Effects of Kangaroo Mother Care Among Low Birth Weight (LBW) and Preterm Infants (KMC)

Aga Khan University

Status and phase: Completed; Phase 2

Conditions: Preterm; LBW

Treatments: Behavioral: Standard Care; Behavioral: Kangaroo Mother Care

Study type: Interventional

Funder types: Other

Identifiers

NCT01776281

SHyderali

Details and patient eligibility

About

• Hypothermia, infections ,and ineffective breastfeeding are some of the commonest causes of deaths among premature and low birth weight LBW infants. Even if the infants are born in facilities, incidences of cold stress are possible due to insufficient resources, space and incompetent practices to manage hypothermia in the immediate postnatal period. Kangaroo Mother Care is a well-known intervention to address the issues related to preterm births, such as hypothermia, infection and prolong hospitalization.Besides significant outcome of KMC interventions for preterm infants, no interventional study has been found in literature in Pakistani context. Looking at the potential benefits of KMC in reducing the related complications of prematurity, the study aims to identify the effectiveness of KMC among preterm and LBW infants born in secondary hospital of Aga khan University hospitals.

Hypothesis I Ha: KMC is effective in reducing the incidences of hypothermia among preterm and LBW infants as compared to the usual care.

Hypothesis II Ha: There is a difference in breastfeeding behavior and breastfeeding outcome among experimental and control group.

Secondary Hypothesis Hypothesis I Ha: There is an association between KMC and frequency of suspected infections during hospitalization.

Hypothesis II Ha: There is a difference in length of stay among experimental group and control group.

Hypothesis III Ha: There is a relationship between KMC and weight gain of infants till four weeks.

Hypothesis IV Ha: There is difference in rate of hypothermia among experimental group and control after discharge from hospital.

Enrollment: 82 patients

Sex: All

Ages: 1 day to 1 week old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Any preterm neonates (< 37 weeks of gestation by maternal dates)
• Low birth weight infants less than 2500 gm.

Exclusion criteria

• Infants with brain hemorrhage, congenital abnormalities.
• Infants needed double phototherapy.

Exclusion of Mother:

Mothers with severe depression, sickness with intensive care requirements. Mother who refused to participate. Mothers who delivered live multiple babies.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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82 participants in 2 patient groups

Kangaroo Mother Care

Experimental group

Description:

Other than routine clinical care per hospital policy. Infants will receive skin-to-skin contact for minimum one hour daily during hospital stay and at home till one month.

Treatment:

Behavioral: Kangaroo Mother Care

Standard Care

Active Comparator group

Description:

Routine incubator or cot care with breastfeeding support from nurses as per policy.

Treatment:

Behavioral: Standard Care