Kangaroo Mother Care in Term and Late Preterm Neonates: A Systematic Review (original) (raw)

Follow-Up Profile and Outcome of Preterms Managed with Kangaroo Mother Care

Background: Kangaroo mother care (KMC) is effective in preventing hypothermia, establishing breastfeeding, and reducing nosocomial infection in preterm babies in resource-limited areas. Relatively little is known about long-term morbidity and mortality outcomes among Ethiopian infants managed with KMC. Aims: To describe the follow up profiles and outcome of infants managed with KMC and discharged alive. Methods: This cross-sectional descriptive study examined outcomes among infants who were 1) managed by KMC at Black Lion Hospital, 2) discharged alive, and 3) available for follow-up. Structured, pretested questionnaires were administered to mothers. Results: Of the 110 infants included in the study, 9.1% died over the study period and 60% of the deaths occurred at home. Mortality was 100% in those babies with mothers aged less than 18 years. Thirty five percent of the deaths occurred in those from rural location. Common medical problems identified in study subjects were respiratory infections (10%), gastroenteritis (7%), rickets (7%), and anemia (6%). About 20% of infants were readmitted to hospital at least once. KMC initiation within one week was not found to be significantly associated with survival, but continued KMC after discharge significantly decreased mortality in our sample. Conclusion: Frequent follow up is very important especially those with teenage mothers and coming from a rural location. Follow up should be frequent in the first 2 months after discharge. Further research is needed to explore the determinants of mortality and morbidity after hospital discharge.

"Role of Kangaroo Mother Care in Premature and Low Birth Weight Neonates"

Introduction: Kangaroo Mother Care is a non conventional,low cost method for newborn care based upon intimate skin-to-skin contact between mother and baby. Aims and Objectives : To find out the effectiveness and outcome of Kangaroo Mother Care on Premature and Low Birth Weight neonates in terms of: a. Mortality and morbidities .b. Maternal and social acceptability and feasibility. c. Cost-effectiveness.Materials and Methodology: This hospital based observational study was conducted on 105 preterm and low birth weight neonates who were admitted in the NICU of Department of Paediatrics, at Gauhati Medical College and Hospital, Guwahati, and fulfilled the inclusioin criteria over a period of one year from 1 st July 2018 till 30 th June 2019 .Results and Observation : The study showed better and earlier weight gain (p value <0.01), reduced episodes of sepsis (p value < 0.01) , hypoglycemia and apnea, better growth in HC and Length, better temperature handling and hysiological parameters like HR and RR. Mothers were more confident, with better lactation and family acceptability was better. Mortality too was reduced. Conclusion: Therefore this study showed positive impact of KMC towards rearing a premature and LBW neonate.