Kangaroo mother care practice and its associated factors among postnatal mothers who gave birth in public general hospitals of Eastern and Central zone, Tigray, North Ethiopia (original) (raw)
Related papers
IJRASET, 2021
According to the statistical assessment nearly 20 million low-birth-weight (LBW) babies are born each year, because of either preterm birth or impaired prenatal growth, mostly in less developed countries. They contribute substantially to a high rate of neonatal mortality whose frequency and distribution correspond to those of poverty. Kangaroo mother care (KMC) is an effective way to meet baby's needs for warmth, breastfeeding, protection from infection, stimulation, safety and love. Kangaroo mother care is care of preterm infants carried skin-to-skin with the mother. It is a powerful, easy-to-use method to promote the health and well-being of infants born preterm as well as full-term. KMC facilitates the initiation and establishment of breastfeeding in small infants and it normalize infant physiology improves weight gain and provide sense of security to the baby. It has been demonstrated that Kangaroo Mother Care is associated with increased survival and reduced hospital. Objectives 1) To assess the level of knowledge among the post-natal mothers of low-birth-weight babies regarding kangaroo mother care in selected hospital of Vrindavan. 2) To correlate the knowledge regarding Kangaroo Mother Care among the post-natal mothers of low-birth-weight babies with selected demographic variables. Methodology: This study was conducted to assess knowledge among the post-natal mothers regarding Kangaroo mother care in selected Hospital in Vrindavan, Mathura and the descriptive study design was selected. Population selected was post-natal mothers and sample size were 60.the consent was taken. The subjects were selected by convenient sampling technique. The structured questionnaires were distributed to the mothers of selected Low birth weight babies to assess their level of regarding Kangaroo Mother Care after obtaining an informed consent. Data was collected by using Structured Knowledge Questionnaire. A significant association was found between knowledge score and type of family and dietary habit whereas no significant association was found with age, religion, occupation of father, educational status of mother, family income and residential status Results: The study revealed that the level of knowledge among the mothers is 42(70%) had inadequate knowledge and 12(20%) had moderately adequate knowledge and 06(10%) had adequate knowledge regarding Kangaroo Mother Care. The chi-square test revealed that there was no significant association with age, occupation, monthly income, place of living, type of marriage, type of family, number of children and but there was significant association between religion.
Journal of Neonatal Biology, 2017
Introduction: Globally, babies born with low birth weight and preterm accounts for 25 million and 15 million respectively. The magnitude of preterm and low birth weight was 29.1% in Ethiopia by 2011. Around 70% neonatal deaths occur in low birth weight and preterm babies. Most studies demonstrated kangaroo mother care to be more effective than incubator care for these neonates but there are limited studies in Ethiopia. Therefore, the main aim of the study was to assess the acceptability, knowledge, attitude and practice of kangaroo mother care in public hospitals. Methods: A descriptive cross-sectional study was conducted among postnatal mothers of preterm and low birth weight babies in Dilchora and Hiwot Fana Specialized hospital from October 1, 2015 to June 25, 2016. Data were collected by interviewing 349 mothers by a pretested questionnaire. It was entered in to Epi Data software version 3.1 and exported to SPSS version 20 for analysis. Results: 69.91% of mothers mentioned the benefits of kangaroo mother care correctly. The majority of mothers 221 (63.33%) felt positive regarding implementation of Kangaroo Mother Care for it corrects the temperature, increase attachment and improve the growth of their small babies. On the other hand, 195 (55.87%) believed that Kangaroo Mother Care has positive effect on breast feeding. During the study period, 189 (54.15%) mothers practiced Kangaroo Mother Care in hospitals and also willing to continue at home. The mean duration of Kangaroo Mother Care was 2 h/day. Conclusion: The majority of mothers felt positive regarding implementation of Kangaroo Mother Care. The study also revealed that more than half of the study participants practiced Kangaroo Mother Care in hospitals and also willing to continue at home. Therefore, it will be crucial if there are health education sessions during antenatal care follow-up for complete acceptance of Kangaroo Mother Care after delivery.
