Feasibility of kangaroo mother care in Mumbai.
OBJECTIVE
The purpose of this study was to determine the feasibility and acceptability of kangaroo care in a tertiary care hospital in India.


METHODS
A randomized controlled trial was performed over one year period in which 89 neonates were randomized into two groups kangaroo mother care (KMC) and conventional method of care (CMC).


RESULTS
Forty-four babies were randomized into KMC group and 45 to CMC. There was significant reduction in KMC vs CMC group of hypothermia (10/44 vs 21/45, p-value < 0.01), higher oxygen saturations (95.7 vs 94.8%, p-value < 0.01) and decrease in respiratory rates (36.2 vs 40.7, p-value < 0.01). There were no statistically significant differences in the incidence of hyperthermia, sepsis, apnea, onset of breastfeeding and hospital stay in two groups. 79% of mothers felt comfortable during the KMC and 73% felt they would be able to give KMC at home. KMC is feasible, as mothers are already admitted in hospitals and are involved in the care of newborn.


CONCLUSIONS
KMC is a simple and feasible intervention; acceptable to most mothers admitted in hospitals. There may be benefits in terms of reducing the incidence of hypothermia with no adverse effects of KMC demonstrated in the study. The present study has important implications in the care of LBW infants in the developing countries, where expensive facilities for conventional care may not be available at all place.
Kadam
Sandeep
S
Lokmanya Municipal Medical College and General Hospital, Sion, Mumbai, India. drsandeepkadam@yahoo.com
Binoy
S
S
Kanbur
Wasundhara
W
Mondkar
J A
JA
Fernandez
Armida
A
D001942:Breast Feeding; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007194:India; D007224:Infant Care / Q000379:methods; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007902:Length of Stay; D010342:Patient Acceptance of Health Care; D011247:Pregnancy