The Effect of Kangaroo Mother Care Intervention on the Newborns Health Outcome Delivers at Sulaymaniyah Maternity Teaching Hospital

  • Awat Hassan Azeez Department of Nursing, College of Nursing, University of Sulaimani, Sulaimani, Iraq.
  • Pary Mohammad Azize Department of Nursing, Sulaimani Technical Institute Sulaimani Polytechnic University Sulaimani, Iraq.
Keywords: Kangaroo, mother, care, newborn, health, outcome, effects

Abstract

Background and Objectives: Kangaroo mother care is an intervention for all newborns but especially for premature and low birth weight infants. The method involves babies being carried, usually by the mother, with skin-to-skin contact. It is the most achievable way for decreasing neonatal morbidity and mortality and is practical, inexpensive especially for developing countries. This study intended to assess the effect of kangaroo mother care on the newborns’ health outcome at Sulaymaniyah Maternity Teaching Hospital in Sulaymaniyah, Kurdistan Region, Iraq.
Methods: A quasi-experimental, pre-post intervention study was conducted in the Neonatal Intensive Care Unit and Baby Friend Unit of the hospital. One hundred newborn-mother pairs participated in the Kangaroo mother care procedure. The newborns were physiologically monitored before, in the middle and after the procedure.
Result: The highest mean of newborn temperature was 37 ̊C after Kangaroo mother care in the visit three and the lowest mean temperature was 36.1 ̊C before Kangaroo mother care. There were statistically significant differences between the before, middle and after-procedure measurements in temperature, heart rate and respiratory rate (p-value <0.05) on all three visits, while there was no significant difference between the means of the oxy-gen saturation at all three visits (p-value was more than the standard alpha 0.05 F-test=0.961). There was a highly significant association between oxygen saturation and newborn birth weight and gestational age. Individual vital signs abnormalities were often corrected during the Kangaroo mother care sessions. Newborns involved in the procedure showed steady and statistically significant improvement in vital physiological parameters during three sessions on all three days.
Conclusion: Majority of babies who received Kangaroo mother care showed significant improvement in vital physiological parameters on all three days without using special equipment showing that this strategy can offer improved care to newborn infants. These findings support wider implementation of this strategy.