Indonesian Journal of Perinatology, 2021
Introduction: The infant mortality rate is one indicator of the public health quality in a country. One of the main causes of infant mortality is low birth weight babies (LBWBs). Kangaroo Mother Care (KMC) is a treatment method for LBWBs by making direct contact between the baby’s skin and the mother’s skin. Budi Kemuliaan Mother and Child Hospital already practicing KMC since 2010 and it has succeeded. The purpose of this study was to determine the implementation of KMC for LBW mothers at Budi Kemuliaan Mother and Child Hospital. Methods: This study was qualitative research with Rapid Assessment Procedures (RAP) design. This research was conducted on mothers who gave birth with LBWB (<2500 grams) from 9 to 18 December 2011, and practice KMC at Budi Kemuliaan Mother and Child Hospital, Jakarta. Result: The implementation of KMC for LBW mothers at Budi Kemuliaan Mother and Child Hospital was affected by seven factors. Those factors were; mothers and their husbands have sufficient ...
2020
Infant and neonatal mortality rates are still high in Indonesia, where the main problem of infant mortality is neonatal. One of the causes of neonatal death is Low Birth Weight (LBW)s’ infants who currently reach a prevalence of 10.2%. Kangaroo Mother Care (KMC) is one of the interventions to reduce death in LBWs’ infants, by making direct contact between the baby's skin and the mother's skin. The practice of KMC has various benefits, one of which is to increase the baby's weight. The purpose in this study is to analyze the relationship between KMC practice and weight of LBW’s infants in North Jakarta. This research was conducted in North Jakarta with a research population is a mother who has LBW’s infants post discharge from Koja Regional General Hospital, North Jakarta. Sampling was conducted by consecutive sampling. Dependent variable was infants’ weight and independent variable was KMC practice. Data collection was conducted through questionnaires and analyzed using ...
Advance Journal of Nursing and Clinical Practice, 2024
Kangaroo Mother Care (KMC) is a cost-effective and high-impact intervention for improving newborn survival. This study aimed at investigating the practice of KMC among postpartum mothers attending healthcare facilities in Anambra State, Nigeria. The objectives of the study were: To determine the level of adoption/practices of kangaroo mother care of the newborn among postpartum mothers attending Healthcare Facilities in Anambra State, Nigeria and to identify the gestational age of infants that are exposed to kangaroo mother care by postpartum mothers attending Healthcare Facilities in Anambra State. A descriptive cross sectional survey method was used for the study. A sample size of 374 postpartum mothers was selected for the study using multi-stage sampling technique. Questionnaire on practice of kangaroo mother care was used to collect data. Reliability test of the instrument involving 34 participants attending postnatal clinic in two healthcare facilities which were not part of the selected healthcare facilities indicated Cronbach alpha score 0.85. Data collected were analyzed using frequency counts and percentages for the objectives of the study. Chi square was used to test the hypotheses at P =0.05 level of significance. Result revealed that 71.39% of the respondents had poor level of practice of KMC and that newborns across all gestational ages were exposed to kangaroo mother care. The study also showed that there was no significant association between practice and knowledge of KMC (X2= 2.73, P= 0.098), there was no significant difference across the gestational age of newborns that received Kangaroo mother care (X2= 5.83, P= 0.934). Nurses and Midwives should intensify health education on the benefits of the practice of kangaroo mother care of the newborn during antenatal visits of mothers in healthcare facilities and in the community in general.
Public Health of Indonesia, 2020
Background: Kangaroo Mother Care (KMC) is a method was invented by Dr. Rey in 1978 and developed by Dr. Martinez and Dr. Navarrete until 1994. It is holding a small nappy neonate in skin to skin contact, prone and upright on the maternal chest. At first it was developed to alleviate overcrowding, and insufficient resources in neonatal intensive care units. But today it is formally approved by WHO.Objective: The aim of this study was to assess knowledge, attitude and practice of Kangaroo mother care among postnatal mothers in a tertiary care center of Harari region, Harar, Ethiopia, 2020.Method: An institution based cross-sectional study method was conducted in Hiwot-Fana Specialized Referral Hospital in Harar town. Sample size was calculated by using single population proportion sample formula and the final sample size was 166. The study subject was selected by using consecutive sampling method, and adopted data collection tool was used. Data were analyzed using SPSS version 20. Des...
