TY - JOUR AU - Rasul, Noreen AU - Rashid, Madeeha AU - Abbas, Aqeela AU - Sohail, Rubina PY - 2018/02/21 Y2 - 2024/03/29 TI - First Experience of Implementation of Kangaroo Mother Care in Punjab- Pakistan to Reduce Morbidity and Mortality in Preterm Infants JF - Annals of King Edward Medical University JA - Annals KEMU VL - 23 IS - 4 SE - Articles DO - 10.21649/akemu.v23i4.2197 UR - https://annalskemu.org/journal/index.php/annals/article/view/2197 SP - 496-502 AB - <p>The study was planned to assess the effect of Kangaroo Mother Care on preterm and stable neonates&nbsp;in reducing neonatal morbidity and mortality. This is a case series design of 121preterm and low birth&nbsp;weight neonates, weighing less than 2500 gram, enrolled from 1 August 2016 till31 January 2017.Kangaroo&nbsp;Mother Care is initiated after birth, after performing early essential newborn care practices. Weight gain of&nbsp;20-30 gram for three consecutive days, establishment of breast-feeding for 20-30 minutes every two hourly&nbsp;and maintenance of body temperature at 37 degree centigrade is the discharge criteria. During the period<br>of six months, total number of deliveries was 6459, out of them spontaneous vaginal deliveries were 52.2%&nbsp;(3372) and caesarean sections were 47.7% (3087). In 55.4%neonate’s(both preterm and term)early essential&nbsp;newborn care was practiced.Total preterm were 290 (4.5%), out of them 121 (2%) neonates were kept in<br>Kangaroo Mother Care position and 129 (44%) were shifted to neonatal intensive care unit. 14% parents refused&nbsp;for KMC position and discharged. Mortality in preterm newborn in neonatal unit was 29.4% (without&nbsp;KMC) but no mortality occurred after 3 months follow up in KMC babies. All the neonates from KMC unit<br>were discharged in satisfactory condition and called for follow up investigations. All Kangaroo Mother Care&nbsp;babies had exclusive breast-feeding. Taken together, the results indicate that prolonged skin-to-skin contact&nbsp;and exclusive breast feeding reduces neonatal mortality and morbidity in birth weight 1.5 to 2.5 kg in stable&nbsp;neonates in hospital. However KMC is limited to SHL at present. Workshops are being conducted to teach&nbsp;other doctors and nurses for early essential newborn care and kangaroo mother care. They are still facing&nbsp;controversies and challenges in initiation of KMC in many hospitals. However it is essential to strengthen&nbsp;KMC services in healthcare facilities as it significantly reduces neonatal mortality.</p> ER -