Kangaroo mother care affect stability vital signs of low birth weight babies

Background: The Kangaroo Mother Care (KMC) is defined as skin-to-skin contact between mother and her new-born. KMC is a simple way to increase the life expectancy of low birth weight and premature infants. The purpose of this study is to explore the stability of vital signs for Low Birth Weight (LBW) infants before and after using KMC.Methods: the design was a quasi-experimental pre and posttest without a control group has been conducted in private hospital perinatal inward Tangerang with 30 LBW babies.Results: The result shows that the stability of vital signs with t-test the baby's temperature that the resulting p=0.001; α=0:05, heart frequency p=0.004; α=0:05, breath frequency p=0.004; α=0:05 and oxygen saturation p=0.011; α=0:05. The stability of vital signs through KMC could be a complement and alternative to conventional nursing for LBW babies and length of stay in hospital could be minimized.Conclusions: The stability of these vital signs through the KMC can be used as a complementary and alternative in the treatment of LBW, particularly those with low birth weight, which can decrease the duration of hospitalization and use of the incubator is an absolute equipment used.

Anthropometric outcome of extremely low birth weight and very low birth weight newborn at 12 months of corrected age associated with prenatal risk factors

Background: Advancement of skill, technology and perinatal medicine has led to improve survival of low birth weight babies during the last few decades but they have reported high incidence of growth failure during infancy and early childhood. The objective of the study was to find out the influence of perinatal risk factors on anthropometric outcome.Methods: A prospective cohort study conducted on 143 ELBW and VLBW babies admitted in Sick Newborn Care Unit (SNCU and PICU) of North Bengal Medical College and Hospital (NBMC), Darjeeling, West Bengal from 2016 to 2017 and discharged babies were followed up.Results: Total 143 neonates were studied at NBMC among male 82(57.3%) and female 61(42.7%), 95 were AGA and 48 were SGA babies. Significant positive correlations were found among birth weight, gestational age, perinatal infection (p<0.001). The mean weight for age (Mean'SD) was 7.615'1.1092 kg with median 7.8 kg. The mean length for age (Mean'SD) was 72.6'3.74 cm with median 73 cm. The mean head circumference for age (Mean'SD) was 42.5'2.12 cm median 43 cm. Adverse neonatal outcome associated with CRIB II score ?10. Total CRIB II score with parameters of growth (<-2 Z score) like weight for age, length for age, weight for length and head circumference for age shows significant correlation (p<0.001).Conclusions: Perinatal risk factors are important determinant for future anthropometric outcome in very low and extremely low birth weight babies. They should be identified, and appropriate measures should be taken to achieve good outcome.

Study to assess the knowledge, attitude and practice of Kangaroo mother care among post-natal mothers in a tertiary care centre of Mangalore, Karnataka, India

Background: Kangaroo mother care (KMC) is a practical low-cost intervention which is very cost effective in developing countries for babies weighing less than 2500g. This study aimed to evaluate the knowledge, attitude and practice of post-natal mothers of LBW babies after giving a teaching session by trained personnel in a tertiary care center in Karnataka.Methods: A cross sectional descriptive study of 90 mothers whose neonates were weighing less than 2.5kg from May to October 2018.Mothers were interviewed at enrolment and were assessed about their knowledge and were oriented on its practice.Results: At recruitment (95.5%) mothers did not know about KMC.80% of mothers followed in first sitting and 86.6% of the mothers felt photo exhibition was better than verbal.96.6% of mothers thought KMC is beneficial and it was believed that other family members can even provide KMC.Conclusions: Maternal knowledge was low before now they are happily practicing KMC in hospital and thereafter at home.

As crenças culturais dos familiares no manejo da alimentação do bebê de baixo peso / Cultural family beliefs in the feeding management of low birth weight babies / Las creencias culturales de los familiares en el manoseo de la alimentación del bebé de bajo peso

Estudo objetivou desvelar as práticas culturais dos familiares no manejo da alimentação do bebê de baixo peso. Pesquisa qualitativa desenvolvida de abril de 2008 a março de 2009. Foi aplicado o método criativo sensível com seis grupos de famílias, moradores no município do Rio de Janeiro. Os resultados foram analisados segundo a análise crítica do discurso. Estes revelaram que as crenças culturais das famílias no manejo da alimentação do bebê de baixo peso foram transmitidas intergeracionalmente sofrendo poucas rupturas na interação com os profissionais de saúde. Como parte do conjunto de sua prática social, a amamentação e a introdução de outros alimentos na alimentação do bebê manifestaram-se na diversidade de vozes de diversas pessoas. Conclui-se que a inclusão da família nas intervenções clínicas e educativas pode contribuir para produção de novos sentidos na seleção de alimentos do bebê de baixo peso.

This study aims at disclosing cultural family practices in the feeding management of low-weight babies. Qualitative research carried from April, 2008 to March, 2009. Creativity - sensitivity method for data generation was used with six family groups, living in Rio de Janeiro, RJ, Brazil. Results were treated on the basis of critical discourse analysis. Family cultural beliefs in the feeding management of low birth weight baby were found to pass on through generations, with few disruptions in the interaction with health professionals. As part of larger social practice, breastfeeding as well as the introduction of other foods in the baby’s diet came out in multiple voices. Conclusions show that the inclusion of family interventions in clinical and health education can contribute to the production of new meanings in food selection for low birth weight babies.

Este estudio tuvo como objetivo desvelar las prácticas culturales de los familiares en el manoseo de la alimentación del bebé de bajo peso. La investigación cualitativa fue desarrollada en el período de abril de 2008 a marzo de 2009. El método aplicado fue el creativo sensible con seis grupos de familias que residían en el municipio de Río de Janeiro-Brasil. Los resultados fueron analizados de acuerdo con el análisis crítico del discurso. Estos revelaron que las creencias culturales de las familias en el manoseo de la alimentación del bebé de bajo peso fueron transmitidas entre generaciones con pocas rupturas en la interacción con los profesionales de salud. Como parte del conjunto de su práctica social, la amamantación y la introducción de otros alimentos en la alimentación del bebé se manifestaron en la diversidad de voces de diferentes personas. Se concluye que los profesionales de salud precisan incluir toda la familia como objetivo de las intervenciones clínicas y educativas para ampliar el acceso a las creencias culturales intergeneracionales, un punto de partida esencial para negociación de nuevas prácticas alimentares y la producción de nuevos sentidos en la selección de los alimentos para el bebé de bajo peso.