Adedia David, Nyande Felix Kwasi, Kuug Anthony, Afaya Agani, Ayanore Martin Amogre, Yibile Mildred, Tangtie Evelyn, Cudjoe Linda, Musah Lillie Akanlie Baba, Beatrice Tackie-Ankrah, Kunje Magdalene, Moreax Josephine Nana Ama, Obeng Rita, Gyan Francisca, Anaman Efua Essilfua, Konlan Kennedy Diema
Department of Basic Sciences, School of Basic and Biomedical Sciences, University of Health and Allied Sciences, Ho, Ghana.
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Int J Pediatr. 2025 Sep 3;2025:9420090. doi: 10.1155/ijpe/9420090. eCollection 2025.
Kangaroo mother care (KMC) is one of the cost-effective interventions in low-resource settings for effective thermoregulation, supportive breastfeeding, and ensuring early hospital discharge of preterm and low birth weight babies. This study described the predictors of knowledge, attitude, and practice of KMC in a Tertiary Care Center in Ghana. A cross-sectional design using an online survey was conducted. The convenience sampling method was employed to select 385 mothers. Logistic regression models and path models were used to determine the factors influencing the knowledge, attitude, and practice of KMC. The factors that predict a woman's knowledge of KMC are birthing a preterm or low birth weight baby, aged above 35 years, being a Christian, having health insurance, and giving birth at a health facility. The attitude of mothers toward KMC practice was significantly associated with education, ethnicity, health insurance, weight of newborn, and antenatal clinic (ANC) follow-up. Mothers who used the spontaneous vaginal delivery (SVD) type (aOR = 0.06, 95% CI: 0.01-0.28, value = 0.001) are less likely to practice KMC than mothers who used the caesarean section (C/S) delivery type; however, mothers who used the SVD type and had health insurance (aOR = 16.02, 95% CI: 3.13-94.95, value = 0.001) were more likely to practice KMC. Also, mothers who delivered at a private hospital (aOR = 0.42, 95% CI: 0.18-0.97, value = 0.039) and newborns with weights 1000-1499 g (aOR = 0.32, 95% CI: 0.13-0.72, value = 0.008) and 2000-2500 g (aOR = 0.31, 95% CI: 0.13-0.70, value = 0.006) were less likely to practice KMC. In addition, mothers who are not married (aOR = 1.93, 95% CI: 1.10-3.49, value = 0.025) are more likely to practice KMC. Given that numerous factors influence practice (SVD, having health insurance, not birthing in a private facility, and having a normal birth weight baby) of KMC, promoting health insurance registration, increasing pregnancy safety leading to SVD, and fostering normal birth weight births can limit the need to use KMC. However, given the positive benefits of KMC, ensuring a positive attitude among community members is crucial to its adoption, should it be needed.
袋鼠式护理（KMC）是资源匮乏地区用于有效调节体温、支持母乳喂养以及确保早产和低体重婴儿早期出院的经济高效的干预措施之一。本研究描述了加纳一家三级护理中心中KMC知识、态度和实践的预测因素。采用在线调查进行横断面设计。采用便利抽样方法选取了385名母亲。使用逻辑回归模型和路径模型来确定影响KMC知识、态度和实践的因素。预测女性对KMC知识的因素包括生育早产或低体重婴儿、年龄在35岁以上、是基督徒、拥有健康保险以及在医疗机构分娩。母亲对KMC实践的态度与教育程度、种族、健康保险、新生儿体重和产前诊所（ANC）随访显著相关。采用自然阴道分娩（SVD）类型的母亲（调整后比值比[aOR]=0.06，95%置信区间[CI]：0.01 - 0.28，P值=0.001）比采用剖宫产（C/S）分娩类型的母亲进行KMC实践的可能性更小；然而，采用SVD类型且拥有健康保险的母亲（aOR = 16.02，95% CI：3.13 - 94.95，P值=0.001）进行KMC实践的可能性更大。此外，在私立医院分娩的母亲（aOR = 0.42，95% CI：0.18 - 0.97，P值=0.039）以及体重为1000 - 1499克（aOR = 0.32，95% CI：0.13 - 0.72，P值=0.008）和2000 - 2500克（aOR = 0.31，95% CI：0.13 - 0.70，P值=0.006）的新生儿的母亲进行KMC实践的可能性更小。另外，未婚母亲（aOR = 1.93，95% CI：1.10 - 3.49，P值=0.025）进行KMC实践的可能性更大。鉴于有众多因素影响KMC的实践（SVD、拥有健康保险、不在私立机构分娩以及新生儿体重正常），推广健康保险登记、提高导致SVD的妊娠安全性以及促进正常体重分娩可以减少对KMC的需求。然而，鉴于KMC的积极益处，确保社区成员持积极态度对于在有需要时采用KMC至关重要。
