Effects of Kangaroo Mother Care Among Low Birth Weight (LBW) and Preterm Infants (KMC)
- 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.
Behavioral: Kangaroo Mother Care
Behavioral: Standard Care
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Caregiver)
Primary Purpose: Prevention
|Official Title:||Effects of Kangaroo Mother Care Among LBW and Preterm Infants:A Randomized Control Trial in Karachi|
- Breastfeeding outcomes [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]
Comparison of breastfeeding frequency per day, method of feeding. (partial/ exclusive)in hospital and at home.
Breastfeeding behaviour by using preterm Infants breastfeeding behaviour Scale(PIBBS).
Follow-up till one months by calling and record keeping of breastfeeding status.
- Rate of Infection [ Time Frame: 1-2 weeks(During hospital stay) ] [ Designated as safety issue: Yes ]frequency of presume sepsis and need for antibiotics.
- length of stay [ Time Frame: 1-2 weeks ] [ Designated as safety issue: Yes ]Total days in hospital during the recruitment period.
- weight gain [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]After discharge observation for weight gain in Follow-up visit.
|Study Start Date:||March 2012|
|Study Completion Date:||August 2012|
|Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
Experimental: Kangaroo Mother Care
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.
|Behavioral: Kangaroo Mother Care|
Active Comparator: Standard Care
Routine incubator or cot care with breastfeeding support from nurses as per policy.
|Behavioral: Standard Care|
|Karachi, Sindh, Pakistan, 74500|
|Study Director:||Rozina Karmaliani, PhD||Aga Kahn University School of Nursing and Midwifery|
|Study Director:||Zulfiqar Bhutta||AKUH|