title: Experience with Kangaroo mother care in a neonatal intensive care unit (NICU) in Chandigarh, India.
abstract: OBJECTIVE
  To study the feasibility and acceptability of Kangaroo mother care (KMC) on the low birth weight infants (LBWI) in the neonatal intensive care unit (NICU) by the mothers, family members and health care workers (HCW) and to observe its effect on the vital parameters of the babies.
  
  
  METHODS
  A observation in the NICU.
  
  
  RESULTS
  A total of 135 babies (74 boys and 61 girls) who completed minimum of 4 hrs of KMC/day, were included. The mean birth weight and gestation were 1460 gm and 30 week respectively. 47% babies started KMC within first week of age. Mean duration of KMC was 7 days (3-48) days. The O(2) saturation improved by 2-3%, temperature ( degrees C) rose from 36.75 +/- 0.19 to 37.23 +/- 0.25, respiration stabilized (p<0.05 for all) and heart rate dropped by 3-5 beats. No episodes of hypothermia or apnea were observed during KMC. KMC was accepted by 96 % mothers, 82% fathers and 84% other family members. 94% HCW considered it to be safe and conservative method of care of LBWI. Benefits of KMC on the babies' behavior and on maternal confidence and lactation were reported by 57%, 94% and 80% respectively. A decline in use of heating devices in the NICU was reported by 85% and 79% said it did not increase their work load.
  
  
  CONCLUSIONS
  KMC was found to be safe, effective and feasible method of care of LBWI even in the NICU settings. Positive attitudes were observed in mothers, families and HCW.
authors.affiliation: Department of Pediatrics, Government Medical College Hospital, Chandigarh, India. parmarveena@hotmail.com
authors.forename: Veena Rani
authors.initials: VR
authors.lastname: Parmar
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.forename: Rupinder
authors.initials: R
authors.lastname: Kaur
authors.forename: Siddharth
authors.initials: S
authors.lastname: Parmar
authors.forename: D
authors.initials: D
authors.lastname: Kaur
authors.forename: Srikant
authors.initials: S
authors.lastname: Basu
authors.forename: Suksham
authors.initials: S
authors.lastname: Jain
authors.forename: Sunny
authors.initials: S
authors.lastname: Narula
mesh_terms: D002391:Catchment Area, Health; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007224:Infant Care / Q000379:methods* / Q000706:statistics & numerical data*; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D009034:Mother-Child Relations