Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial

被引:31
|
作者
Bera, Alpanamayi [1 ,2 ]
Ghosh, Jagabandhu [3 ]
Singh, Arun K. [1 ,2 ]
Hazra, Avijit [4 ]
Mukherjee, Suchandra [1 ,2 ]
Mukherjee, Ranajit [1 ,2 ]
机构
[1] Postgrad Inst Med Educ & Res, Dept Neonatol, Kolkata, India
[2] SSKM Hosp, Kolkata, India
[3] Postgrad Inst Med Educ & Res, Dept Pediat, Kolkata, India
[4] Postgrad Inst Med Educ & Res, Dept Pharmacol, Kolkata, India
关键词
Developmental Assessment Scales for Indian Infants; Development; Growth; Kangaroo mother care; Newborn; IMPLEMENTATION; INFANTS;
D O I
10.1111/apa.12618
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
AimKangaroo mother care (KMC) is a nonconventional low-cost method of newborn care. Our aim was to assess the effect of sustained KMC on the growth and development of low birthweight Indian babies up to the age of 12months. MethodsWe enrolled 500 mother and baby pairs, in groups of five, in a parallel group controlled clinical trial. The three infants with the lowest birthweight in each group received KMC, while the other two received conventional care. All babies were exclusively breastfed for 6months. Babies in the intervention group were provided KMC until the infant was 40weeks of corrected gestation or weighed 2500g. Weight, length and head, chest and arm circumferences were evaluated at birth and at the corrected ages of 0, 3, 6, 9 and 12months. Development was assessed using the Developmental Assessment Scales for Indian Infants (DASII) at 12months. ResultsThe KMC babies rapidly achieved physical growth parameters similar to the control babies at 40weeks of corrected age. But after that, they surpassed them, despite being smaller at birth. DASII motor and mental development quotients were also significantly better for KMC babies. ConclusionThe infants in the KMC group showed better physical growth and development than the conventional control group.
引用
收藏
页码:643 / 650
页数:8
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