References

[1] Heidarzadeh M, Hosseini M B, Ershad-manesh M, Tabari M G, Khazaee S. The Effect of Kangaroo Mother Care (KMC) on Breast Feeding at the Time of NICU Dis-charge. Iran Red Crescent Medical Journal. 2013; 15(4): 302–306.
[2] Campbell-Yeo M L, Disher T C, Benoit B L, Johnston CC. Understanding kangaroo care its benefits to preterm infants. Pediatric Health Medicine and Therapeutics. 2015; 6:1532.
[3] Mekonnen, A.G., Yehualashet, S.S. & Bay-leyegn, A.D. The effects of kangaroo mother care on the time to breastfeeding initiation among pre-term and LBW infants: a meta-analysis of published studies. International Breastfeed Journal. 2019, 14, 12. https://doi.org/10.1186/s13006-019-0206-
[4] Amaral WN, Ramos BA, Evangelista PG, Sai-dah TK, Saidah MK, Formiga CKMR Perception of Mothers on Breastfeeding, Kangaroo Method and Pre-term Baby Development. Scholar Journal of Applied Health and Sci-ence, 2018; 1(2): 7- 12.
[5] Santos LM, Morais RA, Miranda JOF.Maternal perception of the skin-to-skin contact with premature infants through the kangaroo position. Revista de Pesquisa: Cuidado é Fundamental Online. 2013; 5: 3504-3514.
[6] Mullany LC, Katz J, Khatry SK, LeClerq SC, Darmstadt GL, Tielsch JM. Risk of mortality associated with neonatal hypothermia in southern Nepal. Archives of Pediatric and Adolescence Medicine. 2010;164(7):650–656.
[7] Moore ER, Anderson GC, Bergman N, Dow-swell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Systematic Review. 2012; 5: CD003519.
[9] Safari, K., Saeed, A.A., Hasan, S.S. et al. The effect of mother and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of the third stage of labor. International Breastfeeding Journal, 2018; 13( 1): 32. https://doi.org/10.1186/s13006-018-0174-9
[6] Quinn J A, Munoz F M, Gonik B, et al., The Brighton Collaboration Pre-term Birth Work-ing GroupVaccine. Pre-term birth: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data, 2016; 34(49): 6047–6056.
[10] Cutland C L, Lackritz E M, Mallett-Moore T, et al. The Brighton Collaboration Low Birth Weight Working GroupVaccine. Low birth weight: Case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine. 2017, 4; 35(48Part A): 6492–6500.
[11] Thukral A, Chawla D, Agarwal R, Deorari AK, Paul VK. Kangaroo mother care - an alternative to conventional care. Indian Journal of Pediatric. 2008;75:497–503.
[12] Hendricks-Muñoz KD, Li Y, Kim YS, Prendergast CC, Mayers R, Louie M. Maternal and neonatal nurse perceived value of kangaroo mother care and maternal care partnership in the neonatal intensive care unit. American Journal of Perinatology 2013;30(10):875–880.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4417481
[13] Pallás-Alonso CR, Losacco V, Maraschini A, Greisen G, Pierrat V, Warren I, et al. European Science Foundation Network. Parental involvement and kangaroo care in European neonatal intensive care units: A policy survey in eight countries. Pediatric Critical Care Medi-cine. 2012;13: 568–577.
[14] Priya JJ Kangaroo care for low birth weight babies. Nursing Journal of India. 2004;95:209–12.
[15] Singh A, Yadav A, Singh A. Utilization of postnatal care for newborns and its association with neonatal mortality in India: An analytical appraisal. BMC Pregnancy Childbirth. 2012;12:33.
[16] Ludington-Hoe SM. Evidence-based review of physiologic effects of kangaroo care. Current Women's Health Review. 2011;7:243–253.
[17] Ludington-Hoe SM, Anderson GC, Simp-son S, Hollingsead A, Argote LA, Rey H. Birth related fatigue in 34-36-week pre-term neonates: Rapid recovery with very early kangaroo (skin-to-skin) care. Journal of Obstetrics and Gynecology Neonatal Nursing. 1999;28:94–102.
[18] Almeida CM, Almeida AF, Forti EM. Effects of kangaroo mother care on the vital signs of low-weight pre-term new-borns. Brazilian Journal of Physical Thera-py 2007; 11:1-5.
[19] Ali SM , Sharma J , Sharma R , Alam S. Kangaroo mother Care as compared to conventional care for low birth weight babies. Dicle Medical Journal. 2009;36:155-60
[20] Jain G, Malpani P, Biswas M. Kangaroo Mother Care and its physiological effects in low birth weight and pre-term neonates. Indian Journal of Child Health. 2018; 5(5):386-389.
[.5] Mishra P, Rai N, Mishra NR, Das RR. Effect of kangaroo mother care on breastfeeding morbidity and mortality of very low birth weight neonates: A prospective observational study. Indian Journal of Child Health 2017;4:379-82.
[..] Nurian M MY, Yaghmaei F, Akbarzadeh Baghbani AR, Heydarzadeh H . Effects of kangaroo and routine care on physiologic parameters of low-birth-weight infants. Journal of Nursing & Midwifery, 2009, Shahid Beheshti University of Medical Sciences and Health Services. ;19(65):19–24. [Google Scholar]
[..] Mori R, Khanna R, Pledge D, Nakayama T; Meta-analysis of physiological effects of skin-to-skin contact for newborns and mothers. Journal of Pediatr International; 2010, 52:161–175.
[.1] Bera A, Ghosh J, Singh A K, 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 Oct-Dec; 39(4): 245-249.
[.1] Bergh AM, Rogers-Bloch Q, Pratomo H, Uhudiyah U, Sidi IP, Rustina Y, et al.; Progress in the implementation of kangaroo mother care in 10 hospitals in Indonesia. Journal of Tropical Pediatrics ,2012;58:402–5.
[.9] Maulik PK, Darmstadt GL; Community-based interventions to optimize early childhood development in low resource settings. Journal of Perinatology; 2009; 29:531–42.
Published
2020-11-30
How to Cite
Azeez, A., & Azize, P. (2020). The Effect of Kangaroo Mother Care Intervention on the Newborns Health Outcome Delivers at Sulaymaniyah Maternity Teaching Hospital. Erbil Journal of Nursing and Midwifery, 3(2), 178 - 192. https://doi.org/10.15218/ejnm.2020.20
Section
Original Articles