Impact of Kangaroo Mother Care on Outcome of Very Low Birthweight Preterm Newborns in a Tertiary Hospital in Abakaliki, Nigeria

Authors

  • Obumneme Ezeanosike Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Olapeju Daniyan Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Onyinyechukwu Anyanwu Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Uzoma Asiegbu Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Chinonyelum Ezeonu Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Emeka Onwe-Ogah Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria
  • Onyire Onyire Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

DOI:

https://doi.org/10.3126/jnps.v39i2.26269

Keywords:

Kangaroo mother care, newborn, skin-to-skin

Abstract

Introduction: KMC was developed for care of preterm and low birth weight babies due to shortage of staff and inadequate incubator care enabling early discharge from the hospital for close follow-up at home. It is essential in resource-limited countries where there is epileptic power supply. Therefore, strengthening the evidence for KMC becomes imperative in these resource-limited and adverse cultural regions.

Methods: The KMC register of the Newborn Special Care Baby Unit of a tertiary hospital was used to analyse records from January 2016 to February 2018. A total of 55 preterm babies enrolled into KMC were studied. The age and parity of the mother, sex, birth weight, admission and discharge temperatures and weights, duration of KMC per day was retrieved from the KMC register.

Results: The mothers’ ages ranged from 18 to 40 years (mean 28.6 ± 6.2 years) with 34% being inexperienced first-time mothers and 10% grand multipara. The birth weights of the babies ranged from 0.9 kg to 2.5 kg. Primiparous women were more likely to do KMC for longer durations. A linear regression model showed that the duration of KMC was related to parity. (R2 = 0.12, p = 0.02). On average there was significant weight gain on discharge with a paired t-test (t = 5.881, df = 44) comparing the discharge and commencement weights showing a mean difference of 0.123 kg (CI 0.081 kg, 0.165 kg, p < 0.001).

Conclusions: KMC impacts positively on all parameters of the extremely LBW and premature babies and the duration of KMC is positively associated with better outcome.

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Author Biographies

Obumneme Ezeanosike, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics and Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria

Olapeju Daniyan, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics

Onyinyechukwu Anyanwu, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics

Uzoma Asiegbu, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics and Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria

Chinonyelum Ezeonu, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics and Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria

Emeka Onwe-Ogah, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics and  Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria

Onyire Onyire, Alex Ekwueme Federal University Teaching Hospital, Abakaliki Ebonyi State, Nigeria

Department of Paediatrics and Department of Paediatrics, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria

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Published

2019-12-31

How to Cite

Ezeanosike, O., Daniyan, O., Anyanwu, O., Asiegbu, U., Ezeonu, C., Onwe-Ogah, E., & Onyire, O. (2019). Impact of Kangaroo Mother Care on Outcome of Very Low Birthweight Preterm Newborns in a Tertiary Hospital in Abakaliki, Nigeria. Journal of Nepal Paediatric Society, 39(2), 95–102. https://doi.org/10.3126/jnps.v39i2.26269

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Original Articles