Effect of kangaroo method on the risk of hypothermia and duration of birth weight regain in low birth weight infants: A randomized controlled trial
Keywords:
low birth weight infant, kangaroo method, birth weight regain, hypothermia
Abstract
Background In Indonesia, the infant mortality rate in 2001 was 50 per 1000 live births, with 34.7% due to perinatal death. This perinatal death was associated with low birth weight (LBW) newborn, which was caused by prematurity, infection, birth asphyxia, hypothermia, and inadequate breast feeding. In developing countries, lack of facilities of LBW infant care leads to the utilization of kangaroo method as care to prevent hypothermia in LBW newborn.Objective To evaluate the differences of hypothermia event and
duration of birth weight regain in LBW newborns between early
kangaroo care (EKC) and conventional care (CC).
Methods This was an open label randomized controlled trial. The
1500-2250 g LBW newborns who were born in Sanglah Hospital
were randomized to EKC and CC groups.
Results Hypothermia events were found more often in CC group
than EKC group (RR=0.645, 90% CI 0.45 to 0.92, P=0.05). This
difference was influenced by breast feeding frequency. Duration of birth weight regain in EKC group (median 5 days (SE=0.31, 90% CI 4.49 to 5.51) was shorter than CC group (median 6 days (SE=0.52, 90% CI 5.15 to 6.85), but this difference wasn't statistically significant (P=0.40). Percentage of birth weight decrease, breastfeeding frequency, and hyperbilirubinemia events that needed phototheraphy were associated with the duration of birth weight increase.
Conclusion EKC helps to decrease the incidence of hypothermia
events, but fails to shorten duration of birth weight increase.
Percentage of birth weight decrease, breast-feeding frequency, and hyperbilirunemia events that need phototheraphy are associated with the duration of birth weight increase in LBW newborn.
References
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Indonesia, editor. Profit kesehatan Indonesia 2001. Jakarta:
Departemen Kesehatan Republik Indonesia, 2002; p. 29-34.
2. Departemen Kesehatan RI. Gambaran umum. In: Departemen
Kesehatan Republik Indonesia, editor. Rencana Strategis
Pembangunan Kesehatan 2001-2004. Jakarta: Departemen
Kesehatan Republik Indonesia, 2001; p. 10-114.
3. Departemen Kesehatan RI. Pedoman teknis pelayanan
kesehatan dasar pelayanan kesehatan neonatal esensial.
Jakarta: Departemen Kesehatan RI, 2000; p. 1-13.
4. Livingstone YH, Willis CE, Abdel-Wareth LO, Thiessen P,
Lockitch G. Neonatal hypernatremic dehydration associated
with breast-feeding malnutrition: a retrospective survey.
CMAJ. 2000; 162:647-52.
5. Bertini G, Dani C, Tronchin M, Rubaltelli FR. Is breastfeeding
really favoring early neonatal jaundice. Pediatrics. 2001;
107:1-5.
6. Anderson GC. Touch and the kangaroo care method. In:
Field TM, editor. Touch in Early Development. New Jersey:
Lawrence Eribaum Associates Publishers, 1995; p. 35-51.
7. Lima G, Romero SQ, Cattaneo A Feasibility, acceptibility
and cost of kangaroo mother care in Recife, Brasil. Ann Trap
Paediatr. 2000;20:22-6.
8. Ibe OE, Austin T, Sullivan K, Fabanwo 0, Disu E,
Costello AM. A comparation of kangaroo mother care
and conventional incubator care for thermal regulation of
infants < 2000 g in Nigeria using continuous ambulatory
temperature monitoring. Ann Trap Paediatr. 2004;24:245-51.
9. Ndiaye 0, Diouf A, DioufS, DioufNN, Cisse BA, Cisse CT,
et al. Efficiency of kangaroo care on thermoregulation and
weight gain of a preterm newborn cohort in Dakar. Dakar
Med. 2006; 51:155-60.
10. Chwo MJ, Anderson GC, Good M, Dowling DA, Shiau SH,
Chu DM. A randomized controlled trial of early kangaroo
care for preterm infants: effect on temperature, weight,
behavior, and activity. J Nurs Res. 2002; 10:129-42.
11. Ludington-Hoe SM, Nguyen N, Swinth JY, Satyshur RO.
Kangaroo care compared to incubators in maintaining body
warmt in preterm infants. Bioi Res Nurs. 2000; 2:60-73.
12. Cooper P, Johnson R, Saloojee H, Zupan J, Brothers J,
Jana AK, et al. Maintaining normal body temperature. In:
McCormick M, Elabd S, Lewison D, Wagner E, editors.
Managing newborn problems: a guide for doctors, nurses,
and midwifes. Geneva: WHO, 2003; p. C1-9.
13. Penalva 0, SchwartzmanJS. Descriptive study of the clinical
and nutritional profile and follow-up of premature babies in a
Kangaroo Mother Care Program. J Pediatr. 2006; 82:33-9.
14. Andrews BF, Cook LN. Low birth weight infants fed a new
carbohydrate-free formula with different sugars. Am J Clin
Nutr. 1969; 22:845-50.
15. Macdonald PD, Ross RSM, Grant L, Young D. Neonatal
weight loss in breast dan formula fed infants. Arch Dis Child
Fetal Neonatal Ed. 2003; 88:4 72.
Published
2009-10-31
How to Cite
1.
Pratiwi IGAP, Soetjiningsih S, Kardana IM. Effect of kangaroo method on the risk of hypothermia and duration of birth weight regain in low birth weight infants: A randomized controlled trial. PI [Internet]. 31Oct.2009 [cited 20Apr.2024];49(5):253-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/579
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Received 2016-09-11
Accepted 2016-09-11
Published 2009-10-31
Accepted 2016-09-11
Published 2009-10-31
