Effect of Kangaroo Mother Care on the breastfeeding, morbidity, and mortality of very low birth weight neonates: A prospective observational study
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 3
Abstract
Objective: To compare the effect of Kangaroo Mother Care (KMC) versus conventional mother care (CMC) on growth, morbidity, mortality, and length of hospitalization in very low birth weight (VLBW) neonates. Study Design: A hospital based prospective observational study conducted in the pediatric department of a tertiary care teaching hospital in Southern Odisha. Materials and Methods: A total of 100 VLBW neonates were included. The effect of KMC on growth, morbidity, breastfeeding, and length of hospitalization was studied. The KMC group (n=50) was subjected to KMC for at least 6 h/day. The neonates received kangaroo care during hospitalization and at home. The control group (n=50) received CMC. Results: The KMC babies had better average weight gain per day (15.9±4.5 vs. 10.6±4.5 g, p<0.0001). The weekly increments in head circumference (0.75 vs. 0.49 cm, p=0.001), length (0.99 vs. 0.7 cm, p=0.021), and chest circumference (0.73 vs. 0.45 cm, p=0.004) were higher in the KMC group. Significantly more neonates receiving CMC suffered from hypothermia (36% vs. 6%), apnea (16% vs. 2%), and other minor illnesses (44% vs. 16%) than those receiving KMC. There was earlier hospital discharge in KMC group (6 vs. 18 days). More neonates of KMC group were exclusively breastfed at the end of the study (86% vs. 42%). No mortality was noted in either group. Conclusions: KMC improves growth, reduces morbidities, improves breastfeeding rates, and reduces hospitalization in VLBW neonates.
Authors and Affiliations
Pravakar Mishra, Narayan Rai, Nihar Ranjan Mishra, Rashmi Ranjan Das
Keywords
Related Articles
- EP ID EP456439
- DOI -
- Views 56
- Downloads 0
Assessment of phototherapy-induced hypocalcemia and its correlation with urinary calcium excretion in term and preterm newborns with neonatal hyperbilirubinemia: A cross-sectional study with controls
Introduction: Although hypocalcemia is often proposed to be associated with phototherapy in both term and preterm newborns, its exact incidence, clinical significance, and underlying mechanism still remain to be elucidat...
Prevalence of childhood asthma and its immediate outcome - At tertiary care rural hospital
Introduction: Asthma is a chronic inflammatory disorder of the airways resulting in episodic airway obstruction. Globally, childhood asthma is increasing in the prevalence, despite improvements in investigation and treat...
Human milk banking: One year experience from a tertiary care centre
Introduction: A human milk bank (HMB) systematically collects, screens, processes, and dispenses excess milk donated by healthy nursing mothers. First HMB of Asia was established in the year 1989 in Mumbai, but there are...
Clinico-epidemiological profile and risk factors associated with failure of conservative therapy in pediatric empyema patients
Objective: The objective is to study the clinico-epidemiological profile and risk factors associated with failure of conservative therapy in pediatric empyema patients and to correlate the Light’s criteria in the same. M...
Neonatal Jaundice: Knowledge, attitude beliefs, and practices of postnatal mothers in a tertiary care hospital in Uttarakhand, India
Background: Neonatal jaundice (NNJ), a preventable cause of brain damage, is the most common cause of admission in the 1st week of life in neonatal intensive care unit. Objective: To determine the knowledge attitude and...