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ISSN: Print -2349-0977, Online - 2349-4387
Year : 2014  |  Volume : 1  |  Issue : 3  |  Page : 190-194

Kangaroo mother care in low birth weight babies: Measures to mitigate challenges in implementation

1 Administrative Department of Nursing Training School, Howrah District Hospital, Howrah, West Bengal, India
2 Department of Pharmacology, IPGME & R and SSKM Hospital, Kolkata, West Bengal, India
3 Department of Pediatrics, IPGME & R and SSKM Hospital, Kolkata, West Bengal, India
4 Department of Neonatology, IPGME & R and SSKM Hospital, Kolkata, West Bengal, India

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

DOI: 10.4103/2349-0977.157763

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Introduction: Kangaroo Mother Care (KMC) is a nonconventional low-cost method of newborn care. We tried to understand the difficulties faced by mothers during KMC and profile the corrective action. Materials and Methods: Over 3½ years, mothers of inborn low birth weight babies were taught and motivated by clinical nurse researcher to implement KMC. Gross congenital abnormality or nonconsenting mothers were exclusion factors. After demonstration sessions, KMC was implemented for 1 h on 1st day, 2 h on 2nd day, 3 h on 3rd day and then scaled up for as long as a mother felt comfortable. After discharge, KMC was continued at home till the infant attained 2500 g weight or 40 weeks corrected gestational age. Difficulties being faced both in hospital and at home were probed and remedial measures suggested accordingly. Results: Of 300 mother-baby pairs studied, 35 (11.67%) mothers could not implement KMC satisfactorily in hospital itself. Causes of failure related to mother, infant or socioeconomic factors, such as mother not feeling well enough, need to visit toilet, feeling hungry, lack of self-motivation, soiling of nappies, and interfering family members (especially maternal grandmother). To overcome these problems, both mother and father, and when required, other family members were counseled. Mother was instructed to visit the toilet just before KMC session and to take adequate food beforehand. Before discharge family support person was identified. After discharge, 6 (2%) additional mothers faced problems from lack of privacy, discouragement by mother-in-law or neighbors, lack of time and uncomfortable summer environment. Motivation and counseling at every follow-up visit rescued the situation. Conclusion: Regular supervision and counseling along with adequate initial demonstration are necessary for successful implementation of KMC.

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