Mothers' response on Kangaroo Mother Care intervention for preterm infants
Abstract
Background The low birth weight still remains the main causeof neonatal deaths. Kangaroo Mother Care (KMC) program can
provide a better care for low birth weight newborn infants through
skin-to-skin contact.
Objective The aim of this study was to assess factors and
responses from mothers that would influence the re-introduction
and re-implementation of KMC at neonatology ward, Cipto
Mangunkusumo Hospital, Jakarta.
Methods This was a prospective preliminary study using
questionnaires, to mothers oflow birth weight infants who would
undergo KMC in neonatal ward.
Results Most mothers felt sad, guilty, worried, afraid and not
confident when they first saw their babies, thus, they were initially
doubtful and afraid in the beginning of KMC. But, after KMC
was implemented, most of the mothers found positive effects
on mother-infant bonding, maternal affection in love or touch,
breastfeeding and mother's confidence in newborn care.
Conclusions KMC provides benefits for mothers. Most mothers
yield positive response when implementing KMC program to their
infants.
References
of available information. Geneva: World Health
Organization; 1992.
2. World Health Organization. Kangaroo Mother Care: a
practical guide. Geneva: World Health Organization;
2003.
3. Zupan J, Aahman E. Perinatal mortality for the year 2000:
estimates developed by WHO. Geneva: World Health
Organization; 2005.
4. Ministry of Health, Republic oflndonesia. Indonesia Health
Profile 2005. Jakarta: Ministry of Health RI; 2007.
5. Badan Penelitian dan Pengembangan Departemen Kesehatan
Republik Indonesia. Survei Kesehatan Nasional 2001.
Laporan Data Susenas 2001: Status Kesehatan, Pelayanan
Kesehatan, Perilaku Hid up Sehat dan Kesehatan Lingkungan.
Jakarta: DepKes RI; 2002.
6. Data ofPerinatologi Division Cipto Mangunkusumo Hospital,
Jakarta; 2008. Unpublished data.
7. Stoll BJ, Kliegman RM. The fetus and the neonatal infant.
In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson
textbook of pediatrics, 17th ed. Philadelphia; WB Saunders,
2003; p.l88-204.
8. Bergman NJ, Linley LL, Fawcus SR. Randomized controlled
trial of skin-to-skin contact from birth versus conventional
incubator for physiological stabilization in 1200- to 2199-
gram newborns. Acta Paediatr. 2004;93:779-85.
9. Woods DL. Perinatal Education Programme: introduction
to the mother and baby friendly care manual. South Africa:
Perinatal Education Programme; 2004.
10. Yanuarso PB. Perbandingan metode kanguru dini dan
incubator dalam upaya stabilisasi bayi berat lahir rendah:
penilaian beberapa parameter fisiologis [Dissertation].
Jakarta: University oflndonesia; 2000.
11. J.V. Browne. Early relationship environments: physiology of
skin-to-skin contact for parents and their preterm infants.
Clin Perinatal. 2004;31:287-98.
12. Worku B, Kassie A. Kangaroo Mother Care: A Randomized
Controlled Trial on Effectiveness of Early Kangaroo Mother
Care for the Low Birthweight Infants in Addis Ababa,
Ethiopia. J Trop Pedtr. 2005;51:93-7.
13. Erlandsson K, Fagerberg I. Mothers' lived experiences of
co-care and part-care after birth, and their strong desire to
be close to their baby. Midwifery. 2005;21:131-8.
14. Ludington-HoeS, Johnson MW, Morgan K, Lewis T, Gutman
J, Wilson D, et al. Neurophysiologic Assessment of Neonatal
Sleep Organization: Preliminary Results of a Randomized,
Controlled Trial of Skin Contact With Preterm Infants.
Pediatrics. 2006;117-21.
15. Feldman R, Eidelman AI. Skin-to-skin contact (Kangaroo
Care) accelerates autonomic and neurobehavioural
maturation in preterm infants. Developmental Medicine &
Child Neurology. 2003;45: 274-81.
16. Cattaneo A, Davanzo R, Uxa F, Tamburlini G. Recommendations
for the implementation of Kangaroo Mother Care for
low birthweight infants. Acta Pcediatr. 1998;87:440-5.
17. Cattaneo A, Davanzo R, BergmanN, Charpak N. Kangaroo
Mother Care in low income countries. J Trop Pediatr.
1998;44:279-82.
18. Brooks JB. Parenting. 3rd ed. California: Mayfield publishing;
2001.
19. Soedjatmiko. Kelekatan dan stimulasi dalam pengasuhan
bayi premature: studi kualitatif di ruang rawat bayi baru
lahir, sub bagian Perinatologi, Bagian Ilmu Kesehatan Anak
FKUI-RSCM [Dissertation]. Program pascasarjana Fakultas
Psikologi. Jakarta: University of Indonesia; December
2002.
20. Feldman R, Eidelman AI, Sirota L, Weller A. Comparison
of Skin-to-Skin (Kangaroo) and Traditional Care: Parenting
Outcomes and Preterm Infant Development. Pediatrics.
2002;110:16-26.
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Accepted 2016-09-10
Published 2009-08-31