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KANGAROO MOTHER CARE
Ms. Supriya
Introduction
• Kangaroo mother care, which
involves skin-to-skin contact and
exclusive breastfeeding, significantly
improves a premature or low birth
weight baby’s chances of survival
• Starting kangaroo mother
care immediately after birth has the
potential to save up to 150,000 more
lives each year, compared with the
current recommendation of starting it
only once a baby is stable
• Caring low birth weight baby is a great
challenge for the NICU and the family.
The cost of quality management of these
babies is increasing day by day.
• KMC is a low-cost approach for the care
of low-birth-weight baby.
What is Kangaroo
Mother Care
• Kangaroo Mother Care
(KMC) is a simple method
of care for low-birth-
weight and preterm
infants that includes
early, and prolonged
skin-to-skin contact
with the mother (or a
substitute caregiver)
and exclusive & frequent
breastfeeding
Components
2. “World Health
Organization (WHO)
recommends skin-to-skin
care immediately after
delivery for every
newborn, irrespective
of the birth weight”
Components
Component
s
PREREQUISITES OF KMC
Support to the mother:-
• Support from caregivers & family members.
• Counselling & supervision
• Assistance
Post discharge follow up:-
• Should be continued at home
• Regular follow up should be arranged
Benefits to the newborn
• Stabilizes body temperature
• Decrease morbidities; better neurodevelopment
• Early discharge
• Promotes breastfeeding; prevents infection
• Encourages bonding in mother & Child
• Daily weight gain is better with KMC.
• Best method of transporting.
• Mother feels increased confidence, self esteem, sense of fulfilment, and
deep satisfaction
• KMC does not require additional care as like incubator care.
Preparing for
KMC
1.
Counselin
g
Explain
benefits of
KMC
Demonstrate
procedure to
mother
Ensure
family
support
KMC support
group
(interaction
with mother
already
practicing KMC
for their
baby)
Discuss about
the procedure to
the husband or
any other family
member
2. Mother’s clothing
• Front-open, light dress as
per the local culture
3. Baby’s clothing
• Cap, socks, nappy and front-
open sleeveless shirt.
Cont..
REQUIREMENTS
FOR KMC
ELIGIBILITY
CRITERIA
FOR BABY
• All stable LBW babies are eligible for KMC.
• Useful for caring LBW infants weighing below
2000 g.
• Sick LBW infants may take a few days to initiate
KMC.
• Infants of birth weight less than 1200 g with serious
prematurity related morbidity may take days to
weeks to allow initiation of KMC.
• KMC can be initiated who is otherwise stable but
may still be on IV fluid therapy, tube feeding or
Oxygen therapy.
ELIGIBILITY
CRITERIA
FOR MOTHER
• All mothers can provide KMC irrespective of age, parity,
education, culture & religion.
• Mother should be free from serious illness and able to
take adequate diet and supplements.
• She must be willing to provide KMC to her baby.
• She should maintain good hygiene, daily bath/sponge,
change of clothes, hand hygiene, short and clean finger
nails etc.
• She should have supportive family and community.
PREPARATION OF KMC
MOTHER’S CLOTHING
• Mother should wear front open, light
dress, as per local culture. Mother can
wear sari blouse, gown shawl etc.
PREPARATION OF KMC
BABY’S CLOTHING
• Baby should be dressed with front open sleeveless shirt, cap,
socks, nappy and hand gloves.
KMC PROCEDURE
KANGAROO POSITONING
• Baby should be placed between mother’s
breasts in an upright position.
• Baby’s head should be turned to one side in
slightly extended position which helps to keep
airway open and allow eye to eye contact
between mother and baby.
• Baby’s hip should be flexed and abducted in a
frog like position, the arms should be flexed
and placed on mother’s chest.
• Baby’s abdomen should be placed at the level
of mother’s epigastrium.
KMC PROCEDURE
Monitoring during KMC
• During initial stage of KMC the baby
should be monitored for airway,
breathing, color, temperature. Hands
and feet should be examined to
assess the warmth. Airway must be
clear with regular breathing, normal
skin color & temperature.
• Baby’s neck position should be
neither too flexed or nor too
extended.
3. Feeding
Help mother to
breastfeed her baby
during KMC
Holding baby near the
breast, during kangaroo
positioning stimulates
milk production
DURATION OF KMC
• Duration of KMC should be less than one hour to avoid
frequent handling which may be stressful to the baby.
• Gradually the length of KMC sessions should be increased
up to 24 hours a day.
Can the mother
continue KMC during
sleep and resting?
• A comfortable chair with adjustable back may be useful to provide
KMC during sleep and rest.
• In the KMC ward or at home, the mother can sleep with the baby in
kangaroo position in a reclined or semirecumbent position, about 15 -
30o degrees from above the ground.
• This can be achieved with an adjustable bed, if available, or with
several pillows on an ordinary bed.
• It has been observed that this position may decrease the risk of
apnea in a baby.
• A supporting garment to carry the baby in kangaroo position will
allow the mother or the father or the relatives to sleep even with
the baby in the kangaroo position. When the mother and the baby are
well adapted to KMC they can be discharged from the hospital.
DISCHARGING
CRITERIA
DISCONTINUATION
OF KMC
• KMC can be continued until the baby gains
weight around 2500 g or reaches 40 weeks of
post conception.
