Health Condition 1: P84- Other problems with newborn
Conditions
Interventions
Intervention1: Immediate Kangaroo Mother Care (iKMC): â?¢ Skin-to-skin contact is initiated within 2 hours after birth if the baby is born within the iKMC implementing facility
if the baby is born outside, then within 2 hours of reaching the iKMC implementing facility (for those babies who reach the facility within 24 hours of birth)
â?¢ Continuous skin-to-skin contact is p
Sponsors
Centre for Health Research and Development Society for Applied Studies
Eligibility
Inclusion criteria
Inclusion criteria: Preterm or LBW newborns (gestational age <37 weeks or birthweight <2.5 kg) requiring care in the SNCU, i.e., who are below the country cut-off point for birthweight or gestational age for SNCU admission, or those preterm or LBW newborns who are above the cut-off but are sick and need SNCU admission.
Exclusion criteria
Exclusion criteria: Preterm or LBW newborns requiring SNCU care who are critically sick, for example: are unable to breathe spontaneously within the first hour after birth or have congenital malformations that interfere with the intervention, or the intervention interferes with the required care for the congenital malformation (e.g., anencephaly, congenital heart disease, gastroschisis, hydrocephaly, multiple malformations, omphalocele, tracheoesophageal fistula, abdominal detention. etc.) are in shock (in need of inotropes) in the first 2 hours of birth or are receiving mechanical ventilation (invasive mechanical ventilation) in the first 2 hours of birth; or Liveborn who died in the first 2 hours of birth or first 2 hours of admission or were dead at the time of admission to the iKMC implementing facility These neonates (except deceased newborns) will be excluded from the study for outcome measurement purposes however they all newborns will receive appropriate care in the iKMC implementing facility.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. iKMC coverage for inborn babies: proportion of preterm or LBW newborns born in the iKMC implementing facility, who received iKMC. 2. iKMC coverage for outborn babies: proportion of preterm or LBW newborns brought to the iKMC implementing facility within 24 hours of birth, who received iKMC.Timepoint: 29th day of life | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Respiratory support & skin-to-skin contact: proportion of preterm & or LBW infants on respiratory support (any oxygen or CPAP) in the newborn care unit or MNCU who received skin-to-skin contact greater than equal to 8 hours per dayTimepoint: From day of birth till time of discharge;2. Early breastfeeding initiation: median age at putting the baby to breast for the first time (Expressed in median hours per days)Timepoint: From day of birth till time of discharge;3. Early breast milk feeding initiation: median age of first feeding with human milk (Expressed in median hours per days)Timepoint: From day of birth till time of discharge;4. Effective KMC at discharge: proportion of preterm & or LBW infants receiving KMC (skin-to-skin care greater than equal to 8 hours & exclusively breast milk fed) at discharge from the iKMC implementing facilityTimepoint: From day of birth till time of discharge | — |
Countries
India
Contacts
Public ContactDr Sarmila Mazumder
Centre for Health Research and Development, Society for Applied Studies
Outcome results
None listed