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Effects of Kangaroo Mother Care Among Low Birth Weight (LBW) and Preterm Infants

Effects of Kangaroo Mother Care Among LBW and Preterm Infants:A Randomized Control Trial in Karachi

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01776281
Acronym
KMC
Enrollment
82
Registered
2013-01-28
Start date
2012-03-31
Completion date
2012-08-31
Last updated
2013-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

LBW, Preterm

Keywords

effects, KMC, LBW, preterm, temperature, breastfeeding, secondary hospitals

Brief summary

\- 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.

Interventions

BEHAVIORALKangaroo Mother Care
BEHAVIORALStandard Care

Sponsors

Aga Khan University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Caregiver)

Eligibility

Sex/Gender
ALL
Age
1 Days to 1 Weeks
Healthy volunteers
No

Inclusion criteria

* Any preterm neonates (\< 37 weeks of gestation by maternal dates) * Low birth weight infants less than 2500 gm.

Exclusion criteria

* Infants with brain hemorrhage, congenital abnormalities. * Infants needed double phototherapy. Exclusion of Mother: Mothers with severe depression, sickness with intensive care requirements. Mother who refused to participate. Mothers who delivered live multiple babies.

Design outcomes

Primary

MeasureTime frameDescription
Breastfeeding outcomes30 daysComparison 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.

Secondary

MeasureTime frameDescription
Rate of Infection1-2 weeks(During hospital stay)frequency of presume sepsis and need for antibiotics.
length of stay1-2 weeksTotal days in hospital during the recruitment period.
weight gain30 daysAfter discharge observation for weight gain in Follow-up visit.

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026