Effect of Kangaroo Baby Massage on Mother-infant Interaction at Home (KBM)

Universidad Nacional de Colombia

Status: Completed

Conditions: Premature; Depression, Post-Partum; Feeding, Breast; Gain, Weight; Mother-Infant Interaction; Breastfeeding; Low Birth Weight

Treatments: Behavioral: Kangaroo Baby Massage

Study type: Interventional

Funder types: Other

Identifiers

NCT04908332

UNColombia KBM

Details and patient eligibility

About

The objective of this randomized clinical trial will determine the effectiveness of nursing intervention (Kangaroo Baby Massage) on the interaction between mothers and premature, low birth weight infants at home The dyad mother- infant of the control group will receive Kangaroo position KP and the dyad mother- infant mothers of the intervention group will receive the Kangaroo Baby Massage KBM

Full description

Participants and methods: 68 dyads mother-infant will randomize, 34 in intervention KBM group and 34 in control group KP, previous they meet inclusion criteria and accept their participation through informed consent. weight gain and Kangaroo position days at home will be the primaries outcomes. The Alert states, Types of BC feeding, Perceived maternal parental self-efficacy and Postnatal depression. Will be secondary outcomes.

Barnard's mother-child interaction theory supports the study

Enrollment: 68 patients

Sex: All

Ages: 2 days to 3 months old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Prematures and low birth weight infants in Kangaroo position with a chronological age less than 3 months
• The mothers take care the infant at home
• Baby with a weight equal to or greater than 1800 grams at the time of entry to the study.
• Baby whose birth was institutional or extra-institutional.
• Mothers with training in the Kangaroo Mother Program
• Children controlled in the Ambulatory Kangaroo Mother Program

Exclusion Criteria

• Children diagnosed with intraventricular hemorrhages grade III and IV or congenital malformations
• Children who have more than one ambulatory kangaroo control
• Children who have been at home for more than 3 days without starting the ambulatory kangaroo control
• Babies with infections and other pathologies that require hospitalization during the study
• Presence of infectious diseases and other pathologies in the mother that require hospitalization
• Mother confirmed with positive test for covid 19 at the moment of the randomization
• Mothers with cognitive problems or mental disorders.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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68 participants in 2 patient groups

Kangaroo baby Massage

Experimental group

Description:

The mother will apply the massage. The baby kangaroo will be exposed to the KBM for 10 minutes once a day during the time that the infant need to stay in kangaroo position at home. If the baby wakes up and wants to eat the KBM will be interrupted immediately and the baby will be fed, The temperature will be measured before and after the intervention. The massage will begin 60 minutes after the feed.

Treatment:

Behavioral: Kangaroo Baby Massage

Kangaroo position

Active Comparator group

Description:

The infant must be in Kangaroo position with the mother semi sitting on bed with elevation of at least 30 degrees during 10 minutes every day until the infant doesn´t need to stay in kangaroo position at home.The temperature will be measured 60 minutes after the feed and 10 minutes after KP. If the baby wakes up and wants to eat the KP will be interrupted immediately and the baby will be fed, then the KP will be completed of time ( 10 minutes) to measure the temperature.

Treatment:

Behavioral: Kangaroo Baby Massage