International Journal of Women's Health Nursing And Practices Original Research
Effects of Kangaroo Mother Care on the Physiological, Behavioral, and Psychosocial Outcomes of Preterm Infants in Various Hospitals in Karnataka
Abstract
Background: Kangaroo mother care (KMC) is a technique that encourages skin-to-skin contact, offering various physiological, behavioral, and psychosocial benefits for preterm infants. The objective is to assess the impact of KMC on the physiological, behavioral, and psychosocial development of premature babies.
Study Design: This was a quasi-experimental research investigation.
Materials and Methods: A purposive sample of sixty premature infants and their mothers was drawn from neonatal intensive care units (NICUs) according to specific inclusion and exclusion criteria. They were divided into two equal groups: the first group (30) received KMC, while the second group (30) received conventional care. Data was collected using the KMC Assessment Flow Sheet (KMCAFS) and the Mother Bonding Behavioral Scale, with assessments conducted both before and after the intervention. The research was accessible three days a week, five hours each day. The average number of cases collected per week ranged between 3 and 4 preterm newborns and their mothers.
Results: The results indicated that there were statistically significant differences in the physiological outcomes of premature infants before and after the application of KMC. In the pre-test, the average score for physiological outcomes was 6.3, with a standard deviation of 2.62. In contrast, the post-test revealed an average pain level of 3.83 and a standard deviation of 1.89. The paired ‘t’-test value obtained 36.29 was significant, and P-value ≤0.05) for heart rate, respiration rate, temperature, and weight increase, respectively.
Conclusion: KMC effectively and significantly promoted physiological stability, behavioral organization, and improved psychosocial outcomes of preterm infants compared to those receiving standard care.
Keywords
References (12)
- Hung T. Temperature control for premature infants in the delivery room. Clin Perinatol. 2006;33:43–53.
- Closa Monasterolo R, Moralejo Benéitez J, Ravés Olivé MM, Martínez Martínez MJ, Gómez Papí A. “Kangaroo method” in the care of premature infants admitted to a neonatal intensive care unit. An Esp Pediatr. 1998;49:495–8. PubMed: 9949592.
- Charpak N. Kangaroo mother care vs. traditional care for newborn infants <2000 grams: A randomized control trial. Pediatrics. 2006;100:682–8.
- Meyer K, Anderson GC. Using Kangaroo Care in a Clinical Setting with Fullterm Infants Having Breastfeeding Difficulties. MCN, The American Journal of Maternal/Child Nursing. 1999;24(4):190-192. doi:10.1097/00005721-199907000-00007
- Suman RPN, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: A randomized controlled trial. Indian Pediatr. 2008;45:17–23. PubMed: 18250500.
- Johnson AN. Factors Influencing Implementation of Kangaroo Holding in a Special Care Nursery. MCN, The American Journal of Maternal/Child Nursing. 2007;32(1):25???29. doi:10.1097/00005721-200701000-00006
- Conde-Agudelo A, Díaz-Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews. 2016;2017(2). doi:10.1002/14651858.cd002771.pub4
- Worku B, Kassie A. Kangaroo Mother Care: A Randomized Controlled Trial on Effectiveness of Early Kangaroo Mother Care for the Low Birthweight Infants in Addis Ababa, Ethiopia. Journal of Tropical Pediatrics. 2005;51(2):93-97. doi:10.1093/tropej/fmh085
- Doddabasappa PN, Mahantshetti NS, Kamate M, E. A. Effect of kangaroo mother care on neurodevelopmental outcome of low birth weight babies: a one-year randomized control trial. International Journal of Contemporary Pediatrics. 2018;5(2):508. doi:10.18203/2349-3291.ijcp20180545
- Ohgi S, Fukuda M, Moriuchi H, Kusumoto T, Akiyama T, Nugent JK, et al. Comparison of Kangaroo Care and Standard Care: Behavioral Organization, Development, and Temperament in Healthy, Low-Birth-Weight Infants Through 1 Year. Journal of Perinatology. 2002;22(5):374-379. doi:10.1038/sj.jp.7210749
- Bera A, Ghosh J, Singh A, Hazra A, Som T, Munian D. Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn. Indian Journal of Community Medicine. 2014;39(4):245. doi:10.4103/0970-0218.143030
- Gao H, Xu G, Gao H, Dong R, Fu H, Wang D, et al. Effect of repeated Kangaroo Mother Care on repeated procedural pain in preterm infants: A randomized controlled trial. International Journal of Nursing Studies. 2015;52(7):1157-1165. doi:10.1016/j.ijnurstu.2015.04.006