Effect of Kangaroo Mother Care on Heart rate, Respiratory rate and Temperature in Low Birth Weight Babies

  • Dr Pramila Verma Assistant professor, Department of paediatrics, Peoples college of Medical Sciences, Bhopal, India
  • Dr Vijay Verma Department of Radiodiagnosis, Gandhi Medical College, Bhopal, India
Keywords: Kangaroo care, KMC, Heart rate, LBW

Abstract

Background: Kangaroo mother care (KMC) involves skin-to-skin positioning of the infant in an upright position against the mother’s chest. The two other components of KMC are frequent and exclusive breastfeeding (where possible) and early discharge from hospital. Aim of present study was to asses effect of kangaroo mother care on heart rate, respiration rate and temperature of low-birth weight preterm newborns admitted in a tertiary care centre of central India.

Methods: Low birth weight babies (weighing< 2000 grams) were given kangaroo mother care (KMC) for 30minutes. Pre and post KMC heart rate, respiratory rate and temperature were measured.The evaluations were done once a day, for three consecutive days and the mean values were taken for analysis. The data was statistically analyzed using plus 6.0 statistical software. Student t test was used to find out the statistical difference between two mean SD.

Results: Results of the study reveal that changes in heart rate and respiration rate after application of kangaroo care was insignificant (p>0.05) where as kangaroo care is highly effective in maintaining skin temperature (p<0.0005).

Conclusion: KMC maintains heart rate, respiratory rate and temperature in a stable preterm low birth weight babies.

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References

1. J. E. Lawn, S. Cousens, and J. Zupan, “4 Million neonatal deaths: when? Where? Why?” The Lancet, vol. 365, no. 9462, pp. 891–900, 2005. [PubMed]

2. J. E. Lawn, S. Cousens, Z. A. Bhutta et al., “Why are 4 million newborn babies dying each year?”The Lancet, vol. 364, no. 9432, pp. 399–401, 2004. [ PubMed]

3. National Health Profile Report, Central Bureau of Health Intelligence, Ministry of Health and Family Welfare, pp. 9–16, 2010, http://cbhidghs.nic.in/writereaddata/mainlinkfile/file1131.pdf.

4. Charpak N, Ruiz-Pelaez JG, Charpak Y. Rey-Martinez Kangaroo Mother Program: an alternative way of caring for low birth weight infants? One year mortality in a two cohort study. Pediatrics. 1994;94(6 Pt 1):804-10. [PubMed]

5. Ramanathan K, Paul VK, Deorari AK, Taneja U, George Kangaroo Mother Care in very low birth weight infants. Indian J Pediatr 2001; 68: 1019-23. [PubMed]

6. Neu M, Browne JV, Vojir C. The impact of two transfer techniques used during skin-to-skin care on the physiologic and behavioral responses of preterm infants. Nurs res 2000 Jul-Aug;49 (4):215-23. [PubMed]

7. Bosque EM, Brady JP, Affonso DD, Wahlberg V Physiologic measures of kangaroo versus incubator care in a tertiary-level nursery. J Obstet Gynecol Neonatal Nurs. 1995 Mar-Apr; 24(3):219-26. [PubMed]

8. Bohnhorst B, Gill D, Dördelmann M, Peter CS, Poets CF. Bradycardia and desaturation during skin-to-skin care: no relationship to hyperthermia. J Pediatr. 2004 Oct;145(4):499-502. [PubMed]

9. Ludington-Hoe SM, Thompson C, Swinth J, Hadeed AJ, Anderson GC. Kangaroo care: research results, and practice implications and guidelines. Neonatal Netw. 1994 Feb;13(1):19-27. [PubMed]

10. Bulfone G, Nazzi E, Tenore A. [Kangaroo Mother Care and conventional care: a review of literature].[Article in Italian] .Prof In ferm 2011 Apr-Jun; 64(2):75-82. [PubMed]
11. Boju SL, Gopi Krishna M, Uppala R, Chodavarapu P, Chodavarapu R. Short spell kangaroo mother care and its differential physiological influence in subgroups of preterm babies. Journal of Tropical Pediatric 2012 Jun;58(3):189-93. doi: 10.1093/tropej/fmr072.Epub 2011 Sep 9.

12. Ludington-Hoe SM, Johnson MW, Morgan K, Lewis T,,Gutman J, Wilson PD, Scheir MS. Neurophysiological assessment of neonatal sleep organization: Preliminary results of a randomized, controlled trial of skin contact with preterm infants. Pediatrics 2006;117(5):e909-23.

13. Mooncey S, Giannakoulopoulos X, Glover V, Acolet D, Modi N. The effect of mother -infant skin-to-skin contact on plasma cortisol and beta-endorphin concentrations in preterm infants. Infant Behav Dev. 1997;20(4):553-557.

14. Schrod L, Walter J. Effect of head-up tilt position on autonomic function and cerebral oxygenation in preterm infants. Biol Neonate. 2002; 81: 255-259. [PubMed]

15. Ludington-Hoe SM , Nguyen N, Swinth J, Satyshur R. Kangaroo care compared to incubators in maintaining body warmth in preterm infants. Biol Res Nurs. 2000;2(1):60-73. [PubMed]

16. Fischer, C.Sontheimer, D.,Scheffer, F., Bauer, J., & Linderkamp, O. (1998). Cardiorespiratory stability of premature boys and girls during kangaroo care. Early Human Development, 52(2), 145-153. [PubMed]

17. Föhe, K., Kropf, S, & Avenarius, S. (2000). Skin-to-skin contact improves gas exchange in premature infants. Journal of Perinatology, 20(5), 311-315. [PubMed]

18. Tornhage CJ, Stuge E, Lindberg T, Serenius F. First week kangaroo care in sick very preterm infants. Acta Paediatr. 1999;88(12):1402-1404. [PubMed]

19. Ludington-Hoe SM, Anderson GC, Swinth JY, Thompson C, Hadeed AJ (2004). Randomized controlled trial of kangaroo care: Cardiorespiratory and thermal effects on healthy preterm infants. Neonatal Netw. 23:39-48. [PubMed]

20. Ludington-Hoe, S. Kangaroo Care: The Best You Can Do to Help Your Preterm Infant. New York: Bantam Books, 1993.
CITATION
DOI: 10.17511/ijmrr.2014.i02.02
Published: 2014-04-30
How to Cite
1.
Verma P, Verma V. Effect of Kangaroo Mother Care on Heart rate, Respiratory rate and Temperature in Low Birth Weight Babies. Int J Med Res Rev [Internet]. 2014Apr.30 [cited 2024Jul.3];2(2):80-5. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/65
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Original Article