title: Feasibility, acceptability and cost of kangaroo mother care in Recife, Brazil.
abstract: This descriptive study on kangaroo mother care (KMC) of low-birthweight infants (LBWIs) was carried out in a tertiary care hospital in Recife, Brazil. Of 244 LBWIs weighing less than 1750 g admitted over 14 months, 112 (46%) died before inclusion, 18 (7%) were excluded, and 114 (47%), after stabilization, were cared for by KMC 24 hours a day until discharge. No deaths were recorded in hospital; two twins died of severe pneumonia after discharge and before the age of 3 months. There were no episodes of moderate or severe hypothermia but mild hypothermia (36-36.4 degrees C axillary temperature) occurred at a rate of 30 episodes per 100 infant days, mainly related to occasional separation from the mother. One hundred infants (88%) were discharged on exclusive breastfeeding, eight (7%) were still taking expressed breast-milk from a cup and six (5%) were being fed breast-milk plus formula. The mean daily weight gain during KMC was 15 g. At follow-up, 87% were still exclusively breastfed at 1 month and 63% at 3 months. KMC was acceptable to mothers and staff. An important advantage of KMC over previous conventional care is cost--US$20 vs US$66 per bed/day. This study confirms that KMC for stabilized LBWIs in hospital is feasible, acceptable and cheap and in hospitals with limited resources is an appropriate alternative to conventional incubator care.
authors.affiliation: Department of Neonatology, Instituto Materno Infantil de Pernambuco, Recife, Brazil.
authors.forename: G
authors.initials: G
authors.lastname: Lima
authors.forename: S
authors.initials: S
authors.lastname: Quintero-Romero
authors.forename: A
authors.initials: A
authors.lastname: Cattaneo
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001938:Brazil; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D005500:Follow-Up Studies; D017721:Hospital Costs; D006760:Hospitalization; D006801:Humans; D007224:Infant Care / Q000191:economics / Q000379:methods*; D007227:Infant Nutritional Physiological Phenomena; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D009035:Mothers / Q000523:psychology