• Mother can provide skin to skin contact
occasionally during cold nights & after baby
bath.

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kmc.pptx

  • 2. Introduction • Kangaroo mother care, which involves skin-to-skin contact and exclusive breastfeeding, significantly improves a premature or low birth weight baby’s chances of survival • Starting kangaroo mother care immediately after birth has the potential to save up to 150,000 more lives each year, compared with the current recommendation of starting it only once a baby is stable • Caring low birth weight baby is a great challenge for the NICU and the family. The cost of quality management of these babies is increasing day by day. • KMC is a low-cost approach for the care of low-birth-weight baby.
  • 3. What is Kangaroo Mother Care • Kangaroo Mother Care (KMC) is a simple method of care for low-birth- weight and preterm infants that includes early, and prolonged skin-to-skin contact with the mother (or a substitute caregiver) and exclusive & frequent breastfeeding
  • 4. Components 2. “World Health Organization (WHO) recommends skin-to-skin care immediately after delivery for every newborn, irrespective of the birth weight”
  • 7. PREREQUISITES OF KMC Support to the mother:- • Support from caregivers & family members. • Counselling & supervision • Assistance Post discharge follow up:- • Should be continued at home • Regular follow up should be arranged
  • 8. Benefits to the newborn • Stabilizes body temperature • Decrease morbidities; better neurodevelopment • Early discharge • Promotes breastfeeding; prevents infection • Encourages bonding in mother & Child • Daily weight gain is better with KMC. • Best method of transporting. • Mother feels increased confidence, self esteem, sense of fulfilment, and deep satisfaction • KMC does not require additional care as like incubator care.
  • 9. Preparing for KMC 1. Counselin g Explain benefits of KMC Demonstrate procedure to mother Ensure family support KMC support group (interaction with mother already practicing KMC for their baby) Discuss about the procedure to the husband or any other family member
  • 10. 2. Mother’s clothing • Front-open, light dress as per the local culture 3. Baby’s clothing • Cap, socks, nappy and front- open sleeveless shirt. Cont..
  • 12. ELIGIBILITY CRITERIA FOR BABY • All stable LBW babies are eligible for KMC. • Useful for caring LBW infants weighing below 2000 g. • Sick LBW infants may take a few days to initiate KMC. • Infants of birth weight less than 1200 g with serious prematurity related morbidity may take days to weeks to allow initiation of KMC. • KMC can be initiated who is otherwise stable but may still be on IV fluid therapy, tube feeding or Oxygen therapy.
  • 13. ELIGIBILITY CRITERIA FOR MOTHER • All mothers can provide KMC irrespective of age, parity, education, culture & religion. • Mother should be free from serious illness and able to take adequate diet and supplements. • She must be willing to provide KMC to her baby. • She should maintain good hygiene, daily bath/sponge, change of clothes, hand hygiene, short and clean finger nails etc. • She should have supportive family and community.
  • 14. PREPARATION OF KMC MOTHER’S CLOTHING • Mother should wear front open, light dress, as per local culture. Mother can wear sari blouse, gown shawl etc.
  • 15. PREPARATION OF KMC BABY’S CLOTHING • Baby should be dressed with front open sleeveless shirt, cap, socks, nappy and hand gloves.
  • 16. KMC PROCEDURE KANGAROO POSITONING • Baby should be placed between mother’s breasts in an upright position. • Baby’s head should be turned to one side in slightly extended position which helps to keep airway open and allow eye to eye contact between mother and baby. • Baby’s hip should be flexed and abducted in a frog like position, the arms should be flexed and placed on mother’s chest. • Baby’s abdomen should be placed at the level of mother’s epigastrium.
  • 17. KMC PROCEDURE Monitoring during KMC • During initial stage of KMC the baby should be monitored for airway, breathing, color, temperature. Hands and feet should be examined to assess the warmth. Airway must be clear with regular breathing, normal skin color & temperature. • Baby’s neck position should be neither too flexed or nor too extended.
  • 18. 3. Feeding Help mother to breastfeed her baby during KMC Holding baby near the breast, during kangaroo positioning stimulates milk production
  • 19. DURATION OF KMC • Duration of KMC should be less than one hour to avoid frequent handling which may be stressful to the baby. • Gradually the length of KMC sessions should be increased up to 24 hours a day.
  • 20. Can the mother continue KMC during sleep and resting? • A comfortable chair with adjustable back may be useful to provide KMC during sleep and rest. • In the KMC ward or at home, the mother can sleep with the baby in kangaroo position in a reclined or semirecumbent position, about 15 - 30o degrees from above the ground. • This can be achieved with an adjustable bed, if available, or with several pillows on an ordinary bed. • It has been observed that this position may decrease the risk of apnea in a baby. • A supporting garment to carry the baby in kangaroo position will allow the mother or the father or the relatives to sleep even with the baby in the kangaroo position. When the mother and the baby are well adapted to KMC they can be discharged from the hospital.
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  • 23. DISCONTINUATION OF KMC • KMC can be continued until the baby gains weight around 2500 g or reaches 40 weeks of post conception. • Mother can provide skin to skin contact occasionally during cold nights & after baby bath.