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Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn.

Bera A, Ghosh J, Singh AK, Hazra A, Som T, Munian D - Indian J Community Med (2014)

Bottom Line: Although modest, these changes were statistically significant on all 3 days.Babies receiving KMC showed modest but statistically significant improvement in vital physiological parameters on all 3 days.Thus, without using special equipment, the KMC strategy can offer improved care to LBW babies.

View Article: PubMed Central - PubMed

Affiliation: Department of Neonatology, Institute of Post-Graduate Medical Education & Research (IPGME&R) and Seth Sukhlal Karnani Memorial Hospital (SSKM) Hospital, Kolkata, West Bengal, India.

ABSTRACT

Objectives: Low birth weight (LBW; <2500 g), which is often associated with preterm birth, is a common problem in India. Both are recognized risk factors for neonatal mortality. Kangaroo mother care (KMC) is a non-conventional, low-cost method for newborn care based upon intimate skin-to-skin contact between mother and baby. Our objective was to assess physiological state of LBW babies before and after KMC in a teaching hospital setting.

Materials and methods: Study cohort comprised in-born LBW babies and their mothers - 300 mother-baby pairs were selected through purposive sampling. Initially, KMC was started for 1 hour duration (at a stretch) on first day and then increased by 1 hour each day for next 2 days. Axillary temperature, respiration rate (RR/ min), heart rate (HR/ min), and oxygen saturation (SpO2) were assessed for 3 consecutive days, immediately before and after KMC.

Results: Data from 265 mother-baby pairs were analyzed. Improvements occurred in all 4 recorded physiological parameters during the KMC sessions. Mean temperature rose by about 0.4°C, RR by 3 per minute, HR by 5 bpm, and SpO2 by 5% following KMC sessions. Although modest, these changes were statistically significant on all 3 days. Individual abnormalities (e.g. hypothermia, bradycardia, tachycardia, low SpO2) were often corrected during the KMC sessions.

Conclusions: Babies receiving KMC showed modest but statistically significant improvement in vital physiological parameters on all 3 days. Thus, without using special equipment, the KMC strategy can offer improved care to LBW babies. These findings support wider implementation of this strategy.

No MeSH data available.


Related in: MedlinePlus

Temperature changes induced by kangaroo mother care sessions on the three successive study days
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Figure 1: Temperature changes induced by kangaroo mother care sessions on the three successive study days

Mentions: Figures 1 and 2 depict the range of values encountered for body temperature and oxygen saturation in the study cohort over the 3 successive study days.


Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn.

Bera A, Ghosh J, Singh AK, Hazra A, Som T, Munian D - Indian J Community Med (2014)

Temperature changes induced by kangaroo mother care sessions on the three successive study days
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215507&req=5

Figure 1: Temperature changes induced by kangaroo mother care sessions on the three successive study days
Mentions: Figures 1 and 2 depict the range of values encountered for body temperature and oxygen saturation in the study cohort over the 3 successive study days.

Bottom Line: Although modest, these changes were statistically significant on all 3 days.Babies receiving KMC showed modest but statistically significant improvement in vital physiological parameters on all 3 days.Thus, without using special equipment, the KMC strategy can offer improved care to LBW babies.

View Article: PubMed Central - PubMed

Affiliation: Department of Neonatology, Institute of Post-Graduate Medical Education & Research (IPGME&R) and Seth Sukhlal Karnani Memorial Hospital (SSKM) Hospital, Kolkata, West Bengal, India.

ABSTRACT

Objectives: Low birth weight (LBW; <2500 g), which is often associated with preterm birth, is a common problem in India. Both are recognized risk factors for neonatal mortality. Kangaroo mother care (KMC) is a non-conventional, low-cost method for newborn care based upon intimate skin-to-skin contact between mother and baby. Our objective was to assess physiological state of LBW babies before and after KMC in a teaching hospital setting.

Materials and methods: Study cohort comprised in-born LBW babies and their mothers - 300 mother-baby pairs were selected through purposive sampling. Initially, KMC was started for 1 hour duration (at a stretch) on first day and then increased by 1 hour each day for next 2 days. Axillary temperature, respiration rate (RR/ min), heart rate (HR/ min), and oxygen saturation (SpO2) were assessed for 3 consecutive days, immediately before and after KMC.

Results: Data from 265 mother-baby pairs were analyzed. Improvements occurred in all 4 recorded physiological parameters during the KMC sessions. Mean temperature rose by about 0.4°C, RR by 3 per minute, HR by 5 bpm, and SpO2 by 5% following KMC sessions. Although modest, these changes were statistically significant on all 3 days. Individual abnormalities (e.g. hypothermia, bradycardia, tachycardia, low SpO2) were often corrected during the KMC sessions.

Conclusions: Babies receiving KMC showed modest but statistically significant improvement in vital physiological parameters on all 3 days. Thus, without using special equipment, the KMC strategy can offer improved care to LBW babies. These findings support wider implementation of this strategy.

No MeSH data available.


Related in: MedlinePlus