Nimbalkar Somashekhar, Dave Hemal, Budh Hetal, Morgaonkar Vallaree, Patel Dipen
Department of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India.
Department of Pediatrics, Parul Institute of Medical Sciences and Research, Faculty of Medicine, Parul University, Vadodara, Gujarat, India.
J Family Med Prim Care. 2024 Apr;13(4):1379-1383. doi: 10.4103/jfmpc.jfmpc_1465_23. Epub 2024 Apr 22.
Continuation of kangaroo mother care (KMC) at home is vital for improved infant survival and development. Hence, it is essential to understand potential enablers and barriers to home KMC provision.
This observational study was conducted in rural Gujarat. KMC was initiated for all low-birth-weight (LBW) neonates during the hospital stay and were advised to continue home KMC on discharge. The mothers of these LBW neonates were interviewed using a structured questionnaire during follow-up visits or via telephone.
A total of 100 mothers were interviewed, and 98 practiced home KMC. Mothers' mean age was 24.41 (±3.1) years, and infants' mean age was 3.48 (±1.81) months. The mean weight of neonates at discharge was 1.85 (±0.28) kg. Out of the 104 neonates (96 singleton pregnancies and four twins), 76 (73.07%) were pre-term. 31% mothers provided 4-6 hours of daily KMC. 60% provided KMC for less than 1 hour during each session, while 36% of mothers provided each KMC session for 1-3 hours. 74% of mothers received family support, and 62% faced difficulties in home KMC provision. 88% of mothers were homemakers, and 53% had other children to care for. 51% mothers pre-maturely discontinued KMC provision. 83% of the mothers reported fatigue or pain during KMC provision.
Lack of family support, other household responsibilities, and other children to care for were major barriers leading to pre-mature discontinuation of home KMC.
在家中持续进行袋鼠式护理（KMC）对于提高婴儿存活率和促进其发育至关重要。因此，了解在家中提供KMC的潜在促进因素和障碍至关重要。
这项观察性研究在古吉拉特邦农村地区进行。所有低出生体重（LBW）新生儿在住院期间开始接受KMC，并在出院时被建议继续在家中进行KMC。在随访期间或通过电话，使用结构化问卷对这些LBW新生儿的母亲进行了访谈。
共访谈了100位母亲，其中98位在家中进行KMC。母亲的平均年龄为24.41（±3.1）岁，婴儿的平均年龄为3.48（±1.81）个月。出院时新生儿的平均体重为1.85（±0.28）千克。在104名新生儿（96名单胎妊娠和4对双胞胎）中，76名（73.07%）为早产儿。31%的母亲每天提供4 - 6小时的KMC。60%的母亲每次KMC时长少于1小时，而36%的母亲每次KMC时长为1 - 3小时。74%的母亲获得了家庭支持，62%的母亲在在家中提供KMC时面临困难。88%的母亲是家庭主妇，53%有其他孩子需要照顾。51%的母亲过早停止了KMC。83%的母亲在提供KMC时报告有疲劳或疼痛。
缺乏家庭支持、其他家务责任以及需要照顾其他孩子是导致在家中过早停止KMC的主要障碍。
