Predictors and Outcomes of Kangaroo Mother Care: A Quasi-Experimental Study in Pakistan
- Conditions
- Low Birth Weight InfantsPreterm Infants
- Interventions
- Behavioral: Kangroo mother care
- Registration Number
- NCT06559020
- Lead Sponsor
- Services Institute of Medical Sciences, Pakistan
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 400
- 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.
- 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).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description kangroo mother care Kangroo mother care he KMC group will receive continuous skin-to-skin contact between mother and infant for 24 hours a day, with support and training in kangaroo positioning and exclusive breastfeeding.
- Primary Outcome Measures
Name Time Method Number of babies Holding head up 3 months baby able to hold their head up
Number of babies crawling 10 months baby able to move forward on hands and knees
average length of infant 1 year Length of infant in cms at birth, 6 weeks, 1 year, 6 months, and 1 year
Average head circumference of infant 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 9 months baby able to produce words that have two definite sounds
Duration of Breastfeeding 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 1 year infant receiving all scheduled vaccinations within their first year of life
Number of babies Sitting without support 6 months Baby gets into sitting position without help
Number of babies roll over 8 months baby able to roll from side to side
Number of babies babbles 6 months baby able to produce repititive incomprehensible sounds
cumulative Mortality rate 1 year Death of baby
Average weight of baby 1 year Weight of infant in Kg at birth, 6 weeks, 1 year, 6 months, and 1 year
- Secondary Outcome Measures
Name Time Method Number of babies with Sepsis 72 hours infection leading to life threatening inflammatory response
Number of babies with Hypothermia 72 hours core body temperature less than 35 degree celsius
Trial Locations
- Locations (1)
Services Institute of Medical sciences
🇵🇰Lahore, Punjab, Pakistan