Predictors for Opting for Kangaroo Mother Care in Pakistan and Infant Development Outcomes Based on a Quasi-Experimental Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 400
- 试验地点
- 2
- 主要终点
- Number of babies Holding head up
研究概览
简要总结
This quasi-experimental study evaluated the impact of Kangaroo Mother Care (KMC) versus Conventional Care (CC) on the growth, developmental milestones, breastfeeding, vaccination, and mortality of low birth weight infants in Services Hospital Lahore, Pakistan. A total of 400 infants were enrolled and followed for one year.
详细描述
This quasi-experimental study was conducted in the Obstetrics and Gynecology Department of Services Institute of Medical Sciences (SIMS), Lahore, Pakistan, to compare the impact of Kangaroo Mother Care (KMC) versus Conventional Care (CC) on low birth weight infants. A total of 400 infants (200 in each group) born between January 2020 and December 2022 were included in the study, with participants selected based on specific inclusion criteria and informed consent obtained. KMC involved continuous skin-to-skin contact between mother and infant during the hospital stay and continued at home for at least 8 hours daily. The follow-up schedule included appointments at six weeks after birth, monthly visits until six months of age, and quarterly visits until the infants reached one year of age. During these visits, the study collected data on infant growth, developmental milestones, breastfeeding practices, and vaccination status. The study was ethically approved by the research ethics committee, and data collection was conducted during scheduled follow-up visits to the outpatient department.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •women who were able to follow the program instructions,
- •permanent residents of Lahore and its periphery and willing to be part of program for the one-year time period,
- •live newborn babies delivered either vaginally or through caesarean section with birth weight of 1.5 to 2 kg,
- •gestational age between 28 to 36 weeks.
排除标准
- •an infant or mother diagnosed with a life-threatening ailment, major disease, or major malformations,
- •early-detected major conditions arising from perinatal problems, such as severe hypoxic-ischemic encephalopathy, pulmonary hypertension,
- •incidence of severe infection measured as nosocomial infections requiring systemic antibiotics or infections, severe respiratory distress, and hypothermia episodes (temperature less than 35C).
结局指标
主要结局
Number of babies Holding head up
时间窗: 3 months
baby able to hold their head up
Number of babies crawling
时间窗: 10 months
baby able to move forward on hands and knees
average length of infant
时间窗: 1 year
Length of infant in cms at birth, 6 weeks, 1 year, 6 months, and 1 year
Average head circumference of infant
时间窗: 1 year
Head circumference of infant in cms at birth, 6 weeks, 1 year, 6 months, and 1 year
Number of babies produce 2 syllable sounds
时间窗: 9 months
baby able to produce words that have two definite sounds
Duration of Breastfeeding
时间窗: from 2 hours to 1 year
breastfeeding initiation within 2 hours, exclusive breastfeeding for 6 months, breastfeeding up to one year
Number of babies with complete vaccination
时间窗: 1 year
infant receiving all scheduled vaccinations within their first year of life
Number of babies Sitting without support
时间窗: 6 months
Baby gets into sitting position without help
Number of babies roll over
时间窗: 8 months
baby able to roll from side to side
Number of babies babbles
时间窗: 6 months
baby able to produce repititive incomprehensible sounds
cumulative Mortality rate
时间窗: 1 year
Death of baby
Average weight of baby
时间窗: 1 year
Weight of infant in Kg at birth, 6 weeks, 1 year, 6 months, and 1 year
次要结局
- Number of babies with Hypothermia(72 hours)
- Number of babies with Sepsis(72 hours)
研究者
Tayyiba Wasim
Professor Obstetrics & Gynaecology
Services Institute of Medical Sciences, Pakistan