January-March 2018

Effect of Kangaroo Mother Care on Growth Parameters of Low Birth Weight Neonates

Arif Sabirhussain Vohra1*, Bela Shah2, K. M. Mehariya3

1M.D. (Paediatrics) Assistant Professor, 2Professor, 3Professor & Head, Department of Paediatrics, B. J. Medical College, Ahmedabad



BACKGROUND: To evaluate the effect of Kangaroo Mother Care(KMC) on growth parameters of low birth weight(LBW) neonates. METHODS: Prospective follow-up cohort study was carried out at NICU of Civil Hospital, Ahmedabad from 1 October 2014 to 30 June 2016 and details of neonates were recorded on prestuctured proforma. RESULTS: Mean duration of KMC during the hospital stay was 9.3±4.6days(5.7±2.4 hours/day). Mean weight gain, increment of Head circumference(HC) and Length in neonates receiving KMC less than 12 hours were 18.4±4 gm /day, 0.68±0.04 cm/week and 0.96±0.09 cm/week, while mean weight gain, increment of HC and length in neonates receiving KMC more than 12 hours were 18.9±3.6gm/day, 0.7±0.02cm/week, 0.99±0.04cm/week.  Better weight gain (p0.036), increment in head circumference(p0.016) and length(p0.021)was noted with increase duration (more than 12 hours) of KMC. Weight gain, increment in head circumference are better in Preterm small for gestational age(SGA) (p value 0.005 and 0.01 respectively) as compare to Preterm Appropriate for gestational age(AGA), But no difference in increment in length noted in Preterm SGA(p 0.17) than Preterm AGA. At 6 month follow up Weight gain, increment in head circumference and increment in length is better in neonate receiving KMC at home as compare to not received KMC at home (p 0.009, 0.002 and 0.004 respectively). CONCLUSION: Duration of KMC is the single most common determinant in intensifying the growth of LBW neonates. Better growth parameters are observed in extremely low birth weight(ELBW), very low birth weight(VLBW) & SGA neonates.

Keywords: KMC, Weight, HC, Length, Preterm, SGA

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