Kangaroo mother care refers to keeping preterm or low birth weight infants in skin-to-skin contact with the mother or caregiver. It involves placing the infant in a vertical position between the mother's breasts. Parameters like temperature, respiration, feeding, and growth are monitored. Benefits include keeping the infant warm and stable, promoting breastfeeding and bonding, and reducing costs. Kangaroo mother care can help lower mortality rates and support healthier child development at individual, family, hospital, and national levels.
Kangaroo mother care refers to keeping preterm or low birth weight infants in skin-to-skin contact with the mother or caregiver. It involves placing the infant in a vertical position between the mother's breasts. Parameters like temperature, respiration, feeding, and growth are monitored. Benefits include keeping the infant warm and stable, promoting breastfeeding and bonding, and reducing costs. Kangaroo mother care can help lower mortality rates and support healthier child development at individual, family, hospital, and national levels.
Kangaroo mother care refers to keeping preterm or low birth weight infants in skin-to-skin contact with the mother or caregiver. It involves placing the infant in a vertical position between the mother's breasts. Parameters like temperature, respiration, feeding, and growth are monitored. Benefits include keeping the infant warm and stable, promoting breastfeeding and bonding, and reducing costs. Kangaroo mother care can help lower mortality rates and support healthier child development at individual, family, hospital, and national levels.
Kangaroo mother care refers to keeping preterm or low birth weight infants in skin-to-skin contact with the mother or caregiver. It involves placing the infant in a vertical position between the mother's breasts. Parameters like temperature, respiration, feeding, and growth are monitored. Benefits include keeping the infant warm and stable, promoting breastfeeding and bonding, and reducing costs. Kangaroo mother care can help lower mortality rates and support healthier child development at individual, family, hospital, and national levels.
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KANGAROO MOTHER CARE
First suggested by Dr Edgar Ray in Colombia.
Refers to care of preterm or low birth weight infants by
placing the infant in skin-to-skin contact with the mother or any other caregiver. PARAMETERS TO BE MONITORED DURING KMC
Temperature : Once in 6 hrs.
Respiration : For apnea. Feeding : Once in 90-120 min. Well being : By educating mother about danger signs. growth : Gain of 15-20 g /kg/day. Compliance with kangaroo care. COMPONENTS OF KMC
1.KANGAROO POSITION Consists of specific frog like position of LBW new born with skin-to-skin contact with mother , in between her breasts in a vertical position.
The provider must keep herself in a
semi-reclining position to avoid gastric reflux in the infant. Maintained 24 hrs a day , till child gains at least 2000g. PREPARATION OF KANGAROO BABY Baby must be suitably dressed in a cap , soak-proof diaper , socks and with an open shirt to have skin to skin contact between mother and baby and placed in a kangaroo bag. Mechanism of prevention of hypothermia
THERMAL SYNCHRONY
If the temp of the baby decreases by 1°c ,
correspondingly the temp of mother increases by 2 °c to warm up the baby. If the temp of the baby raises by 1°c , the temp of the mother decreases by 1°c. 2.KANGAROO FEEDING POLICY
kangaroo position is ideal for breast feeding.
Exclusive breast feeding is the policy. Feeding is done once in 90-120 min. If the baby can suckle , it is promoted. If baby cannot suckle , expressed breast milk to be fed. If the baby is unable to swallow , EBM is fed by nasogastric tube. 3a.EARLY DISCHARGE
Criteria for discharge:
Wt gain of at least 40g a day for 5 consecutive days. Baby should feed well on breast milk. Temp should be maintained. There should not be any evidence of illness. Successful ‘in-hospital adaptation’ of the mother and other members of the family. 3b.FOLLOW-UP After discharge , KMC is continued at home. Follow-up is done daily by the health worker for one week and ensured that baby is feeding well and gaining about 40g weight daily. Afterwards once a week till the baby reaches 40 weeks of post conceptional age. BENEFITS OF KANGAROO MOTHER CARE
1. Benefits to baby
Baby is kept warm all the 24 hours by the mother. (natural
incubator) It has minimum risk of apnea. It gains physiological stability. It gets safety and love. Early growth is promoted. It is at a reduced risk of nosocomial infections. 2. Benefits to mother
Mother becomes actively involved in taking care of her
child. Mother is relaxed , confident and empowered. Bonding is better established. Breastfeeding becomes successful. 3. Benefits to family
KMC is economical compared to cost of
intensive care. There is better follow-up.
KMC promotes bonding among the family
members. 4. Benefits to Hospital
KMC saves materials like incubators, O2 cylinders.