Safety, Effectiveness and Barriers to Follow-up Using an 'Early Discharge' Kangaroo Care Policy in a Resource Poor Setting

被引：31

作者：

Blencowe, Hannah ^{[1
]}

Kerac, Marko ^{[1
,2
]}

Molyneux, Elizabeth ^{[1
]}

机构：

[1] Coll Med Malawi, Dept Paediat, Blantyre, Malawi

[2] UCL, Ctr Int Hlth & Dev, London WC1N 1EH, England

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2009年 / 55卷 / 04期

关键词：

Kangaroo mother care; less-developed countries; low-birth-weight infant; BIRTH-WEIGHT INFANTS; RANDOMIZED CONTROLLED-TRIAL; MOTHER CARE; MORTALITY;

D O I：

10.1093/tropej/fmn116

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Methods: Prospective descriptive study of all 272 babies admitted to a Kangaroo Care Ward in Malawi from November 2003 to May 2004. Infants were discharged to outpatient care once weighing over 1300 g and gaining weight. Follow-up was carried out until 2500 g. Results: Infants [201 of 272 (73.9%)] reached a weight > 2500 g; 46 out of 272 (16.9%) died; outcome was unknown in 25 of 272 (9.2%). Outpatient mortality was higher amongst discharges weighing under 1500 g [RR = 2.41(1.25-4.63) P = 0.01]. Discharge below birth weight did not affect mortality [RR = 0.77(0.40-1.46) P = 0.42]. Barriers identified to seeking healthcare post-discharge included transport problems and late recognition of illness. Conclusions: Early discharge is safe and feasible, but issues regarding access to healthcare need to be addressed. Future research is needed to determine how best high mortality can be reduced in specific subgroups: notably infants < 1500 g.

引用

页码：244 / 248

页数：5

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