By Dept of Reproductive Health and Research

A few 20 million low-birth-weight infants are born every year, as a result of both preterm start or impaired prenatal development, in most cases in much less constructed international locations. for plenty of small preterm babies, receiving lengthy treatment is necessary. notwithstanding, kangaroo mom care is an efficient solution to meet baby’s wishes for heat, breastfeeding, safeguard from an infection, stimulation, defense and love.

Kangaroo mom care is care of preterm babies carried skin-to-skin with the mum. it's a strong, easy-to-use way to advertise the future health and overall healthiness of babies. This record describes the kangaroo mom care strategy for care of good preterm/low-birth-weight babies who want thermal safety, enough feeding, common statement, and defense from an infection.

It presents counsel on tips to arrange providers on the referral health center and on what's had to introduce and perform kangaroo mom care, targeting settings the place assets are constrained. facts for the innovations are supplied each time attainable. This e-book has been ready for wellbeing and fitness execs answerable for low-birth-weight and preterm baby babies in first referral hospitals in settings with scarce assets. it's also geared toward decision-makers and planners at nationwide and native degrees.

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Additional resources for Kangaroo Mother Care: A Practical Guide

Sample text

There is no universal reference chart for plotting the postnatal weight gain of those babies but intrauterine growth charts by week of gestation, with percentiles or standard deviations, are used instead. It is not known whether an extrauterine growth similar to the one the preterm infant would have had in utero is an appropriate criterion for monitoring postnatal weight gain. It seems reasonable, however, to aim for a weight of at least 2500g or more by the 40th week of post-menstrual age. The following recommendations are based on experience  Weigh babies once a day; more frequent weighing might upset the baby and be a cause of anxiety and concern for the mother.

If possible, use freshly expressed breast milk for the next feed. If there is more milk than the baby needs, it can be stored in a refrigerator for up to 48 hours at 4°C. 31 KANGAROO MOTHER CARE Expressing breast milk directly into baby’s mouth Breast milk can be expressed directly into the baby’s mouth, but the mother should first become familiar with expressing breast milk by hand. The baby can be fed while in kangaroo position  Hold the baby in skin-to-skin contact, the mouth close to the nipple;  wait until the baby is alert and opens mouth and eyes (very small babies may need light stimulation to be kept awake and alert);  express a few drops of breast milk;  let the baby smell and lick the nipple, and open the mouth;  express breast milk into the baby’s open mouth;  wait until baby swallows the milk;  repeat the procedure until the baby closes his mouth and will take no more breast milk even after stimulation;  ask the mother to repeat this operation every hour if the baby weighs less than 1200g and every two hours if the baby weighs more than 1200g;  be flexible at each feed, but check that the intake is adequate by measuring the daily weight gain.

Is the baby showing signs of intolerance? Is it time to wean the baby from KMC (usually at around 40 weeks of post-menstrual age, or just before)? If not, encourage the mother and family to continue KMC as much as possible. Breastfeeding Is it exclusive? If yes, praise the mother and encourage her to continue. If not, advise her on how to increase breastfeeding and decrease supplements or other fluids. Ask and look for any problem and provide support. If the baby is taking formula supplements or other foods, check their safety and adequacy; make sure that the family has the necessary supply.

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