Kangaroo Mother Care (KMC)
Which of the following is best for transport of the newborn with maintainance of warm temperature ‑
| A |
Kangaroo Mother Care (KMC) |
|
| B |
Transport incubator |
|
| C |
Thermacol box |
|
| D |
Hot bottle |
Which of the following is best for transport of the newborn with maintainance of warm temperature ‑
| A |
Kangaroo Mother Care (KMC) |
|
| B |
Transport incubator |
|
| C |
Thermacol box |
|
| D |
Hot bottle |
Ans is ‘a’ i.e., Kangaroo Mother Care (KMC)
“Preferably mother should accompany and baby can be transported in KMC position. Even father can provide KMC during transport if mother can not acompany.“
Which of the following is not a component of Kangaroo mother care (KMC)?
| A |
Skin to skin contact |
|
| B |
Supplementary nutrition |
|
| C |
Exclusive breast feeding |
|
| D |
Early discharge and follow-up |
Which of the following is not a component of Kangaroo mother care (KMC)?
| A |
Skin to skin contact |
|
| B |
Supplementary nutrition |
|
| C |
Exclusive breast feeding |
|
| D |
Early discharge and follow-up |
Ans. b. Supplementary nutrition
Kangaroo mother care – False is‑
| A |
Can also be given by father |
|
| B |
Especially for low birth weight body |
|
| C |
Effective thermal control |
|
| D |
All of above |
Kangaroo mother care – False is‑
| A |
Can also be given by father |
|
| B |
Especially for low birth weight body |
|
| C |
Effective thermal control |
|
| D |
All of above |
Ans.:A.)Can also be given by father
KANGAROO MOTHER CARE
• KMC is care of preterm or LBW infants by placing skin-to-skin contact with the mother
• Position: vertical position between the mother’s breasts and under her clothes
• The position is maintained until the infant no longer tolerates it (indicated by sweating or baby refuses to stay in KMC position)
• Kangaroo nutrition: exclusive breast feeding
• Continuous KMC is an alternative to minimal care in an incubator for infants who have already overcome major problems while adapting to extra-uterine life
- Able to suck and swallow properly
- Thriving in neutral thermal environment
• Intermittent KMC (atleast 1-2 hour) when continuous KMC is not possible
• All mothers can provide KMC irrespective of age, parity, education, culture or religion
• Initiated in a facility and continued at home
Clinical benefits
• Significantly increases milk production in mothers
• Increases exclusive breast feeding rates
• Reduces incidence of respiratory tract and nosocomial infection
• Better cardiorespiratory stability
• Fewer apneic episodes
• Improved weight gain
• Improves thermal protection in infants and there is a reduced chance of hypothermia
• Improves emotional bonding between the infant and mothers
• Reduces the duration of hospital stay
• Improved survival in low resource setting
Criteria for eligibility for KMC
• Indicated in all stable LBW babies
• Very sick babies needing special care should be cared for under radiant warmer initially. KMC should be started after the baby is hemodynamically stable
• Short KMC sessions can be initiated during recovery with ongoing medical treatment
• KMC can be provided while the baby is being fed via orogastric tube or on oxygen therapy
• BW > 1800g: generally stable at birth and KMC initiated soon after birth
• BW 1200 — 1799 g: many babies have significant neonatal problems. It might take a few days to start KMC
• BW < 1200g: it might take days to weeks before initiating KMC
When to stop KMC
• When the baby attains a weight of 2500g and a gestation of 37 weeks
• A baby who upon being put in kangaroo position, tends to wriggle out, pull limbs out or cries, is not in need of KMC any more
