Multidisciplinary research and review journal | Online ISSN 3064-9870
RESEARCH ARTICLE   (Open Access)

Effect of Kangaroo Mother Care on Weight Gain in Low Birth Weight Preterm Infants

Sahar Hassan1*, Kareem Nasir Hussien2, Mushtaq Talib Mahdi3

+ Author Affiliations

Journal of Primeasia 5(1) 1-6 https://doi.org/10.25163/primeasia.519739

Submitted: 16 November 2023  Revised: 20 January 2024  Published: 23 January 2024 

Abstract

Background: Preterm birth, defined as delivery before the 37th week of pregnancy, often results in low birth weight and complex medical issues, necessitating additional care. Kangaroo Mother Care (KMC), which involves skin-to-skin contact with the mother or caregiver, is a recommended care approach for stable low birth weight infants. This study aimed to assess the impact of KMC on the weight gain of low birth weight preterm infants. Methods: This quasi-experimental study was conducted at the premature care unit of Al-Zahraa Teaching Hospital in Al-Najaf, Iraq, from May 2023 to April 2024. The study included 25 mother-infant dyads, where infants were preterm (<37 weeks gestation) and had a birth weight of <2000 grams. The intervention involved mothers practicing KMC for ≥6 hours/day. Data on gestational age, birth weight, gender, mode of delivery, feeding type, and weight gain were collected. Infant weight was measured at enrollment and discharge. Statistical analysis was performed using Jamovi software version 25, with significance set at P < 0.05. Results: The mean age of infants in the KMC group was 13.6±5.7 days, with 56% males and 44% females. Most infants (92%) had a birth weight of <1500 grams. There was a significant weight improvement at discharge (1178.8 ± 239.6 g) compared to admission (1094.8 ± 270.6 g), with an average weight gain of 85 grams (P < 0.001). Additionally, 72% of infants in the KMC group were exclusively breastfed. Conclusion: KMC significantly improves weight gain and breastfeeding rates in low birth weight preterm infants. The findings support the implementation of KMC as an effective care strategy in resource-limited settings to enhance infant health outcomes.

Keywords: Kangaroo Mother Care (KMC), Low Birth Weight (LBW), Preterm Infants, Weight Gain, Neonatal Care

References

Abdulrasol, Z. A., Obaid, A. F., Kadim, M. A., & Shlash, A. M. J. (2024). Mortality rate among Iraqi neonates in neonatal intensive care units: Retrospective study. Journal of Neonatal Nursing, 30(2), 148-151. https://doi.org/https://doi.org/10.1016/j.jnn.2023.07.018

Awqati, N. A., Ali, M. M., Al-Ward, N. J., Majeed, F. A., Salman, K., Al-Alak, M., & Al-Gasseer, N. (2009). Causes and differentials of childhood mortality in Iraq. BMC pediatrics, 9, 1-9.

Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E., . . . Chan, G. J. (2016). Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics, 137(1).

Campanha, P. d. P. A., de Magalhães-Barbosa, M. C., Prata-Barbosa, A., Rodrigues-Santos, G., & da Cunha, A. J. L. A. (2024). Exclusive breastfeeding and length of hospital stay in premature infants at a Brazilian reference center for kangaroo mother care. Jornal de Pediatria. https://doi.org/https://doi.org/10.1016/j.jped.2024.01.004

Cho, E.-S., Kim, S.-J., Kwon, M. S., Cho, H., Kim, E. H., Jun, E. M., & Lee, S. (2016). The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of pediatric nursing, 31(4), 430-438.

Conde-Agudelo, A., Belizán, J., & Diaz-Rossello, J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Sys Rev. 2011; 3: CD002771. In.

Cristóbal Cañadas, D., Parrón Carreño, T., Sánchez Borja, C., & Bonillo Perales, A. (2022). Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care. International Journal of Environmental Research and Public Health, 19(12), 7183. https://www.mdpi.com/1660-4601/19/12/7183

El-Nagger, N., El-Azim, H. A., & Hassan, S. M. Z. (2013). Effect of kangaroo mother care on premature infants’ physiological, behavioral and psychosocial outcomes in Ain Shams Maternity and Gynecological Hospital, Cairo, Egypt. Life Sci J, 10(1), 703-716.

Jaywant, S., Chavan, B., Mulye, M., & Sakpal, S. (2021). Effect of kangaroo mother care on the weight gain of the low birth weight preterm infants. IJAR, 7(5), 393-397.

Madiba, S., & Sengane, M. (2021). Tube Feeding Practices and Transition to Breastfeeding Experiences of Mothers of Preterm Infants at a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa. Global pediatric health, 8, 2333794X211037032-212333794X211037032. https://doi.org/10.1177/2333794X211037032

Patel, J. S., & Solanki, G. A. (2021). Outcome of kangaroo mother care in terms of hospital stay among preterm infants in a tertiary health care center Bhuj, Kutch: a cross-sectional study. International Journal of Contemporary Pediatrics, 8(2), 285. https://doi.org/10.18203/2349-3291.ijcp20210114

Pathak, B. G., Sinha, B., Sharma, N., Mazumder, S., & Bhandari, N. (2023). Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis. Bull World Health Organ, 101(6), 391-402g. https://doi.org/10.2471/blt.22.288977

Sabry, F. A. M., Ayed, M. M. A., Mohamed, M. F., Ismail, L. M.-N., Ahmed, M. R., & Abd-Elkhalek, N. K. (2023). Effect of Kangaroo Mother Care Discharge Guide Program on Mothers and Preterm Neonates Outcomes. Egyptian Journal of Health Care, 14(1), 833-853.

Sangild, P. T. (2006). Gut responses to enteral nutrition in preterm infants and animals. Experimental biology and medicine, 231(11), 1695-1711.

Saputri, H. D., & Dwi Ernawati, M. (2019). THE EFFECTIVENESS OF KANGAROO MOTHER CARE ON PREMATURE BABIES: A Scoping Review. Proceeding International Conference,

Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Utility of kangaroo mother care in preterm and low birthweight infants. South African Family Practice, 55(4), 340-344.

Thakur, P., Sarin, J., & Kumar, Y. (2020). Effect of Kangaroo Mother Care on Physiological Parameters of Low Birth Weight Babies Admitted in NICU. Medico-legal Update, 20(3).

WHO. (2003). Kangaroo mother care: a practical guide (9241590351). (Reproductive Health, Issue.

Yang, X., Zhang, J., Cao, M., Pan, Y., & Zhang, Y. (2023). Application of e-health on neonatal intensive care unit discharged preterm infants and their parents: Protocol for systematic review and meta-analysis. Digital health, 9, 20552076231205271-20552076231205271. https://doi.org/10.1177/20552076231205271

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