IMPACT OF EARLY KANGAROO MOTHER CARE ON WEIGHT GAIN AND HOSPITAL STAY IN PRETERM INFANTS – A RANDOMIZED CONTROLLED TRIAL
Main Article Content
Keywords
Kangaroo Mother Care, Preterm Infants, Weight Gain, Hospital Stay
Abstract
The young infants are more likely to experience failure in growth and an extended stay in a hospital because their physiological systems are immature. Kangaroo Mother Care (KMC), or skin-to-skin contact between the infant and the mother, has been demonstrated to enhance results in preterm infants and help them grow and stay healthy.
Objectives:To determine the effects of the early Kangaroo Mother Care on weight gain and length of stay in the hospital among preterm infants in comparison to the normal care.
Methods: The study Conducted at the Neonatal Intensive Care Unit (NICU) of Khyber Teaching Hospital, Peshawar,from jan to june-2022 in the form of a randomized controlled trial. One hundred and fifty preterm babies were then selected and randomly divided into early Kangaroo mother care group and conventional care group. The increase in weight and the duration of hospitalization were measured and compared.
Results: There was a great improvement in infant weight gain in the early Kangaroo Mother Care group (mean weight gain: 15.2 g/day) than in the conventional care group (mean weight gain: 10.1 g/day, p < 0.001). Also, the hospitalization period in the KMC group (12.4 days) was considerably less than in the conventional care group (16.8 days, p < 0.01).
Conclusion: Early Kangaroo Mother Care is an effective and viable practice in the neonatal care since it enhances weight gain and minimizes the length of stay in preterm infants.
Keywords:
Objectives:To determine the effects of the early Kangaroo Mother Care on weight gain and length of stay in the hospital among preterm infants in comparison to the normal care.
Methods: The study Conducted at the Neonatal Intensive Care Unit (NICU) of Khyber Teaching Hospital, Peshawar,from jan to june-2022 in the form of a randomized controlled trial. One hundred and fifty preterm babies were then selected and randomly divided into early Kangaroo mother care group and conventional care group. The increase in weight and the duration of hospitalization were measured and compared.
Results: There was a great improvement in infant weight gain in the early Kangaroo Mother Care group (mean weight gain: 15.2 g/day) than in the conventional care group (mean weight gain: 10.1 g/day, p < 0.001). Also, the hospitalization period in the KMC group (12.4 days) was considerably less than in the conventional care group (16.8 days, p < 0.01).
Conclusion: Early Kangaroo Mother Care is an effective and viable practice in the neonatal care since it enhances weight gain and minimizes the length of stay in preterm infants.
Keywords:
References
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2. Adisasmita A, Izati Y, Choirunisa S, Pratomo H, Adriyanti L. Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia. PloS one. 2021;16(6):e0252704.
3. Aldana Acosta AC, Tessier R, Charpak N, Tarabulsy G. Randomised controlled trial on the impact of kinesthetic stimulation on early somatic growth of preterm infants in Kangaroo position. Acta paediatrica (Oslo, Norway : 1992). 2019;108(7):1230-6.
4. Azad M, Bisht SS, Tyagi A, Jaipal ML. The role of a neonatal hypothermia alert device in promoting weight gain in LBW infants. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2022;35(15):2992-4.
5. Brotherton H, Gai A, Tann CJ, Samateh AL, Seale AC, Zaman SMA, et al. Protocol for a randomised trial of early kangaroo mother care compared to standard care on survival of pre-stabilised preterm neonates in The Gambia (eKMC). Trials. 2020;21(1):247.
6. Charpak N, Montealegre-Pomar A, Bohorquez A. Systematic review and meta-analysis suggest that the duration of Kangaroo mother care has a direct impact on neonatal growth. Acta paediatrica (Oslo, Norway : 1992). 2021;110(1):45-59.
