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SHORT COMMUNICATION Table of Contents   
Year : 2014  |  Volume : 39  |  Issue : 4  |  Page : 245-249
Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn


1 Department of Neonatology, Institute of Post-Graduate Medical Education & Research (IPGME&R) and Seth Sukhlal Karnani Memorial Hospital (SSKM) Hospital, Kolkata, West Bengal, India
2 Department of Pediatrics, Institute of Post-Graduate Medical Education & Research (IPGME&R) and Seth Sukhlal Karnani Memorial Hospital (SSKM) Hospital, Kolkata, West Bengal, India
3 Department of Pharmacology, Institute of Post-Graduate Medical Education & Research (IPGME&R) and Seth Sukhlal Karnani Memorial Hospital (SSKM) Hospital, Kolkata, West Bengal, India

Correspondence Address:
Alpanamayi Bera
Mahalaxmi Apartment, 222 G. T. Road, Belur Math, Howarh - 711 202, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0218.143030

Clinical trial registration CTRI/2013/07/003814

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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 (SpO 2 ) 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 SpO 2 by 5% following KMC sessions. Although modest, these changes were statistically significant on all 3 days. Individual abnormalities (e.g. hypothermia, bradycardia, tachycardia, low SpO 2 ) 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.


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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
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