Effect of Kangaroo Mother Care on Weight Gain in Preterm Infants at Tertiary Care Hospital
DOI:
https://doi.org/10.51253/pafmj.v75i4.10477Keywords:
Kangaroo mother care, preterm, weight gain in very low birth weight (VLBW) infants, RCT.Abstract
Objective: To ascertain effect of Kangaroo mother care (KMC) on weight gain in preterm infants at a tertiary care hospital.
Study Design: Quasi-experimental study
Place and Duration of Study: Neonatal unit of Combined Military Hospital, Lahore, Pakistan, from Oct 2022 to Mar 2023.
Methodology: Neonates were included in the study after obtaining approval from the institutional review board and consent from parents in both the Kangaroo Mother Care (KMC) Group (n=60) and the Control Group (n=60). Infants born between 30 and 35 weeks of gestational age and weighing between 1000 g and 2000 g were selected for the study and divided into two groups using a simple random approach.
Results: Out of the 132 newborns, 120(90.90%) were selected, with 60(50%) in each group. The KMC Group demonstrated a higher average weight gain from day 7 to day 14 (16.429±2.64gm g) compared to the Control Group (10.429±2.62gm g) with statistical significance (p<0.0001). The increase in weight each day did not show a statistically significant difference between the two groups (p>0.05). Subgroup evaluations of 41 infants (68.3%) in the intervention group showed that they exclusively breastfed at discharge, compared to only 23 infants (38.3%) in the Control Group who initiated breastfeeding at discharge.
Conclusion: In comparison to conventional mother care, Kangaroo mother care is a potent tool for improved weight gain in preterm babies in LMIC, along with its beneficial effect on establishing exclusive mother feed at discharge.
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References
1. World Health Organization. Preterm birth [Internet]. Available from: https://www.who.int/newsroom/factsheets/detail/pretermirth#:~:text=An%20estimated%2013.4%20million%20babies%20were%20born%20too%20early%20in,of%20preterm%20birth%20 [cited 2023 Jun 10].
2. Hanif A, Ashraf T, Pervaiz M, Guler N. Prevalence and risk factors of preterm birth in Pakistan. J Pak Med Assoc 2020; 70(4): 577-582. https://doi:10.5455/JPMA.295022.
3. Chan GJ, Valsangkar B, Kajeepeta S, Boundy EO, Wall S. What is kangaroo mother care? systematic review of the literature. J Glob Health 2016; 6(1): 010701. https://doi:10.7189/jogh 06.010701
4. Koreti M, Muntode-Gharde P. A narrative review of Kangaroo Mother Care (KMC) and its effects on and benefits for low birth weight (LBW) babies. Cureus 2022;27: 14(11): e31948. https://doi:10.7759/cureus.31948.
5. Rasul N, Rashid M, Abbas A, Rubina S. First Experience of Implementation of Kangaroo Mother Care in Punjab- Pakistan to Reduce Morbidity and Mortality in Preterm Infants. Ann King Edw Med Univ 2017; 23(4): 496-502.
https://doi.org/10.21649/akemu.v23i4.2197
6. Jafari M, Farajzadeh F, Asgharlu Z, Derakhshani N, Asl YP. Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials. J Educ Health Promot 2019; 8: 96.
https://doi:10.4103/jehp.jehp_310_18.
7. Heidarzadeh M, Hosseini MB, Ershadmanesh M, Gholamitabar Tabari M, Khazaee S. The effect of Kangaroo Mother Care (KMC) on breast feeding at the time of NICU discharge. Iran Red Cres Med J 2013; 15(4): 302–306.
https://doi:10.5812/ircmj.2160
8. Dingding D, Xifang R, Xiaofang H, Tian S, Shan L, Ying W, et al. A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. Int Breastfeed J 2022; 10: 17(1):6.
https://doi.org/10.1186/s13006-021-00447-4
9. Morisaki N, Kawachi I, Oken E, Fujiwara T. Social and anthropometric factors explaining racial/ethnical differences in birth weight in the United States. Sci Rep 2017; 7: 46657.
https://doi:10.1038/srep46657
10. World Health Organization. Survive and thrive: transforming care for every small and sick newborn. [Internet]. Available from: https://www.who.int/publications/i/item/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn. [Accessed on August 12, 2019]
11. Boyd KA, Briggs AH, Fenwick E, Norrie J, Stock SJ. Power and sample size for cost-effectiveness analysis: fFN neonatal screening. Contemp Clin Trials 2011; 32(6): 893-901.
https://doi.org/10.1016/j.cct.2011.07.007
12. Acharya N, Singh R, Bhatta N, Poudel P. Randomized control trial of Kangaroo Mother Care in low birth weight babies at a tertiary level hospital. J Nepal Paediatr Soc 2014; 34(1): 18–23.
https://doi:10.3126/jnps.v34i1.8960
13. Samra NM, Taweel AE, Cadwell K. Effect of intermittent kangaroo mother care on weight gain of low birth weight neonates with delayed weight gain. J Perinat Educ 2013; 22(4): 194-200. https://doi.org/10.1891%2F1058-1243.22.4.194
14. Rehman MOU, Hayat S, Gul R, Waheed KAI, Victor G, Khan MQ. Impact of intermittent kangaroo mother care on weight gain of neonate in nicu: Randomized control trial. J Pak Med Assoc 2020; 70(6): 973-977. https://doi: 10.5455/JPMA.45123.
15. Pravitasari IR, Widyaningsih V, Murti B. The Effect of Kangaroo Mother Care in Increasing Body Weight and Temperature in Premature Infants: Meta-Analysis. J Matern Child Health 2020; 05(05): 563-578. https://doi.org/10.26911/thejmch.2020.05.05.10.
16. Wang Y, Zhao T, Zhang Y, Li S, Cong X. Positive Effects of Kangaroo Mother Care on Long-Term Breastfeeding Rates, Growth, and Neurodevelopment in Preterm Infants. Breastfeed Med 2021; 16(4): 282-291. https://doi:10.1089/bfm.2020.0358.
17. Mekonnen AG, Yehualashet SS, Bayleyegn AD. The effects of kangaroo mother care on the time to breastfeeding initiation among preterm and LBW infants: a meta-analysis of published studies. Int Breastfeed J 2019; 14: 12. https://doi.org/10.1186/s13006-019-0206-0
18. Subedi K, Aryal D, Gurubacharya S. Kangaroo mother care for low birth weight babies: A prospective observational study. J Nepal Paediatr Soc 2009; 29(1): 6–9.
https://doi:10.3126/jnps.v29i1.1593
19. Ahmad N, Gul SS, Khan MH, Hashmi F, Batool, Fatima A. Outcome of kangaroo mother care in preterm, low birth weight neonates; a randomized control trial. Ann Pak Inst Med Sci 2022; 18(3): 196–200. https://doi:10.48036/apims.v18i3.647
20. Ghavane S, Murki S, Subramanian S, Gaddam P, Kandraju H, Thumalla S. Kangaroo Mother Care in Kangaroo ward for improving the growth and breastfeeding outcomes when reaching term gestational age in very low birth weight infants. Acta Paediatr 2012; 101(12): e545-9. https://doi:10.1111/apa.12023.
21. Daga S. Reinforcing kangaroo mother care uptake in resource limited settings. Matern Health Neonatol Perinatol 2018; 4: 26. https://doi:10.1186/s40748-018-0091-3.
22. Parmar VR, Kumar A, Kaur R, Parmar S, Kaur D, Basu S, et al. Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) in Chandigarh, India. Indian J Pediatr 2009; 76(1): 25-28. https://doi:10.1007/s12098-009-0024-2.
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