7. Kapoor R, Verma A, Dalal P, Gathwala G, Dalal J. Enhancing Kangaroo Mother Care Uptake Through Implementation of an Education Protocol. Indian journal of pediatrics. 2021;88(6):544-9.
8. Kurniawati, Rustina Y, Budiati T. Peer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW Infants. Comprehensive child and adolescent nursing. 2019;42(sup1):252-60.
9. Lydon M, Longwe M, Likomwa D, Lwesha V, Chimtembo L, Donohue P, et al. Starting the conversation: community perspectives on preterm birth and kangaroo mother care in southern Malawi. Journal of global health. 2018;8(1):010703.
10. 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 public health. 2018;18(1):307.
11. Medvedev MM, Tumukunde V, Mambule I, Tann CJ, Waiswa P, Canter RR, et al. Operationalising kangaroo Mother care before stabilisation amongst low birth Weight Neonates in Africa (OMWaNA): protocol for a randomised controlled trial to examine mortality impact in Uganda. Trials. 2020;21(1):126.
12. Montealegre-Pomar ADP, Charpak N. Anemia, nutrition, and ambulatory oxygen weaning in a cohort of oxygen-dependent premature infants. Pediatric pulmonology. 2021;56(6):1601-8.
13. Obaid Ur Rehman M, Hayat S, Gul R, Irfan Waheed KA, Victor G, Khan MQ. Impact of intermittent kangaroo mother care on weight gain of neonate in nicu: Randomized control trial. JPMA The Journal of the Pakistan Medical Association. 2020;70(6):973-7.
14. Pandya D, Kartikeswar GAP, Patwardhan G, Kadam S, Pandit A, Patole S. Effect of early kangaroo mother care on time to full feeds in preterm infants - A prospective cohort study. Early human development. 2021;154:105312.
15. Pavlyshyn H, Sarapuk I, Casper C, Makieieva N. Kangaroo mother care can improve the short-term outcomes of very preterm infants. Journal of neonatal-perinatal medicine. 2021;14(1):21-8.
16. Pratomo H, Amelia T, Nurlin F, Adisasmita AC. Knowledge and perceptions of kangaroo mother care among health providers: a qualitative study. Clinical and experimental pediatrics. 2020;63(11):433-7.
17. Sharma D, Murki S, Oleti TP. Study comparing "Kangaroo Ward Care" with "Intermediate Intensive Care" for improving the growth outcome and cost effectiveness: randomized control trial. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2018;31(22):2986-93.
18. Sharma M, Morgan V, Siddadiah M, Songara D, Bhawsar RD, Srivastava A. Impact of a Novel Hypothermia Alert Device on Death of Low Birthweight Babies at Four Weeks: A Non-randomized Controlled Community-based Trial. Indian pediatrics. 2020;57(4):305-9.
2. Adisasmita A, Izati Y, Choirunisa S, Pratomo H, Adriyanti L. Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia. PloS one. 2021;16(6):e0252704.
3. Aldana Acosta AC, Tessier R, Charpak N, Tarabulsy G. Randomised controlled trial on the impact of kinesthetic stimulation on early somatic growth of preterm infants in Kangaroo position. Acta paediatrica (Oslo, Norway : 1992). 2019;108(7):1230-6.
4. Azad M, Bisht SS, Tyagi A, Jaipal ML. The role of a neonatal hypothermia alert device in promoting weight gain in LBW infants. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2022;35(15):2992-4.
5. Brotherton H, Gai A, Tann CJ, Samateh AL, Seale AC, Zaman SMA, et al. Protocol for a randomised trial of early kangaroo mother care compared to standard care on survival of pre-stabilised preterm neonates in The Gambia (eKMC). Trials. 2020;21(1):247.
6. Charpak N, Montealegre-Pomar A, Bohorquez A. Systematic review and meta-analysis suggest that the duration of Kangaroo mother care has a direct impact on neonatal growth. Acta paediatrica (Oslo, Norway : 1992). 2021;110(1):45-59.
