the risk of having hypothermia (p=0.03) and hypoglycemia (p=0.04). The babies who received Kangaroo mother care had a shorter length of hospital stay and this was found to be statistically significant (p=0.03).

Conclusions: Kangaroo mother care improved the growth and reduced the problems of low birth weight babies such as hypothermia, hypoglycaemia and prolonged hospital stay. Hence, it should be recommended in the care of all these high-risk neonates.


Keywords


Hypoglycemia, Hypothermia, Kangaroo mother care, Length of hospital stay, Low birth weight, Postnatal growth

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References


World Health Organization. Global nutrition targets 2025: low birth weight policy brief WHO/NMH/NHD/14.5). Geneva: World Health Organization; 2014.

Kangaroo mother care: a practical guide. Available at: https://www.who.int/maternal_child_adolescent/documents/9241590351/en. Accessed 30 January 2020.

Park K. Nutrition and Health. In: Park K, eds. Park’s Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publications; 2019:695-697.

Dayanithi M. Low birth weight and premature births and their associated maternal factors. Int J Community Med Pub Health. 2018 Jun;5(6):2277.

Whitelaw A, Liestøl K. Mortality and growth of low birth weight infants on the kangaroo mother program in Bogota, Colombia. Pediatrics. 1994 Dec 1;94(6):931-2.

Charpak N, Tessier R, Ruiz JG, Hernandez JT, Uriza F, Villegas J, et al. Twenty-year follow-up of kangaroo mother care versus traditional care. Pediatrics. 2017 Jan 1;139(1):e20162063.

Akhtar K, Haque M, Khatoon S. Kangaroo mother care: a simple method to care for low-birth-weight infants in developing countries. J Shaheed Suhraw Med Coll. 2013 Aug 27;5(1):49-54.

Pandey VK, Aggarwal P, Kakkar R. Modified BG Prasad Socio-economic Classification, Update-2019. Ind J Commun Health. 2019 Jan 1;31(1).

Kadam S, Binoy S, Kanbur W, Mondkar JA, Fernandez A. Feasibility of kangaroo mother care in Mumbai. Ind J Pediatr. 2005 Jan 1;72(1):35-8.

Rasaily R, Ganguly KK, Roy M, Vani SN, Kharood N, Kulkarni R, et al. Community based kangaroo mother care for low birth weight babies: A pilot study. Ind J Med Res. 2017 Jan;145(1):51.

Mazumder S, Upadhyay RP, Hill Z, Taneja S, Dube B, Kaur J, et al. Kangaroo mother care: using formative research to design an acceptable community intervention. BMC Pub Health. 2018 Dec;18(1):307.

Bera A, Ghosh J, Singh AK, Hazra A, Mukherjee S, Mukherjee R. Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial. Acta Paediatr. 2014 Jun;103(6):643-50.

Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics. 2016 Jan 1;137(1):e20152238.

Kanodia P, Bora R, Gupta A. Kangaroo Mother Care-A Cost Effective and an Alternate Method to Manage Hypothermia in Low Birth Weight Babies for Better Clinical Outcome. Value Health. 2016 Nov 1;19(7):A405.

Suman Rao PN, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: a randomized controlled trial. Ind Pediatr. 2008;45(1):17.

Udani RH, Hinduja AR, Rao S, Kabra NS, Kabra S. Role of kangaroo mother care in preventing neonatal morbidity in the hospital and community: A review article. J Neonatol. 2014 Oct;28(4):29-36.

Udani RH, Kabra N, Nanavati RN, VR A. Kangaroo Mother Care (KMC): A cohort follow up study on impact of duration of KMC on mortality, morbidity, hospital stay and breastfeeding. J Neonatol. 2013 Mar;27(1):5-10.

Jafari M, Farajzadeh F, Asgharlu Z, Derakhshani N, Asl YP. Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials. J Edu Health Promo. 2019;8.