Journal of Tropical Pediatrics, 2005
A randomized controlled trial was conducted over a 1-year period (November 2001-November 2002) in Addis Ababa to study the effectiveness of early Kangaroo mother care before stabilization of low birthweight infants as compared with the conventional method of care. There were 259 babies weighing less than 2000 g during the study period and a total of 123 (47.5 per cent) low birthweight infants were included in to the study. Sixty-two infants were enrolled as Kangaroo Mother Care (KMC) and the remaining 61 were Conventional Method of Care (CMC) cases. The demographic and socioeconomic characteristics for both groups were comparable. The mean age at the time of enrollment was 10 and 9.8 h for KMC and CMC, respectively (p`0.05 with 95 per cent confidence interval). The mean birthweight was 1514.8 g (range 1000-1900 g) for KMC and 1471.8 g (range 930-1900 g) for CMC (p`0.05 with 95 per cent CI) and the mean gestational age was 32.42 and 31.59 weeks for KMC and CMC cases, respectively. Fifty-eight per cent of KMC and 52 per cent of CMC cases were on i.v. fluid. Twenty-one of 62 (34 per cent) of KMC and 23/61 (37 per cent) of CMC babies were on oxygen through nasopharyngeal catheter. The mean age at exit from the study was 4.6 days for KMC and 5.4 days for CMC. Ninety-one per cent and 88 per cent of babies in KMC and CMC were discharged from the study in the first 7 days of life, respectively. The study showed that 14/62 (22.5 per cent) of KMC vs. 24/63 (38 per cent) CMC babies died during the study (p_0.05 and CI of 95 per cent.) The majority of deaths occurred during the first 12 h of life. Survival for the preterm low birthweight infants was remarkably better for the early kangaroo mother care group than the babies in the conventional method of care in the first 12 h and there after. More than 95 per cent of mothers reported that they were happy to care for their low birthweight babies using the early Kangaroo mother method. It was recommended to study the feasibility and effectiveness of Kangaroo mother care at the community level.
2009
Aim: To study the efficacy of Kangaroo mother care (KMC) as compared to conventional care for low birth weight babies. Materials and Methods: A randomized controlled trial was done on 114 neonates, delivered at Jawaharlal Nehru Medical College (JNMCH) Aligarh India (March’ 2006 to September’ 2007) by vaginal route and weighing ≤1800 grams at birth –58 neonates received KMC for 6-8 hours/ day in 4-6 sessions while 56 neonates in control group received conventional care (radiant warmers, cots in warm room). Efficacy was measured in terms of effect on growth, physiological parameters, length of hospital stay, morbidity, mortality and exclusive breastfeeding rates. Results: KMC and conventional groups were similar with regard to maternal and birth characteristics. Better weight gain per day (19.3± 3.8 g vs.10.4±4.8 g, p<0.001), significant reduction in respiratory rate (p<0.001), rise in rectal temperature and oxygen saturation (p<0.001), shorter duration of hospital stay (13.7...
Diversity & Equality in Health and Care
Background: Kangaroo mother care (KMC) is a universally available method of care particularly, for premature babies for maintaining their body temperature. However, its prevalence is very low in Ethiopia. Thus, this study was intended to assess utilization of kangaroo mother care (KMC) and factors influencing among mothers and care takers of preterm /low birth weight babies in Yirgalem town, southern, Ethiopia Materials and Method: A community based cross sectional study was conducted from of February to March, 2017 among 215 mothers of preterm/low birth weight (LBW) infants in Yirgalem town. Mothers of preterm/LBW infant of age less than 36 months were included in study. Data was collected by using interviewer administered questionnaire that is adapted from relevant literatures and standardized accordingly. Data analyses ere accomplished using SPSS version 20. Logistic regression analyses were used to identify the association of different variables. Results: A total of 215 mothers with their preterm infants ranged 1-36 months of age voluntarily participated, with response rate of 100%. A hundred ninety (88.4%) of the mothers had normal vaginal delivery, and 11.6% had cesarean section. Among all study subjects 90(41.9%) practice KMC. Of these, 31(14.4%) started KMC immediately after birth as the infant had been stabilized, and 59(27.4%) practice it after 24 hours. However, only sixty of the infants showed improvement after they used continuous KMC at home compared to those infants that did not use KMC. It was found that some variables were statistically associated with the utilization of KMC. Respondents who gave birth spontaneously were 4.3 times more likely to practice KMC than those had caesarean section delivery [(AOR 4.341) 95%CI(1.435, 13.130)] and mothers who delivered at governmental hospital were 20.4 times more likely to practice KMC than those who gave birth at home [(AOR (20.458) 95%CI(2.644, 158.299))]. Conclusion: In this study only very low mothers initiated KMC immediately after birth and were practiced continuously KMC at home. Thus, it is recommended to promote KMC at home and develop studies on acceptability and applicability of the KMC and affecting factors that prevent the use of KMC at home method in Ethiopian context.
International Journal of General Medicine
Background: Kangaroo mother care is a proven intervention shown to be effective in reducing neonatal mortality among low-birthweight 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.