7. Kapoor R, Verma A, Dalal P, Gathwala G, Dalal J. Enhancing Kangaroo Mother Care Uptake Through Implementation of an Education Protocol. Indian journal of pediatrics. 2021;88(6):544-9.
8. Kurniawati, Rustina Y, Budiati T. Peer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW Infants. Comprehensive child and adolescent nursing. 2019;42(sup1):252-60.
9. Lydon M, Longwe M, Likomwa D, Lwesha V, Chimtembo L, Donohue P, et al. Starting the conversation: community perspectives on preterm birth and kangaroo mother care in southern Malawi. Journal of global health. 2018;8(1):010703.
10. 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 public health. 2018;18(1):307.
11. Medvedev MM, Tumukunde V, Mambule I, Tann CJ, Waiswa P, Canter RR, et al. Operationalising kangaroo Mother care before stabilisation amongst low birth Weight Neonates in Africa (OMWaNA): protocol for a randomised controlled trial to examine mortality impact in Uganda. Trials. 2020;21(1):126.
12. Montealegre-Pomar ADP, Charpak N. Anemia, nutrition, and ambulatory oxygen weaning in a cohort of oxygen-dependent premature infants. Pediatric pulmonology. 2021;56(6):1601-8.
13. Obaid Ur Rehman M, Hayat S, Gul R, Irfan Waheed KA, Victor G, Khan MQ. Impact of intermittent kangaroo mother care on weight gain of neonate in nicu: Randomized control trial. JPMA The Journal of the Pakistan Medical Association. 2020;70(6):973-7.
14. Pandya D, Kartikeswar GAP, Patwardhan G, Kadam S, Pandit A, Patole S. Effect of early kangaroo mother care on time to full feeds in preterm infants - A prospective cohort study. Early human development. 2021;154:105312.
15. Pavlyshyn H, Sarapuk I, Casper C, Makieieva N. Kangaroo mother care can improve the short-term outcomes of very preterm infants. Journal of neonatal-perinatal medicine. 2021;14(1):21-8.
16. Pratomo H, Amelia T, Nurlin F, Adisasmita AC. Knowledge and perceptions of kangaroo mother care among health providers: a qualitative study. Clinical and experimental pediatrics. 2020;63(11):433-7.
17. Sharma D, Murki S, Oleti TP. Study comparing "Kangaroo Ward Care" with "Intermediate Intensive Care" for improving the growth outcome and cost effectiveness: randomized control trial. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2018;31(22):2986-93.
18. Sharma M, Morgan V, Siddadiah M, Songara D, Bhawsar RD, Srivastava A. Impact of a Novel Hypothermia Alert Device on Death of Low Birthweight Babies at Four Weeks: A Non-randomized Controlled Community-based Trial. Indian pediatrics. 2020;57(4):305-9.
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Nov 20, 2022
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Misbah ullah khan, Ijaz Ahmad, & Afzal Ahmad. (2022). IMPACT OF EARLY KANGAROO MOTHER CARE ON WEIGHT GAIN AND HOSPITAL STAY IN PRETERM INFANTS – A RANDOMIZED CONTROLLED TRIAL. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 5320-5325. https://doi.org/10.53555/1cme5v79
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Author Biographies
Misbah ullah khan
Experiential registrar Peads icu Khyber teaching hospital Peshawar
Ijaz Ahmad
Experiential registrar pediatrics Khyber teaching hospital Peshawar
Afzal Ahmad
Registrar nursery Khyber teaching hospital Peshawar
How to Cite
Misbah ullah khan, Ijaz Ahmad, & Afzal Ahmad. (2022). IMPACT OF EARLY KANGAROO MOTHER CARE ON WEIGHT GAIN AND HOSPITAL STAY IN PRETERM INFANTS – A RANDOMIZED CONTROLLED TRIAL. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 5320-5325. https://doi.org/10.53555/1cme5v79