Low Birth Weight Among Neonates
Conditions
Keywords
Kangaroo Mother Care(KMC), Low-birth weight, neonates
Brief summary
A randomized, controlled trial of Kangaroo Mother Care (KMC) to determine the effectiveness in increasing the rate of weight gain among low birth weight neonates.
Detailed description
A randomized, controlled trial of Kangaroo Mother Care (KMC) versus Conventional Care to determine the effectiveness of KMC in increasing the rate of weight gain among low birth weight neonates and if it will decrease sepsis rate and shorten hospital stay among the group.
Interventions
PROCEDUREKangaroo Mother Care
The infants were placed on continuous skin to skin contact between the mother and the baby as soon as possible. The mother kept her newborn infant between the breast, in close contact with her body and covered with the kangaroo tube. Infants wore diaper and a cap during the procedure. Breastfeeding was the standard feeding method. When the baby was not in KMC, the baby was placed in the bassinet under warm lamp, if needed, adequately clothed and covered.
PROCEDUREConventional Mother Care
This is generally included: an artificial warming system (heated room overhead lamp warmers). Breastfeeding was also the standard feeding method but if indicated, babies can also be fed through tube or cup feeding. The mothers were allowed to visit their babies anytime but skin to skin contact was not allowed. Babies in both groups were monitored hourly. Their heart rate, respiratory rate and temperature were monitored and recorded. Any untoward events like hypothermia, hypoglycemia, apnea, signs of sepsis, and feeding problems were also noted.
Sponsors
Pfizer
University of the Philippines
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Days to 28 Days
Healthy volunteers
Yes
Inclusion criteria
* birth weight \<1500 grams and stable neonates (no dependency on oxygen and /or intravenous fluid, ability (at least partial) to feed) with stable vital signs for the past 24 hours (normal temperature (36.5-37.5 °C), * normal heart rate (120-160 bpm), normal blood pressure per age * no apnea * no intravenous lines or with well-secured peripheral line * no sepsis * no emerging signs of sepsis * on IV antibiotic therapy but clinically stable * can require photo therapy but with stable and not rising total serum bilirubin (TSB) level or TSB is not in high risk zone.
Exclusion criteria
* neonates with chromosomal and life threatening congenital anomalies, who were severally ill * whose mothers are critically ill and whose mothers were unable to comply with the follow up schedule.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Low Birth Weight | 3 days | Low-birth weight infants both in the intervention and control group were discharged from the study according to the following criteria: baby's general health was good as assessed by the attending physician and in evidence of infection, feeding well and receiving exclusively breast milk, gaining weight (at least 15-20 grams/kg/day for at least 3 days), maintaining body temperature satisfactorily for at least 3 consecutive days in room temperature and the mother and family members were confident to take care of the baby in KMC. |
Countries
Philippines
Outcome results
None listed