Syed Manazir ALİ, Jyoti SHARMA, Rajyashree SHARMA, Seema ALAM

karşılaştırılması

Amaç: Düsük doğum ağırlıklı bebeklerde Kanguru anne bakımı (KAB) ile geleneksel bakımı karsılastırmak Gereç ve Yöntem: Randomize ve kontrollü olarak, JNMCH Aligarh\'da vajinal yoldan, 1800 gramın altında olarak doğan 58\'i günde 6-8 saat KAB alan, 56\'sı geleneksel bakım (radyan ısıtıcı, ılık odada bakım) alan toplam 114 yenidoğan karsılastırıldı. Etkinlik; büyümeye etki, fizyolojik durum, hastanede kalım süresi, morbidite, mortalite ve yalnızca anne sütü alma oranları ile ölçüldü. Bulgular: Anne ve bebek özellikleri bakımından KAB ve geleneksel grup arasında fark yoktu. Kanguru bakımı alan çocuklarda daha iyi ağırlık artımı (19.3±3.8 g ve 10.4±4.8 g, p

Anahtar Kelimeler:

Kanguru anne bakımı, düşük doğum ağırlığı, büyüme, mortalite, enfeksiyonlar

Kangaroo Mother Care as compared to conventional care for low birth weight babies

Aim: To study the efficacy of Kangaroo mother care (KMC) as compared to conventional care for low birth weight babies. Materials and Methods: A randomized controlled trial was done on 114 neonates, delivered at Jawaharlal Nehru Medical College (JNMCH) Aligarh India (March\' 2006 to September\' 2007) by vaginal route and weighing ≤1800 grams at birth –58 neonates received KMC for 6-8 hours/ day in 4-6 sessions while 56 neonates in control group received conventional care (radiant warmers, cots in warm room). Efficacy was measured in terms of effect on growth, physiological parameters, length of hospital stay, morbidity, mortality and exclusive breastfeeding rates. Results: KMC and conventional groups were similar with regard to maternal and birth characteristics. Better weight gain per day (19.3± 3.8 g vs.10.4±4.8 g, p

Keywords:

Kangaroo mother care, low birth weight babies, weight gain, hypothermia, nosocomal infection,

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World Health Organization. Essential newborn care. Report of a Technical Working Group, Trieste, 25-29 April 1994. Geneva: Maternal and Newborn Health/Safe Motherhood (WHO/FRH/MSM/96.13), 1996.
Charpak N, Ruiz-Palaez JG. Sources of resistance of KMC implementations in Developing countries and proposed solu- tions. Forum 9, Sep 2003.
World Health Organization. Kangaroo mother care: a prac- tical guide. Department of Reproductive Health and Research, WHO, Geneva.2003.
Kadam S, Binoy S, Kanbur W, et al. Feasibility of kangaroo mother care in Mumbai. Indian J Pediatr 2005;72:35-38.
Cattaneo A, Davanzo R, Bergman NJ, Charpak N. Kangaroo mother care in low-income countries. International Network in Kangaroo Mother Care. J Trop Pediatr 1998;44: 279-282.
Suman RP, Udani R, Nanavati R. Kangaroo mother care for low birth weight infants: A randomized controlled trial. Indian Pediatr 2008;45:17-23.
Gupta M, Jora R, Bhatia R. Kangaroo mother care
(KMC) in LBW infants- A western Rajasthan experience.
Indian J Pediatr 2007;74:747-749.
Charpak N., Ruiz-Palaez J.G., et al. Kangaroo mother ver- sus traditional care for newborn infants <2000 grams: A ran- domized controlled trial. Pediatrics 1997;100:682-688.
Ramanathan K, Paul VK, Deorari AK, Taneja U, George G. Kangaroo Mother Care in very low birth weight infants.
Indian J Pediatr 2001; 68:1019-1023.
Sloan NL, Camacho LW, Rojas EP, Stern C. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Lancet 1994; 344:782-785.
Charpak N, Ruiz-Palaez JG, Figueroa de C Z, Charpak Y.A randomized, controlled trial of kangaroo mother care: Re- sults of follow-up at 1 year of corrected age. Pediatrics 2001;108: 1072-1079.
Acholet D, Sleath K, Whitelaw A. Oxygenation, heart rate and temperature in very low birth weight infants during skin- to-skin contact with their mothers. Acta Paediatr Scand 1989;78:189-193.
Bauer K, Uhrig C, Sperling P, Pasel K, Wieland C, Vers- mold HT. Body temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weigh- ing less than 1500 grams. J Pediatr 1997;130:240-244.
Fohe K, Kroff CS, Avenarious S. Skin-to-skin contact im- proves gas exchange in premature infants. J Perinatol 2000;20: 311-315.
Ludington-Hoe SM, Hadeed AJ, Anderson GC. Physiol- ogic responses to skin-to-skin contact in hospitalized prema- ture infants. J Perinatol 1991;11:19-24.
Ibe OE, Austin T, Sullivan K, Fabanwo O, Disu E, Costello AM. A comparison of KMC and conventional Incu- bator care for thermal regulation of infants < 2000 g in Nigeria using continuous ambulatory temperature monitoring. Ann Trop Pediatr 2004;24: 245-251.